Cerebral palsy to cerebral palsy spectrum disorder

Neurology ◽  
2018 ◽  
Vol 92 (5) ◽  
pp. 233-235 ◽  
Author(s):  
Michael Shevell

Words matter. In utilizing language in a medical context, we should strive to communicate succinctly and clearly, conveying both continuity and understanding. This article seeks to put forward the error in continuing to use the term “cerebral palsy,” implying a unitary disease phenomenon, when the heterogeneous nature of this entity is self-evident. In an analogous fashion to that which occurred with autism (another neurodevelopmental disability), the transition in nomenclature to “cerebral palsy spectrum disorder” is put forward for the community's consideration.

2018 ◽  
Vol 63 (4) ◽  
pp. 496-509 ◽  
Author(s):  
Anita Gibbs ◽  
Kerryn Bagley ◽  
Dorothy Badry ◽  
Vicky Gollner

Foetal alcohol spectrum disorder (FASD) is a lifelong neurodevelopmental disability that often requires extensive intervention and support from the helping professions, notably social work. This article considers why a social work response to FASD is needed and explores social work frameworks and models that underpin current FASD-informed practice. It illustrates the discussion with three international models used in Canada and New Zealand, the Key Worker model, the Communities of Practice model and an advocacy and mentoring model.


2019 ◽  
pp. 44-53

MELLO, P.C; PILCHER, N.A. e SCORTEGAGNA, H.M. Interdisciplinaridade dos cursos da área de saúde da UPF em relação às intervenções práticas na equoterapia. Revista Científica JOPEF, Vol.28, n.1, pp.44-53, 2019. The Equine Therapy project takes place in a unique and interdisciplinary and multidisciplinary way in which fifty paidex scholarship students and volunteers from health courses such as Physical Education, Nursing, Speech Therapy, Dentistry, Psychology and Veterinary Medicine participate, providing an interdisciplinarity between students / patients treated and transdisciplinarity. establishing connections between the courses, seeking meaningful experiences lived in different situations of knowledge construction linked to the social reality that they will face in the future professional practice in different areas of health. Equine therapy sessions are held on Monday and Wednesday, by the afternoon shift, at the Military Brigade Farm. The subjects assisted in this project are individuals with disabilities, mostly with autism spectrum disorder and cerebral palsy, all belonging to the Passo Fundo community. In total, an average of thirty people with special needs are being served weekly, ranging in age from three to forty-three years old. During the activities, it has been possible to observe the neuropsychomotor development with huge improvement in coordination, rhythm, balance, posture and self-confidence, allowing greater independence and autonomy of those cared for. Currently, three professionals lead the project, a coordinating professor at the University of Passo Fundo, based at the Faculty of Physical Education and Physiotherapy, two other collaborators in the areas of horse riding and care. This project is carried out in partnership with the Autistic Parents and Friends Association (AUMA), Socioeducative Care Center (CASE) and the 3rd RPMON of the Military Brigade. Keywords: Equine Therapy. Autistic Spectrum Disorder. Cerebral Palsy.


2019 ◽  
Vol 34 (6) ◽  
pp. 827-827
Author(s):  
A Smith ◽  
A Davis

Abstract Objective Germinal matrix-intraventricular hemorrhage (GMH-IVH) is a serious complication of prematurity that places infants at risk for damage to important white matter pathways which can result in periventricular leukomalacia (PVL) and ultimately cerebral palsy (CP). GMH-IVH also increases the risk of developmental and intellectual disabilities for preterm infants, highlighting the need for early detection and treatment. Method This case study presents on the neuropsychological profile of a 4-year-old boy who was born micropremature and had a history of multiple hemorrhages, extensive PVL, and CP in the context of significant developmental and social delays. Results Neuropsychological testing revealed severe impairments in intellectual functioning (Stanford Binet-5 FSIQ = 42, Nonverbal IQ = 43, Verbal IQ = 47; Leiter-3 Nonverbal IQ = 41), adaptive skills, language, social cognition, visuomotor abilities, spatial skills, pre-academic skills, and attention/executive functioning. He scored in the significant range on measures specific to Autism Spectrum Disorder (ADOS-2; CARS-2; SCQ) and behavioral-emotional functioning. Lastly, he exhibited intermittent staring behaviors that were concerning for possible seizure activity. Conclusions Recommendations were made to increase special education services for the child and to modify his academic goals. Recommendations were also given to aid in treatment planning for his referring neurologist and clinical interventions (e.g., ABA, social work, speech/language, occupational therapy, and physical therapy). This case study demonstrates the need for early neuropsychological detection and treatment for children with complications of prematurity during this important period of brain development, particularly as there are higher rates of autism in this population. Prompt detection leads to earlier treatment and better outcomes.


2020 ◽  
Vol 29 (11) ◽  
pp. 1569-1579
Author(s):  
Magnus Påhlman ◽  
Christopher Gillberg ◽  
Elisabet Wentz ◽  
Kate Himmelmann

Abstract Autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) are more common in children with cerebral palsy (CP) than in the general population, but may still be underdiagnosed. This study aimed to estimate screen-positive ASD and ADHD in a population-based group of 264 school-aged children with CP born 1999–2006 from the CP register of western Sweden. Validated parent-completed questionnaires were used at a median age of 12 years 11 months (range 8–17 years). Three different scales were used to detect signs of ASD and ADHD, respectively. Response rate was 88% (232/264). In 19 children, all in the most disabled group, the screening procedure was not feasible due to too few questionnaire items completed, leaving 213 for analyses. One third (74/213) of the children screened positive for ASD and half of the children (106/213) for ADHD, which was about twice as often as ASD/ADHD diagnoses had been clinically identified. Children with intellectual disability, epilepsy and/or impaired speech ability more often screened positive for ASD as well as ADHD. Severe motor impairment was more frequently associated with screen-positive ASD, but not ADHD. Neither sex nor CP type was associated with screen-positive ASD/ADHD. In conclusion, school-aged children with CP very often screened positive for ASD and/or ADHD. The prevalence of ASD and ADHD is most likely underestimated in children with CP. These screening findings require further investigations.


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