Functional abilities in children and adults with the CDKL5 disorder

Stephanie Fehr, Jenny Downs, G. Ho, Nick de Klerk, David Forbes, John Christodoulou, S. Williams, Helen Leonard

Research output: Contribution to journalArticlepeer-review

57 Citations (Scopus)


© 2016 Wiley Periodicals, Inc.
Functional abilities in the CDKL5 disorder have been described as severely impaired, yet some individuals are able to run and use phrases for speech. Our study investigated gross motor, hand function, and expressive communication abilities in individuals with the CDKL5 disorder. Data for 108 females and 16 males registered with the International CDKL5 disorder database and with a pathogenic CDKL5 mutation were analyzed. Relationships between functional abilities, age, genotype, and gender were analyzed using regression models. Over half of the females could sit on the floor and nearly a quarter could walk 10 steps. Fewer males could complete these tasks although one boy was able to sit, walk, and run. Most females and few males were able to pick up a large object. Females mostly used gestures to communicate while males mostly used other forms of non-verbal communication. Compared to those with no functional CDKL5 protein, individuals with truncating variants after aa 781 were more likely to be able to stand (OR 5.7, 95%CI 1.2, 26.6) or walk independently (4.3, 95%CI 0.9, 20.5), and use more advanced communication methods such as words (OR 6.1, 95%CI 1.5–24.2). Although abilities were markedly impaired for the majority with the CDKL5 disorder, some females and a few males had better functional abilities. This variability may be related to underlying gene variants, with females with a late truncating variant having better levels of ability than those with no functional protein. © 2016 Wiley Periodicals, Inc.
Original languageEnglish
Pages (from-to)2860-2869
Number of pages10
JournalAmerican Journal of Medical Genetics, Part A
Issue number11
Early online date16 Aug 2016
Publication statusPublished - 1 Nov 2016


Dive into the research topics of 'Functional abilities in children and adults with the CDKL5 disorder'. Together they form a unique fingerprint.

Cite this