Transitioning from Pediatric to Adult Care in Cerebral Palsy and Neuromuscular Disorders

Phys Med Rehabil Clin N Am. 2025 Aug;36(3):481-497. doi: 10.1016/j.pmr.2025.03.002. Epub 2025 Apr 30.

Abstract

Transitioning to adulthood requires a shift from child-centered to adult-centered care, focusing on educational, medical, and community support for individuals with disabilities. Key elements include school-based transition utilizing the Individualized Education Plans, vocational training, and effective health care transitions prioritizing continuity of care and patient autonomy. The importance of mobility and physical activity is highlighted, particularly through adaptive sports, which enhance health and quality of life. Community involvement, social support, and mental and spiritual health are essential for fostering independence and self-esteem. There are critical financial and legal considerations, including guardianship, and resources are provided.

Keywords: Cerebral palsy; Community; Health care literacy; Housing; Independence; Mobility; Transitions; Wellness.

Publication types

  • Review

MeSH terms

  • Adult
  • Cerebral Palsy* / rehabilitation
  • Cerebral Palsy* / therapy
  • Child
  • Humans
  • Neuromuscular Diseases* / rehabilitation
  • Neuromuscular Diseases* / therapy
  • Quality of Life
  • Transition to Adult Care* / organization & administration