Enjoying life to her full potential with cerebral palsy
For a month, Nikki Puzzo walked around with a hockey puck strapped to her torso. But this mother of two wasn’t just being silly or exhibiting her love of sports. Instead, she was demonstrating solidarity with her younger daughter, Stella. The little girl, who has spastic diplegia cerebral palsy (CP), had a device called a baclofen pump implanted into her abdomen. “I wanted her to feel more comfortable and know that she wasn’t alone,” explains Nikki. Targeting spasticity Like many kids with CP, Stella has spasticity, or severe tightness and stiffness, in her leg muscles. A medication called baclofen — typically taken orally — can help treat spasticity, but Nikki and her husband, Stephen, noticed that the drug had some unwanted side effects: Although it eased muscle contractions in Stella’s legs, it also loosened muscle tone in her abdomen, which was already relatively weak. As Dr. Brian Snyder and the rest of Stella’s care team in the Cerebral Palsy Center at Boston Children’s Hospital planned for an upcoming surgery to treat her hip dysplasia, they suggested that switching to a baclofen pump first might make her recovery go more smoothly. “The concept was a little scary,” Nikki admits. “But we knew it would have a greater benefit for her in the long run.” Three years later, the pump is paying off. “I like that the baclofen pump only affects the parts of her body that need the medicine,”...
The insertion of a secondary task seems to interfere differently children with cerebral palsy, depending on the specific demands of each task. Thus, the importance of inserting dual tasks in the interventions is emphasized, considering that they are executed extensively in the day to day, and can act as facilitators or challenge in the execution of functional tasks.
ConclusionsGMs assessment at 3 mo post term could be considered as an important screening tool for early identification of VLBW infants who are at risk of neurodevelopmental impairment/cerebral palsy.
While Botulinum NeuroToxin-A (BoNT-A) injections are frequently used to reduce the effects of hyperactive stretch reflexes in children with cerebral palsy (CP), the effects of this treatment vary strongly. Previous research, combining electromyography (EMG) with motion analysis, defined different patterns of stretch reflex muscle activation in muscles, those that reacted more to a change in velocity (velocity dependent –VD), and those that reacted more to a change in length (length dependent –LD). The aim of this study was to investigate the relation between the types of stretch reflex muscle activation in the ...
Conditions: Posture Disorders in Children; Cerebral Palsy Intervention: Other: Photographic Posture Analysis Sponsor: Baskent University Completed
It is crucial to interpret the fetal heart rate pattern with a focus on the pattern evolution during labor to estimate the relationship between cerebral palsy and delivery. However, nationwide data are lacking.
AbstractTo examine the sleep habits of children with cerebral palsy (CP) and use of night braces and to investigate their association with parental quality of life. The study included 114 children aged 3–6 (57 with typical development (TD) and 57 with CP). The children with CP were grouped according to the Gross Motor Function Classification System (GMFCS) and n ight brace use (NBU). “Children’s Sleep Habits Questionnaire-Abbreviated Form” and “Short-Form Health Survey” were used to investigate the children’s sleep habits and the parents’ quality of life, respectively. ...
Plena inclusi ón (Full Inclusion) is Spain's leading NGO on Intellectual Disability and other Developmental Disabilities. It is made up of nearly 900 family-based non-profit organizations throughout the country. Full inclusion offers lifelong support to 140,000 people with Developmental Disabilities (DD) (Intell ectual Disability, Autism Spectrum Disorder and Cerebral Palsy) and their families.
Drooling, or sialorrhoea, is a common difficulty faced by children with neurological impairment including cerebral palsy. It may lead to a reduction in their quality of life, causing skin irritation, dehydration and high levels of embarrassment and social isolation for both the patient and family. This review will discuss the assessment of patients with sialorrhoea and potential management strategies including conservative management, medical options, botulinum toxin injections and surgery.
Intrathecal baclofen (ITB) is a well-recognised treatment option in the management of generalised spasticity and dystonia. Typically it is considered in children who have failed to respond to, or have not tolerated, appropriate enteral medications. Placement of a pump would be contraindicated in children who could not accommodate a pump due to size, or those who have a local or systemic infection. There are a number of relative contraindications which must be considered. An intrathecal baclofen test dose is usually advised and is particularly useful in screening for hypersensitivity.
CONCLUSION: Antenatal corticosteroid treatment in twins was associated with a beneficial effect on short-term neurologic outcomes only, without improvement in other short-term and medium-term outcomes. There was no difference related to chorionicity. PMID: 32459431 [PubMed - in process]