STUDY ON CLINICAL CHARACTERISTICS IN CHILDREN WITH CEREBRAL PALSY HUE CENTRAL HOSPITAL

2015 ◽  
pp. 44-49
Author(s):  
Nu Van Anh Ton
Keyword(s):  
Cerebral Palsy ◽  
Birth Asphyxia ◽  
Spastic Cerebral Palsy ◽  
Cross Sectional ◽  
Children With Cerebral Palsy ◽  
History Of ◽  
The Common ◽  
Saliva Flow ◽  
The Brain ◽  
Key Words Cerebral Palsy

Objective: Cerebral palsy is characterized by non-progressive abnormalities in brain, that is the real burden to family and society. Finding the signs of clinical, subclinical, disorders as well as co-morbidities in children with cerebral palsy are needed. If detected early, aggressive treatment and rehabilitation will significantly improve mobility, reduce the level of disability and the child integrate into the community. Material and methods: Children diagnosed with cerebral palsy, with cross-sectional descriptive methods. Time from 6/ 2012 to 3/2014. Results: study on 45 children with cerebral palsy: older than 36 months accounted for 60.0%; boys more than girls accounted 57.8%; seizure is the common reason the child to the hospital (accounted for the highest percentage of 24.4%). Spastic cerebral palsy can account for the highest proportion of 48.9%, ataxia may account for the lowest percentage of 2.2%; quadriplegic highest percentage of 51.1%; level V cerebral palsy (not self- activity even when have supported devices) accounted for a high proportion of 51.1%, pneumonia, seizures and saliva flow is the most common disorder in children with cerebral palsy, with a history of risk factors for birth asphyxia high proportion least 33.3%; detection epileptic wave in children with cerebral palsy through EEG high proportion of 53%, there is physical injury in the brain in children with cerebral palsy through CTscanner high percentage of 62.5%. Conclusion: To avoid the risk of cerebral palsy, special asphyxia, and do the EEG records, imaging diagnostic to identify clearly brain lesions for better outcome. Key words: Cerebral palsy

scholarly journals CEREBRAL PALSY;

2014 ◽  
Vol 21 (06) ◽  
pp. 1166-1170
Author(s):  
Naeem Mohammad Mansha ◽  
Sumair Anwar ◽  
Itaat Ullah Khan Afridi ◽  
Shazia Maqbool
Keyword(s):  
Cerebral Palsy ◽  
Developmental Delay ◽  
Postural Balance ◽  
Cross Sectional Study ◽  
Spastic Cerebral Palsy ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Different Types ◽  
The Brain

Background: Cerebral Palsy is a disorder of movement and postural balance due to insult to the brain. The injury to the developing brain may be prenatal, natal or postnatal. The diagnosis is clinical mainly. The spastic Cerebral Palsy is classified into monoplegic, hemiplegic, diplegic, and quadriplegic types. There is a difference in the frequency of these types of Cerebral Palsy in different studies. The patterns of various forms of Cerebral Palsy emerge gradually with a delay in developmental milestones. A spectrum of associated developmental disabilities has been found to be common in these children. Management is through a multi-disciplinary approach. Objectives: To find out the frequency of different types of Cerebral Palsy and degree of associated developmental delay. Methodology: A cross sectional study was carried out for a period of six months (October 1, 2006 to March 31, 2007) at The Children’s Hospital & Institute of Child Health Lahore. 100 Cases diagnosed as Cerebral Palsy on clinical basis were assessed for the type of cerebral palsy and the degree of associated developmental delay. Results: Out of the total 100 patients 54% had quadriplegia, 32% had diplegia, 10% had himiplegia and 4% had monoplegia. The total fifty-four cases of quadriplegic cerebral palsy 54 had developmental delay and amongst them 4 (7%) had mild delay, 16 (30%) had moderate delay while 34 (63%) had severe delay. Amongst the total forty-six other three types of cerebral palsy 12 (26%) had mild delay, 6 (13%) had moderate delay and 28 (61%) had severe delay. The P-value was >0.05. Conclusions: Quadriplegic is the commonest type of CP, associated with the factors (peri-natal more than socio-demographic) and had significant effect on the developmental parameters.

