scholarly journals Cerebral Palsy: A Lifelong Challenge Asks for Early Intervention

2015 ◽  
Vol 9 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Christos P Panteliadis ◽  
Christian Hagel ◽  
Dieter Karch ◽  
Karl Heinemann
Keyword(s):  
Cerebral Palsy ◽  
Early Intervention ◽  
Brain Damage ◽  
Muscle Tone ◽  
Diagnostic Procedures ◽  
Muscle Contractions ◽  
Time Schedule ◽  
Motor Disability ◽  
Per Se ◽  
Functional Defects

One of the oldest and probably well-known examples of cerebral palsy is the mummy of the Pharaoh Siptah about 1196–1190 B.C., and a letter from Hippocrates (460–390 B.C.). Cerebral palsy (CP) is one of the most common congenital or acquired neurological impairments in paediatric patients, and refers to a group of children with motor disability and related functional defects. The visible core of CP is characterized by abnormal coordination of movements and/or muscle tone which manifest very early in the development. Resulting from pre- or perinatal brain damage CP is not a progressive condition per se. However, without systematic medical and physiotherapeutic support the dystonia leads to muscle contractions and to deterioration of the handicap. Here we review the three general spastic manifestations of CP hemiplegia, diplegia and tetraplegia, describe the diagnostic procedures and delineate a time schedule for an early intervention.

scholarly journals Orthopedic treatment of the lower limbs in spastic paralysis

2020 ◽  
Vol 6 (1) ◽  
pp. 2-19
Author(s):  
Xiaohong Mu ◽  
Bowen Deng ◽  
Jie Zeng ◽  
Houjun Zhang ◽  
Yi Zhao ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Orthopedic Surgery ◽  
Muscle Tone ◽  
Lower Limbs ◽  
Spastic Cerebral Palsy ◽  
Limb Deformity ◽  
Spastic Paralysis ◽  
Motor Disability ◽  
Orthopedic Procedure ◽  
Surgical Methods

Spastic paralysis of the limb mainly results from the central lesion, in which spastic cerebral palsy is the common cause. Due to durative muscle spasm in spastic cerebral palsy, it is often accompanied by the formation of secondary musculoskeletal deformities, resulting in limb motor disability. Based on its pathogenesis, surgical treatment is currently applied: selective posterior rhizotomy (SPR) or orthopedic surgery. The primary purpose of early orthopedic surgery was simply to correct limb deformities, which usually led to the recurrence of deformity as a result of the presence of spasticity. With the application of SPR, high muscle tone was successfully relieved, but limb deformity was still present postoperatively. Therefore, this study aimed to elaborate on the management of orthopedic surgery, common deformities of the lower limb, and orthopedic operative methods; discuss the relationship between SPR and orthopedic procedure for limb deformity; and focus on the indications, timing of intervention, and postoperative outcome of different surgical methods.

scholarly journals Investigation of Clinical and Diagnostic Features Associated with Cerebral Palsy Children in a Tertiary Health Facility in Nigeria

2021 ◽  
Vol 4 (1) ◽  
pp. 1-6
Author(s):  
Willy B. Vidona ◽  
Keyword(s):  
Cerebral Palsy ◽  
Health Facility ◽  
Muscle Tone ◽  
Treatment Plan ◽  
Abnormal Development ◽  
Diagnostic Tools ◽  
Diagnostic Features ◽  
Cross Sectional ◽  
Motor Disability ◽  
Case File

Background: Cerebral palsy is non-progressive motor disability syndrome largely attributed to abnormal development or damage from likely trauma in one or more parts of the brain especially the cerebellum and frontal lobe of the cerebrum that control muscle tone and motor activity and causing variable mental, motor and behavioral dilemmas generally referred to as delayed developmental milestone. Aims and Objectives: The study aims to investigate the gross features and clinical manifestation in cerebral palsy children in in cross-sectional patients in health facility. Materials and Methods: The study involved the use of 40 case files of cerebral palsy patients; 26 (65. 0%) out of them were girls, and 14 (35.0%) of them were boys, aged from 0 to 10 years old. Results: The main clinical presentation in this study was speech delay which was presented in 50.0% of the examined children, followed by delayed walking and movement in 25.0% of the patients. Analysis using records of imaging diagnostic tools showed that computed tomography has the highest case file with 70.0% due its availability and its cheapness compared to magnetic resonance imaging. Conclusion: Children with cerebral palsy are best cared for with an individualized treatment plan that provides a combination of interventions tailored to each individual.

