Current Status of the Obstetric Compensation System for Cases of Cerebral Palsy at a General Hospital in Tochigi, Japan

Objective. The Japan Obstetric Compensation System for Cerebral Palsy (JOCSC) was launched in January 2009 as the first nationwide nofault compensation system. The aim of the study was to clarify the present status of functioning of the JOCSC in pediatric and obstetric departments at a general hospital. Method. Children eligible for compensation are as follows: (1) Gestational week at 32 weeks or later and birth weight of 1400 g or more, or 28 weeks or later with apparent asphyxia at birth. (2) Severe cerebral palsy related to hypoxia at delivery, not caused by congenital reasons or factors during the neonatal period. Results. Applications for the JOCSC were submitted for 11 cases (5 cases born at our hospital and 6 cases born at other childbirth facilities). Eight cases (4 cases born at our hospital and 4 cases born at other childbirth facilities) were authorized for the JOCSC. Remaining 3 cases were judged as not being eligible because of 2 cases with congenital reasons for the condition and 1 case with the judgement as mild cerebral palsy. Conclusion. Ten years have elapsed since the establishment of the JOCSC. Improved awareness of the medical staff and caregivers of children with cerebral palsy about the JOCSC should be promoted.

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Birth Weight and Gestational Age in Children With Cerebral Palsy or Seizure Disorders

Archives of Pediatrics and Adolescent Medicine ◽

10.1001/archpedi.1979.02130100068014 ◽

1979 ◽

Vol 133 (10) ◽

pp. 1044 ◽

Cited By ~ 2

Author(s):

Jonas H. Ellenberg

Keyword(s):

Cerebral Palsy ◽

Birth Weight ◽

Gestational Age ◽

Seizure Disorders ◽

Children With Cerebral Palsy

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Clinical response of Abhaya Ghrita and procedure based therapy on Gross Motor Functions in children with Cerebral Palsy : An Open Label, Randomized Clinical Trial

Journal of Ayurveda and Integrated Medical Sciences (JAIMS) ◽

10.21760/jaims.4.4.14 ◽

2019 ◽

Vol 4 (04) ◽

Author(s):

Sonam . ◽

Mahapatra Arun Kumar ◽

Rajagopala Shrikrishna

Keyword(s):

Quality Of Life ◽

Cerebral Palsy ◽

Birth Weight ◽

Motor Function ◽

Gross Motor ◽

Live Births ◽

Gross Motor Function ◽

Children With Cerebral Palsy ◽

History Of

Introduction - Cerebral Palsy (CP) being the leading cause of disability in children is a symptom complex, whichv has worldwide incidence of 2.1/1000 live births, and for India it is 3/1000 live births. In Ayurveda, the cerebral palsy can be correlated with various conditions due to Vata predominance. There is no satisfactory criterion in managing this condition is developed till date. The present study is planned with Abhaya Ghrita and procedure based therapy to provide possible improvement in gross motor function of children with cerebral palsy and thereby improving their quality of life. Material and Methods - A Trial was conducted at a tertiary health care setting to evaluate the clinical efficacy of Ayurvedic Intervention (Abhaya Ghrita and procedure based therapy Udvartana, Sarvanga Abhyanga, Nadi Sweda and Matra Basti). Diagnosed children of cerebral palsy, aged 1-12 years of either gender were selected. The scale gross motor function manual (GMFM) and Cerebral Palsy quality of life (CP-QOL) were used for assessment. Results - Total 20 patients were registered in the present study. 70% patients were below 8 years of age with clear male predominance comprised of 85% of the total sample size. As per the birth history of the patients 15% were preterm, home delivery was present in 20%. 45% and 10% were Low birth weight (LBW) and Very Low birth weight (VLBW) after birth respectively. History of delayed cry was present in 80% cases. 45% required Hospitalization and 65% were subjected to Resuscitation and need of incubator just after birth was present in 25% patients. Discussion - Gross Motor Function scale has shown significant improvement in motor activities like lying and rolling, sitting and total score with pandlt;0.001, on crawling and kneeling and standing with pandlt;0.01 and on walking and running with pandlt;0.02. The CP-QOL has also shown significant results on health and family and friends component. Conclusion - Thus, it may be concluded that the Ayurveda approach is effective in improving the gross motor function and quality of life of children with cerebral palsy.

