A prospective study investigating gross motor function of children with cerebral palsy and GMFCS level II after long-term Botulinum toxin type A use
The aim of this study is to contribute to the knowledge base on the long-term outcomes of evidence-based medical interventions used to improve gross motor function in children and adolescents with Cerebral Palsy.
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]
Conclusions: Children and adolescents with unilateral spastic cerebral palsy express that the process of learning bimanual activities can only take place when it fits in with life as it unfolds. Thus, they have to adapt to a changing context and their own developing skills.Implications for RehabilitationThis study support a person-centred perspective in the process of learning bimanual activities.Interventions need to be tailored to life situations and embedding in child's and adolescents everyday lives.The therapist must be compliant with the child's and adolescents desire for learning. PMID: 32466667 [PubMed - as supplied by publisher]