scholarly journals Investigation of Clinical and Diagnostic Features Associated With Cerebral Palsy Children in a Tertiary Health Facility in Nigeria

2021 ◽  
pp. 1-4
Author(s):  
Lekpa K David ◽  
◽  
Willy B Vidona ◽  
Keyword(s):  
Cerebral Palsy ◽  
Health Facility ◽  
Muscle Tone ◽  
Treatment Plan ◽  
Abnormal Development ◽  
Diagnostic Tools ◽  
Diagnostic Features ◽  
Cross Sectional ◽  
Motor Disability ◽  
Case File

Background: Cerebral palsy is non-progressive motor disability syndrome largely attributed to abnormal development or damage from likely trauma in one or more parts of the brain especially the cerebellum and frontal lobe of the cerebrum that control muscle tone and motor activity and causing variable mental, motor and behavioral dilemmas generally referred to as delayed developmental milestone. Aims and Objectives: The study aims to investigate the gross features and clinical manifestation in cerebral palsy children in in cross-sectional patients in health facility. Materials and Methods: The study involved the use of 40 case files of cerebral palsy patients; 26 (65. 0%) out of them were girls, and 14 (35.0%) of them were boys, aged from 0 to 10 years old. Results: The main clinical presentation in this study was speech delay which was presented in 50.0% of the examined children, followed by delayed walking and movement in 25.0% of the patients. Analysis using records of imaging diagnostic tools showed that computed tomography has the highest case file with 70.0% due its availability and its cheapness compared to magnetic resonance imaging. Conclusion: Children with cerebral palsy are best cared for with an individualized treatment plan that provides a combination of interventions tailored to each individual

scholarly journals A review study of Cerebral palsy as a motor disability syndrome in children

2021 ◽  
Vol 12 (1) ◽  
pp. 112-116
Author(s):  
Lekpa K David ◽  
Willy B Vidona
Keyword(s):  
Cerebral Palsy ◽  
Motor Activity ◽  
Clinical Presentation ◽  
Muscle Tone ◽  
Abnormal Development ◽  
Motor Disability ◽  
Low Weight ◽  
Preterm Babies ◽  
Review Study ◽  
The Brain

Cerebral palsy is non-progressive motor disability syndrome largely attributed to abnormal development or damage in one or more parts of the brain especially the cerebellum and frontal lobe of the cerebrum that control muscle tone and motor activity and causing variable mental, motor and behavioral dilemmas. The study aims to review the information on the varied causes, types and clinical manifestation, diagnostic examination and management in cerebral palsy children. Prominent clinical presentation in this study was delayed developmental milestones such as delayed and coordinated movement of limbs, speaking delay and ptosis. Causes were noted to be pronounced in children born with low weight, preterm babies, trauma, delay among other complications during labor.

scholarly journals Clinical Phenotype of Cerebral Palsy Depends on the Cause: Is It Really Cerebral Palsy? A Retrospective Study

2021 ◽  
pp. 088307382110596
Author(s):  
Charlotte Metz ◽  
Monika Jaster ◽  
Elisabeth Walch ◽  
Akosua Sarpong-Bengelsdorf ◽  
Angela M. Kaindl ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Retrospective Study ◽  
Brain Damage ◽  
Clinical Phenotype ◽  
Perinatal Period ◽  
Precise Definition ◽  
Individual Treatment ◽  
Motor Disability ◽  
Perinatal Brain Damage ◽  
The Brain

