Evaluation of a Multidisciplinary Treatment Concept for Children with Multiple Disabilities on the Example of Cerebral Palsy GMFCS IV–V

2021 ◽  
Author(s):  
D. Fütterer ◽  
I. Krägeloh-Mann ◽  
A. Bevot
Keyword(s):  
Cerebral Palsy ◽  
Multidisciplinary Treatment ◽  
Multiple Disabilities ◽  
Treatment Concept

scholarly journals Outcome and prognostic factors of desmoplastic medulloblastoma treated within a multidisciplinary treatment concept

BMC Cancer ◽  
2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Stefan Rieken ◽  
Timo Gaiser ◽  
Angela Mohr ◽  
Thomas Welzel ◽  
Olaf Witt ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Multidisciplinary Treatment ◽  
Treatment Concept ◽  
Desmoplastic Medulloblastoma

The use of botulinum toxin therapy for lower-extremity spasticity in children with cerebral palsy

2006 ◽  
Vol 21 (2) ◽  
pp. E1 ◽  
Author(s):  
Susan R. Criswell ◽  
Beth E. Crowner ◽  
Brad A. Racette
Keyword(s):  
Cerebral Palsy ◽  
Botulinum Toxin ◽  
Lower Extremity ◽  
Muscle Tone ◽  
Botulinum Toxin A ◽  
Multidisciplinary Treatment ◽  
Safety Margin ◽  
Technical Information ◽  
Botulinum Toxin Therapy ◽  
Children With Cerebral Palsy

✓ Hypertonicity is a leading cause of disability for children with cerebral palsy (CP). Botulinum toxin A (BTA) chemically denervates muscle tissue and is commonly used in the management of lower-extremity hypertonicity in children with CP because of its focal effects and wide safety margin. Randomized controlled trials have demonstrated that BTA injections in the ankle flexors, hamstrings, and adductors reduce spasticity and result in improved passive and active range of motion. In other studies, improvements in gait and measurements of functional outcome were found in appropriately selected children who had been injected with BTA. A multidisciplinary treatment approach that includes physical therapists, occupational therapists, orthotists, neurologists, physicians with expertise in performing botulinum toxin injections, orthopedic surgeons, and neurosurgeons is critical to optimize care in children with lower-extremity tone due to CP. In this paper, the authors propose treatment algorithms based on clinical presentation, detailed dosing, and technical information to optimize the treatment of these children. With a multidisciplinary approach, children with lower-extremity hypertonicity due to CP can experience improvements in muscle tone and function.

4. Sign Communication in Persons with an Intellectual Disability or with Cerebral Palsy

2020 ◽  
pp. 93-140
Author(s):  
John D. Bonvillian ◽  
Nicole Kissane Lee ◽  
Tracy T. Dooley ◽  
Filip T. Loncke
Keyword(s):  
Down Syndrome ◽  
Cerebral Palsy ◽  
Intellectual Disability ◽  
Fragile X Syndrome ◽  
Fragile X ◽  
Multiple Disabilities ◽  
Special Populations ◽  
Deaf Students ◽  
The West ◽  
Alternative Means

In Chapter 4, the authors begin an in-depth discussion of the use of signs with special populations, including an early study that occurred in the West of England in the 1840s with deaf students with intellectual disabilities. Various types of intellectual disability are identified, including fragile X syndrome, Williams syndrome, Down syndrome, and Angelman syndrome. The successes and failures of speech-based and sign-based interventions are covered for individuals with these syndromes (particularly the latter two) as well as in persons with multiple disabilities. The authors next move on to a discussion of the relatively sparse research related to teaching signs to children who have cerebral palsy. Recommendations for enhancing the sign-learning environment are provided so that all persons who use signs as an augmentative or alternative means of communication may derive the greatest benefit from their communicative interactions. In addition to maximizing the positive atmosphere in which signing individuals interact with others at school, at home, and in public, the authors suggest that the types of signs employed may also have an impact on whether or not signing is successful.

scholarly journals Patients’ experiences of self-administered electrotherapy for spasticity in stroke and cerebral palsy: A qualitative study

2021 ◽  
Author(s):  
Lise-Lotte Jonasson ◽  
Ann Sörbo ◽  
Per Ertzgaard ◽  
Leif Sandsjö
Keyword(s):  
Randomized Controlled Trial ◽  
Cerebral Palsy ◽  
Content Analysis ◽  
Assistive Technology ◽  
Controlled Trial ◽  
Qualitative Approach ◽  
Treatment Concept ◽  
Structured Interviews ◽  
Complementary Information ◽  
Randomized Controlled

Objective: To explore patients’ experiences of a self-administered electrotherapy treatment for muscle spasticity in cerebral palsy and stroke; the Exopulse Mollii Suit®. Design: Qualitative design with an inductive approach Subjects: Fifteen patients with spasticity due to stroke or cerebral palsy, participating in a previous randomized controlled trial (RCT) evaluating the treatment concept.  Methods: Information letters were sent to all potential participants (n = 27) in the previous study. Semi-structured interviews (21–57 min) were carried out with all subjects who volunteered (n = 15), administered by an experienced interviewer who was not involved in the previous study. Transcribed interviews were subject to content analysis.  Results: The 5 categories that emerged from the content analysis were “New method gives hope”, experiences related to “Using the assistive technology”, “Outcome from training with the assistive technology”, “The assistive technology” and “Taking part in the study”. Respondents felt hopeful when included in the previous study, motivated when experiencing a treatment effect, and disappointed when not.  Conclusion: The qualitative approach used in this study elicited complementary information that was not evident from the previous RCT. This included statements regarding increased mobility, reduced spasticity, reduced use of medication, and problems related to using the treatment concept. 

Sign in / Sign up

Export Citation Format

Share Document