Editing Cerebral palsy (section)

===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 |vauthors=Kumar DS, Perez G, Friel KM |title=Adults with Cerebral Palsy: Navigating the Complexities of Aging |journal=Brain Sciences |volume=13 |issue=9 |pages=1296 |date=September 2023 |pmid=37759897 |pmc=10526900 |doi=10.3390/brainsci13091296 |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>