Cerebral palsy is the most common motor disability in childhood. Still, the precise definition in terms of causes and timing of the brain damage remains controversial. Several studies examine the clinical phenotype of cerebral palsy types. The aim of our study was to determine to what extent the clinical phenotype of cerebral palsy patients depends on the underlying cause. We retrospectively evaluated the clinical phenotype, abnormalities during pregnancy, and cerebral palsy cause of 384 patients, treated at Charité-Medicine University, between 2015 and 2017. The cause of cerebral palsy was identified in 79.9% of cases. Causes prior to the perinatal period were, compared to perinatal brain damage, associated significantly with different comorbidities. The term cerebral palsy does not describe a single disease but is an umbrella term covering many different diseases. Depending on the cause, a varying clinical phenotype can be found, which offers great potential in terms of individual treatment and preventing comorbidities.

scholarly journals Efficacy of axial TheraTogs on gait pattern in children with dyskinetic cerebral palsy: a randomized controlled trial

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Shamekh Mohamed El-Shamy ◽  
Ehab Mohamed Abd El Kafy
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Muscle Tone ◽  
Controlled Trial ◽  
Gait Pattern ◽  
Controlled Study ◽  
Control Group ◽  
Randomized Controlled ◽  
Gait Parameters ◽  
Experimental Group

Abstract Background TheraTogs promotes proprioceptive sense of a child with cerebral palsy and improves abnormal muscle tone, posture alignment, balance, and gait. Therefore, the aim of this study was to investigate the efficacy of TheraTogs orthotic undergarment on gait pattern in children with dyskinetic cerebral palsy. Thirty children with dyskinetic cerebral palsy were selected for this randomized controlled study. They were randomly assigned to (1) an experimental group that received TheraTogs orthotic undergarment (12 h/day, 3 days/week) plus traditional physical therapy for 3 successive months and (2) a control group that received only traditional physical therapy program for the same time period. Gait parameters were measured at baseline and after 3 months of intervention using Pro-Reflex motion analysis. Results Children in both groups showed significant improvements in the gait parameters (P < 0.05), with significantly greater improvements in the experimental group than in the control group. Conclusions The use of TheraTogs may have a positive effect to improve gait pattern in children with dyskinetic cerebral palsy. Trial registration This trial was registered in the ClinicalTrial.gov PRS (NCT03037697).

Torsional Problems in Cerebral Palsy

Foot & Ankle ◽  
1984 ◽  
Vol 4 (4) ◽  
pp. 180-184 ◽  
Author(s):  
Howard A. King ◽  
Lynn T. Staheli
Keyword(s):  
Cerebral Palsy ◽  
Literature Review ◽  
Lower Limb ◽  
Muscle Tone ◽  
Therapeutic Challenge ◽  
Treatment Plans

Lower limb rotational problems in the patient with cerebral palsy represent a diagnostic and therapeutic challenge to the clinician. A literature review suggests that increased muscle tone may be the cause of these problems. This article proposes a simple diagnostic plan and discusses the various treatment plans and options.

Rubella Immunization: Present Status and Future Perspectives

PEDIATRICS ◽  
1980 ◽  
Vol 65 (6) ◽  
pp. 1174-1176
Author(s):  
Saul Krugman
Keyword(s):  
United States ◽  
Cerebral Palsy ◽  
Mental Retardation ◽  
Brain Damage ◽  
Behavior Disorders ◽  
Present Status ◽  
The United States ◽  
Future Perspectives ◽  
Rubella Vaccine ◽  
Cardiac Malformations

Sixteen years have elapsed since the last major epidemic of rubella in the United States. Prior to 1964, extensive outbreaks occurred at about six- to nine-year intervals. These outbreaks were associated with the birth of many thousands of infants with one or more of the following defects: cataracts, deafness, cardiac malformations, and brain damage causing mental retardation, cerebral palsy, or severe behavior disorders. In addition, many pregnancies were terminated by spontaneous or therapeutic abortions. This devastating "rubella problem" provided the motivation for the development of rubella vaccine. The live attenuated rubella vaccine was licensed for use in 1969—two to four years before the next anticipated epidemic.

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