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 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 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 Peculiarities of training in rehabilitation of patients with Cerebral Palsy

2020 ◽  
Vol 17 (4) ◽  
pp. 214-218
Author(s):  
Ilya М. Zyukov
Keyword(s):  
Cerebral Palsy ◽  
Muscle Tone ◽  
Daily Life ◽  
Learning Activities ◽  
Abnormal Development ◽  
Locomotor Apparatus ◽  
Children With Cerebral Palsy ◽  
Degree Of Disability ◽  
Self Service ◽  
Functional Deficiency

In the article the features of training in rehabilitation of patients with cerebral palsy. On the basis of literature analyses the peculiarities of rehabilitation of children with cerebral palsy. Revealed that the majority of children with cerebral palsy face problems because they are associated with delayed development or abnormal development of the statokinetic reflexes, disorders of muscle tone, paresis. The goal of treatment and rehabilitation of children with cerebral palsy is to reduce the degree of disability, improving self-service capabilities, i.e. the maximum adjustment to daily life. Accordingly, the physical rehabilitation in a specialized clinic is important, because it improves physical condition contributes to effective correction of the functional deficiency of the locomotor apparatus, provides training cardiovascular and respiratory systems, leading to better activity of the child in learning activities and adaptation in society.

scholarly journals Clinical Spectrum of Cerebral Palsy and Associated Disability in South Egypt: A Local Survey Study

2017 ◽  
Vol 5 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Osama Abas ◽  
Faten Abdelaziem ◽  
Ayman Kilany
Keyword(s):  
Developing Countries ◽  
Cerebral Palsy ◽  
Cross Sectional Study ◽  
Survey Study ◽  
Cross Sectional ◽  
Motor Disability ◽  
Live Births ◽  
Rehabilitation Programs ◽  
High Resource ◽  
Study Population

BACKGROUND: Cerebral palsy is the most common cause of motor disability in children with a prevalence of 2-10/1,000 live births in the developing areas.AIM: The epidemiology, clinical picture, and associated comorbidities in CP have been extensively studied in high-resource countries, but in low-resource areas, including Africa, those studies are still lacking.METHODS: Cerebral palsy cases were prospectively recruited from every physiotherapy centre in Bani-Mazar city, Egypt, in a cross-sectional study from May 2015 to November 2015.RESULTS: Two hundred cases were enrolled with a prevalence of 1 per 1000 live births. Within the study population, 72.5% were the spastic type, 16% were dyskinetic, 7% were ataxic, and 4.5% were hypotonic. The most common comorbidities were cognitive impairment and epilepsy affecting 77% and 38%, respectively.CONCLUSION: Cerebral palsy in developing countries has a higher prevalence and different clinical profile regarding severity and associated disability. The perinatal and high-quality neonatal care together with physical therapy and rehabilitation programs is still lacking in developing countries.

scholarly journals Single-centre parental survey of paediatric rehabilitation services for children with cerebral palsy

2021 ◽  
Vol 5 (1) ◽  
pp. e000994
Author(s):  
Rachel Bican ◽  
Rachel Ferrante ◽  
Sarah Hendershot ◽  
Jill C Heathcock
Keyword(s):  
Cerebral Palsy ◽  
Rehabilitation Services ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hospital System ◽  
Motor Disability ◽  
Paediatric Hospital ◽  
The Usa ◽  
Therapy Services ◽  
Paediatric Rehabilitation

Cerebral palsy (CP) is the most common childhood motor disability. The dose of usual care for rehabilitation therapies is unknown. The purpose of this study was to describe current dosage of rehabilitation services for children with CP recruited from a paediatric hospital system in the USA. 96 children with CP were included in this cross-sectional survey. Parents reported frequency, intensity, time and type of therapy services. Weekly frequency was the most common. Children with CP received 0.9–1.2 hours/month of each discipline in the educational setting and 1.5–2.0 hours/month in the clinical setting, lower than the recommendations for improvements in motor skills.

Evaluación Cognitiva Montreal y consumo de alcohol: Un diagnóstico descriptivo del deterioro cognitivo en estudiantes universitarios de Durango, México

2019 ◽  
pp. 28-38
Author(s):  
Karla Liliana Pérez-Sosa ◽  
Edgar Felipe Lares-Bayona
Keyword(s):  
Cognitive Impairment ◽  
Alcohol Consumption ◽  
Cognitive Functions ◽  
Toxic Substance ◽  
Female Gender ◽  
Diagnostic Tools ◽  
Cross Sectional ◽  
Probabilistic Study ◽  
The Central Nervous System ◽  
The Relationship

Alcohol is a toxic substance associated with acute and chronic disorders affecting the Central Nervous System and significantly altering brain function. Objective: To determine the relationship between cognitive impairment and alcohol consumption in university students of the Juárez University of the State of Durango. Methodology: It is a cross-sectional, descriptive, comparative, non-probabilistic study, for convenience. A database was designed on the results obtained in a clinical interview on alcohol consumption and the application of the Montreal Cognitive Assessment (MoCA) test. Contribution: The evaluation of cognitive functions show similar results, the male sex presented a better score in Attention and the female one in Orientation. More involvement was identified in the Deferred Memory functions in both groups. In relation to alcohol consumption, the cognitive functions evaluated show lower levels. The female gender was more evident cognitive impairment in relation to alcohol consumption being statistically significant (p <0.025). Alcohol consumption is a risky behavior that deserves to be recognized by the main actors about neurocognitive effects. Alcohol consumption prevention programs and cognitive diagnostic tools are appropriate strategies to reduce risk behaviors in mental health.