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Spectrum of Gross Motor Function in Extremely Low Birth Weight Children With Cerebral Palsy at 18 Months of Age

PEDIATRICS ◽

10.1542/peds.2004-1810 ◽

2005 ◽

Vol 116 (1) ◽

pp. 123-129 ◽

Cited By ~ 51

Author(s):

B. R. Vohr

Keyword(s):

Cerebral Palsy ◽

Birth Weight ◽

Low Birth Weight ◽

Motor Function ◽

Extremely Low Birth Weight ◽

Gross Motor ◽

Gross Motor Function ◽

Children With Cerebral Palsy ◽

Low Birth Weight Children

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Retrospective review of the epidemiology of epilepsy in special schools for children with cerebral palsy, learning difficulties, and language and communication difficulties

McGill Journal of Medicine ◽

10.26443/mjm.v9i1.607 ◽

2020 ◽

Vol 9 (1) ◽

Author(s):

Danielle Samar Peet

Keyword(s):

Cerebral Palsy ◽

Birth Weight ◽

Retrospective Review ◽

Age Of Onset ◽

Learning Difficulties ◽

Special Schools ◽

Communication Difficulties ◽

Children With Cerebral Palsy ◽

Language And Communication ◽

Active Epilepsy

Purpose of the study: To determine in children the proportion and characteristics of epilepsy associated with cerebral palsy, learning difficulties and language and communication difficulties in a specific population of two special schools.Basic procedures: Retrospective review of case notes for 142 children in two special schools (school A and school B) in Newcastle, UK.Main findings: School A had more children with learning difficulties (X2 = 32.41, p < 0.01) and active epilepsy (X2 = 3.03, p=0.08) than school B. There were more children with cerebral palsy (X2 = 9.56, p < 0.01) and language and communication problems (X2 = 4.25, p = 0.03) at school B compared to school A. Active epilepsy is significantly more common in children with cerebral palsy (X2 = 7.58, p = 0.01). All children with cerebral palsy and learning difficulties had epilepsy (n = 6). Although not statistically significant, those children who developed epilepsy within the first 24 hours of life were more likely to have cerebral palsy than those who developed epilepsy later in life (X2 = 3.10, p = 0.08). Those children with cerebral palsy tended to have a lower birth weight (t = 3.15, p < 0.01) and a shorter gestation (t = 3.17, p < 0.01) than children without cerebral palsy.Principal conclusions: The data supports evidence from previous studies, demonstrating that epilepsy commonly accompanies cerebral palsy, thus complicating this difficult chronic condition. We show an association between both low birth weight and gestational age, and early age of onset of seizures, in children with cerebral palsy. This illustrates the importance, in these children, of past medical history from birth to determine risk factors for epilepsy later in life.

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Profile of Nutritional Status and Nutrient Intake among Children with Cerebral Palsy in Dr. Hasan Sadikin General Hospital Bandung

Althea Medical Journal ◽

10.15850/amj.v6n3.1640 ◽

2019 ◽

Vol 6 (3) ◽

pp. 149-153

Author(s):

Zahra Fitrianti ◽

Ellyana Sungkar ◽

Lola Ilona Hamied

Keyword(s):

Cerebral Palsy ◽

Nutritional Status ◽

General Hospital ◽

Nutrient Intake ◽

Children With Cerebral Palsy

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Prevalence of Speech Problems and the Use of Augmentative and Alternative Communication in Children With Cerebral Palsy: A Registry-Based Study in Norway

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac19.1.12 ◽

2010 ◽

Vol 19 (1) ◽

pp. 12-20 ◽

Cited By ~ 29

Author(s):

Guro Andersen ◽

Tone R. Mjøen ◽

Torstein Vik

Keyword(s):

Cerebral Palsy ◽

Motor Function ◽

Gestational Age ◽

Augmentative And Alternative Communication ◽

Alternative Communication ◽

Gross Motor ◽

Gross Motor Function ◽

Children With Cerebral Palsy ◽

Communicative Abilities ◽

Normal Speech

Abstract This study describes the prevalence of speech problems and the use of augmentative and alternative communication (AAC) in children with cerebral palsy (CP) in Norway. Information on the communicative abilities of 564 children with CP born 1996–2003, recorded in the Norwegian CP Registry, was collected. A total of 270 children (48%) had normal speech, 90 (16%) had slightly indistinct speech, 52 (9%) had indistinct speech, 35 (6%) had very indistinct speech, 110 children (19%) had no speech, and 7 (1%) were unknown. Speech problems were most common in children with dyskinetic CP (92 %), in children with the most severe gross motor function impairments and among children being totally dependent on assistance in feeding or tube-fed children. A higher proportion of children born at term had speech problems when compared with children born before 32 weeks of gestational age 32 (p > 0.001). Among the 197 children with speech problems only, 106 (54%) used AAC in some form. Approximately 20% of children had no verbal speech, whereas ~15% had significant speech problems. Among children with either significant speech problems or no speech, only 54% used AAC in any form.

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