Principles of Medical and Surgical Treatment of Cerebral Palsy

Cerebral palsy is the most common cause of childhood motor disability, affecting 2 to 3/1000 children worldwide. Clinical abnormalities in tone, posture, and movement are the result of brain dysgenesis or injury early in life, and impairment varies in type, distribution, and in severity. The underlying brain disorder may also lead to other associated neurologic and systemic impairments. Variability in functional impairments, which can change during development, necessitates an individualized treatment plan. Treatment options are primarily symptomatic and directed toward optimizing independence, function, and/or ease of care —while limiting side effects. New promising disease-preventing and modifying treatments are emerging.
Source: Neurologic Clinics - Category: Neurology Authors: Source Type: research

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This study provides a valid instrument to assess the QOL of childre n and adolescents with CP in the Spanish context.
Source: Journal of Developmental and Physical Disabilities - Category: Disability Source Type: research
Many children with cerebral palsy face considerable challenges in their day to day life. Some will be highly dependent on those around them. While motor deficits are most commonly reported, children with cerebral palsy also experience higher rates of challenging behaviour, attention difficulties, social communication problems and to a lesser extent mood disorders in comparison to the general population. Personal risk factors for psychological distress include normal intellect, communication problems and less functional disability.
Source: Paediatrics and Child Health - Category: Pediatrics Authors: Tags: Symposium: Cerebral palsy Source Type: research
CONCLUSIONS: Several clinical characteristics correlate with specific equipment needs. CLINICAL REHABILITATION IMPACT: The definition of the clinical characteristics with a potential predicting value, may facilitate the task of physician on choosing what is more appropriate to prescribe, as well as the authorizing office responsible for evaluating the appropriateness of prescriptions. Furthermore, it could be possible to foresee the care needs in terms of type and number of aids / orthoses and to guarantee every disabled child the possibility to take advantage of the same opportunities. PMID: 32406225 [PubMed - a...
Source: European Journal of Physical and Rehabilitation Medicine - Category: Rehabilitation Authors: Tags: Eur J Phys Rehabil Med Source Type: research
CONCLUSION: GM has become successfully integrated into the assessment of high-risk infants in our neonatal unit, with the aim to provide valuable information to health professionals and families to optimise intervention and improve outcomes. Efforts will continue to ensure there is robust and sustainable system for using GM in our service. PMID: 32379740 [PubMed - in process]
Source: New Zealand Medical Journal - Category: General Medicine Tags: N Z Med J Source Type: research
Abstract Cerebral Palsy (CP) is a complex neurological disorder, characterized by congenital motor disability associated with behaviour, perception and cognition disorders. The sensorimotor impairments represent the main hallmark of the disease, significantly impacting the quality of life. So far, few studies have investigated motor learning abilities in CP and their association with the plastic reorganization of the motor system remains largely unknown. The present proof-of-principle study explored explicit motor sequence learning in children with unilateral CP and different patterns of motor system reorganizatio...
Source: European Journal of Paediatric Neurology - Category: Neurology Authors: Tags: Eur J Paediatr Neurol Source Type: research
Conclusions: The results revealed that the Brazilian version of the SHUEE demonstrated good reliability and convergent validity, suggesting that it is an adequate and reliable tool for individuals with hemiplegic cerebral palsy in the Brazilian population.RESUMO Objetivo: Validar o instrumento de avalia ção do membro superior, Shriners Hospital Upper Extremity Evaluation (SHUEE), para indivíduos com paralisia cerebral hemiplégica da população brasileira. Métodos: Estudo de validação no qual foi realizada tradução e adaptação cultural...
Source: Revista Paulista de Pediatria - Category: Pediatrics Source Type: research
ConclusionChildren with CP had significantly poorer quality of chewing which is not affected by tooth functionality, but rather the primary condition.
Source: European Archives of Paediatric Dentistry - Category: Dentistry Source Type: research
Jeiri Flores is normally a busy, upbeat 29-year-old. But amid the COVID-19 pandemic, her go-to thought has been dark. “If I get this,” she thinks, “I’m gonna die.” This is not an unfounded fear. Flores has cerebral palsy, uses a wheelchair and needs assistance with everyday tasks, including making food and getting dressed. Her disability means it’s tougher for her immune system to kick illnesses; she’s still recovering from a bout of pneumonia she had in January. So beating COVID-19 could easily mean a protracted battle and months in a hospital—a prospect that comes with a c...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized COVID-19 Source Type: news
CONCLUSION: The broad diversity of ICF categories reported by the experts emphasize the known heterogeneity of cerebral palsy and the variety of func-tioning in adulthood. They also reported on many environmental factors, illustrating the importance of person-environment interactions. These findings provide information about relevant issues for use in developing an ICF Core Set for adults with cerebral palsy. PMID: 32313963 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - Category: Rehabilitation Tags: J Rehabil Med Source Type: research
ConclusionPreference-based measures exhibit important issues and discrepancies relating to validity and responsiveness in the context of congenital mobility impairment, thus care must be taken when utilising these measures in conditions associated with congenital mobility impairments.
Source: Health Economics Review - Category: International Medicine & Public Health Source Type: research
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