A Cross-sectional Study of the Clinical Profile of Children With Cerebral Palsy in Benin, a West African Low-Income Country

2019 ◽  
Vol 34 (13) ◽  
pp. 842-850
Author(s):  
Emmanuel Segnon Sogbossi ◽  
Damienne Houekpetodji ◽  
Toussaint G. Kpadonou ◽  
Yannick Bleyenheuft
Keyword(s):  
Risk Factors ◽  
Cerebral Palsy ◽  
Low Income ◽  
Classification System ◽  
West African ◽  
Low Income Countries ◽  
Cross Sectional ◽  
Common Cause ◽  
Low Income Country ◽  
Children With Cerebral Palsy

Cerebral palsy is a common cause of pediatric motor disability. Although there are increasing amounts of data on the clinical profile of children with cerebral palsy in high-income countries, corresponding information about low-income countries and developing countries is lacking. Therefore, we aimed to describe the clinical spectrum of cerebral palsy in children in Benin, a representative West African low-income country. Our cross-sectional observational study included 114 children with cerebral palsy recruited from community-based rehabilitation centers and teaching hospitals (median age: 7 years, range 2-17; sex: 66% male). Data were collected through review of medical records and interviews with children’s mothers. Assessment included risk factors, clinical subtypes according to the Surveillance of CP in Europe criteria, severity of motor outcome scored by the Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System, comorbidities, and school attendance. We recorded a high prevalence of intrapartum adverse events. Seventeen percent of children had postneonatal cerebral palsy, with cerebral malaria being the most common cause. Most children were severely affected (67.5% as bilateral spastic; 54.4% as GMFCS IV or V), but severity declined substantially with age. Only 23% of the children with cerebral palsy had attended school. Poor motor outcomes and comorbidities were associated with school nonattendance. These results suggest that intrapartum risk factors and postnatal cerebral malaria in infants are opportune targets for prevention of cerebral palsy in Sub-Saharan low-income countries.

Asymptomatic low-density Plasmodium infection during non-transmission season: a community-based cross-sectional study in two districts of North Eastern Region, India

2021 ◽  
Author(s):  
Hari Shankar ◽  
Sobhan Phookan ◽  
Mrigendra Pal Singh ◽  
Ram Suresh Bharti ◽  
Naseem Ahmed ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Diagnostic Tools ◽  
Eastern Region ◽  
Low Density ◽  
Plasmodium Infection ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Agencies ◽  
North Eastern ◽  
Asymptomatic Infections

Abstract Background Malaria elimination requires targeting asymptomatic and low-density Plasmodium infections that largely remain undetected. Therefore we conducted a cross-sectional study to estimate the burden of asymptomatic and low-density Plasmodium infection using conventional and molecular diagnostics. Methods A total of 9118 participants, irrespective of age and sex, were screened for malaria using rapid diagnostic tests (RDTs), microscopy and polymerase chain reaction. Results Among the participants, 707 presented with symptoms and 8411 without symptoms, of which Plasmodium was present in 15.6% (110/707) and 8.1% (681/8411), respectively. Low-density infection was found in 5.1% (145/2818) of participants and 8327 of 9118 were Plasmodium negative. Endemicity was propotional to asymptomatic infections (high endemicity 11.1% [404/3633] vs low endemicity 5.8% [277/4778]; odds ratio [OR] 2.0 [95% confidence interval {CI} 1.7 to 2.4]) but inversely related to low-density infection (high endemicity 3.7% [57/1545] vs low endemicity 6.9% [88/1273]; OR 1.9 [95% CI 1.4 to 2.7]). The spleen rate in children 2–9 y of age was 17.9% (602/3368) and the enlarged spleen index was 1.6. Children between 8 and 14 y showed higher odds for asymptomatic (adjusted OR [aOR] 1.75 [95% CI 1.4 to 2.2]) and low-density infections (aOR 0.63 [95% CI 0.4 to 1.0)] than adults. Conclusions The prevalence of asymptomatic and low-density Plasmodium infection undermines the usefulness of standard diagnostic tools used by health agencies. This necessitates deploying molecular tools in areas where malaria microscopy/RDTs indicate a dearth of infection.

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