Cerebral palsy

===Aging===
Children with CP may not successfully transition into using adult services because they are not referred to one upon turning 18, and may decrease their use of services.<ref name="rehabilitation443" /> Quality of life outcomes tend to decline for adults with cerebral palsy.<ref>{{cite journal | vauthors = Alves-Nogueira AC, Silva N, McConachie H, Carona C | title = A systematic review on quality of life assessment in adults with cerebral palsy: Challenging issues and a call for research | journal = Research in Developmental Disabilities | volume = 96 | pages = 103514 | date = January 2020 | pmid = 31706133 | doi = 10.1016/j.ridd.2019.103514 | s2cid = 207936522 }}</ref>  Because children with cerebral palsy are often told that it is a non-progressive disease, they may be unprepared for the greater effects of the [[aging]] process as they head into their 30s.<ref>{{cite report | veditors = Turk MA, Overeynder JC, Janicki MP | date= 1995 | url = http://www.rrtcadd.org/resources/Resources/Topics-of-Interest/CP/future.pdf | title = Uncertain Future – Aging and Cerebral Palsy: Clinical Concerns | location = Albany | publisher = New York State Developmental Disabilities Planning Council | archive-url = https://web.archive.org/web/20160803114950/http://www.rrtcadd.org/resources/Resources/Topics-of-Interest/CP/future.pdf | archive-date=3 August 2016}}</ref> Young adults with cerebral palsy experience problems with aging that non-disabled adults experience "much later in life".<ref name="Kerkovich, D 2009, pp. 41-53" />{{rp|42}} 25% or more adults with cerebral palsy who can walk experience increasing difficulties walking with age.<ref>{{cite journal | vauthors = Morgan P, McGinley J | title = Gait function and decline in adults with cerebral palsy: a systematic review | journal = Disability and Rehabilitation | volume = 36 | issue = 1 | pages = 1–9 | date = 17 April 2013 | pmid = 23594053 | doi = 10.3109/09638288.2013.775359 | s2cid = 9709075 }}</ref> Hand function does not seem to have similar declines.<ref name="The epidemiology of cerebral palsy" />  Chronic disease risk, such as [[obesity]], is also higher among adults with cerebral palsy than the general population.<ref>{{cite journal | vauthors = Peterson MD, Gordon PM, Hurvitz EA | title = Chronic disease risk among adults with cerebral palsy: the role of premature sarcopoenia, obesity and sedentary behaviour | journal = Obesity Reviews | volume = 14 | issue = 2 | pages = 171–182 | date = February 2013 | pmid = 23094988 | doi = 10.1111/j.1467-789X.2012.01052.x | hdl-access = free | s2cid = 26998110 | hdl = 2027.42/96337 }}</ref> Common problems include increased pain, reduced flexibility, increased spasms and contractures, [[post-impairment syndrome]]<ref>{{cite web|title=CP and ageing|url=http://www.scope.org.uk/support/disabled-people/old-age/cp|archive-url=https://web.archive.org/web/20160506052736/http://www.scope.org.uk/Support/Parents-and-Carers/Landing/Cerebral-palsy/Ageing|archive-date=6 May 2016 |website=[[Scope (charity)|Scope]]|access-date=24 December 2016}}</ref> and increasing problems with balance.<ref name="hirsch_2013" /> Increased [[fatigue (medical)|fatigue]] is also a problem.<ref name="Developmental Medicine 2011" /> When adulthood and cerebral palsy is discussed, {{as of|2011|lc=y}}, it is not discussed in terms of the different stages of adulthood.<ref name="Developmental Medicine 2011" /> About half of people with CP report some loss of function as of their 40s.<ref>{{cite journal |last1=Kumar |first1=Devina S. |last2=Perez |first2=Gabriel |last3=Friel |first3=Kathleen M. |title=Adults with Cerebral Palsy: Navigating the Complexities of Aging |journal=[[Brain Sciences]] |date=September 2023 |volume=13 |issue=9 |pages=1296 |doi=10.3390/brainsci13091296 |pmid=37759897 |pmc=10526900 |language=en |issn=2076-3425 |doi-access=free }}</ref>

Like they did in childhood, adults with cerebral palsy experience psychosocial issues related to their CP, chiefly the need for social support, self-acceptance, and acceptance by others. Workplace accommodations may be needed to enhance continued employment for adults with CP as they age. Rehabilitation or social programs that include [[salutogenesis]] may improve the coping potential of adults with CP as they age.<ref>{{cite journal | vauthors = Horsman M, Suto M, Dudgeon B, Harris SR | title = Ageing with cerebral palsy: psychosocial issues | journal = Age and Ageing | volume = 39 | issue = 3 | pages = 294–299 | date = May 2010 | pmid = 20178997 | doi = 10.1093/ageing/afq018 | doi-access = free }}</ref>