Clinical characteristics of children with cerebral palsy in Chengdu, China: A cross-sectional study

2018 ◽  
Author(s):  
Luo Rong
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Classification System ◽  
Birth Asphyxia ◽  
Developed Countries ◽  
Fine Motor ◽  
Spastic Diplegia ◽  
Cross Sectional ◽  
Fine Motor Function ◽  
Children With Cerebral Palsy

Objective: To describe the subtypes, motor function, and comorbidities of cerebral palsy (CP) in children in Chengdu, China.Methods: A cross-sectional survey of children with CP was performed in 2013 and participants were enrolled from the branches of China Disabled Persons’ Federation in Chengdu. Diagnosis, clinical subtypes, gross and fine motor function outcomes, and comorbidities of CP were determined through caregiver interviews, evaluation of medical records, and thorough physical examinations.Results: Four-hundred and twenty-two children were diagnosed with CP (mean age, 7.7 ± 3.8 years). Spastic diplegia was the predominating subtype (35%). Mild impairments in gross and fine motor function were present in 45% and 52% of the patients, respectively. Cognitive impairment (60%) was the most common comorbidity, and was followed by language disorder (41%) and microcephaly (35%). About 79% of children with cerebral palsy had at least one comorbidity, and the number of cumulative comorbidities was positively correlated with Gross Motor Function Classification System and Manual Ability Classification System scores. Preterm birth (52%) was the most common risk factor, and was followed by low birth weight (42%) and birth asphyxia (27%).Conclusion: Distributions of CP subtypes, motor functions, and comorbidities in a Chinese population were similar to those in developed countries, but different from those in other developing countries. The trend for decreased numbers of children with preterm CP since 2009 indicates an improvement in neonatal care. However, perinatal healthcare should still be improved to reduce the occurrence of birth asphyxia.

Risk Factors for Developing Scoliosis in Cerebral Palsy: A Cross-Sectional Descriptive Study

2017 ◽  
Vol 32 (7) ◽  
pp. 657-662 ◽  
Author(s):  
Carlo M. Bertoncelli ◽  
Federico Solla ◽  
Peter R. Loughenbury ◽  
Athanasios I. Tsirikos ◽  
Domenico Bertoncelli ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cerebral Palsy ◽  
Intractable Epilepsy ◽  
Female Gender ◽  
Descriptive Study ◽  
Hip Surgery ◽  
Cross Sectional ◽  
Severe Scoliosis ◽  
Children With Cerebral Palsy ◽  
History Of

This study aims to identify the risk factors leading to the development of severe scoliosis among children with cerebral palsy. A cross-sectional descriptive study of 70 children (aged 12-18 years) with severe spastic and/or dystonic cerebral palsy treated in a single specialist unit is described. Statistical analysis included Fisher exact test and logistic regression analysis to identify risk factors. Severe scoliosis is more likely to occur in patients with intractable epilepsy ( P = .008), poor gross motor functional assessment scores ( P = .018), limb spasticity ( P = .045), a history of previous hip surgery ( P = .048), and nonambulatory patients ( P = .013). Logistic regression model confirms the major risk factors are previous hip surgery ( P = .001), moderate to severe epilepsy ( P = .007), and female gender ( P = .03). History of previous hip surgery, intractable epilepsy, and female gender are predictors of developing severe scoliosis in children with cerebral palsy. This knowledge should aid in the early diagnosis of scoliosis and timely referral to specialist services.

scholarly journals Clinical profile of cerebral palsy: a study from multidisciplinary clinic at tertiary care centre

2018 ◽  
Vol 5 (4) ◽  
pp. 1626
Author(s):  
Raj Kumar ◽  
Anand Kumar Gupta ◽  
Ritesh Runu ◽  
Sanjay Kumar Pandey ◽  
Manish Kumar
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Cross Sectional Study ◽  
Spastic Diplegia ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
History Of

Background: Cerebral Palsy (CP) is combined disorder of movement, posture, and motor function and may be associated sensory, neurological and musculoskeletal complications.  It is a permanent condition attributed to nonprogressive disturbances that occurred in the developing brain. The aim of this study is to Cerebral Palsy (CP) is combined disorder of movement, posture, and motor function and may be associated sensory, neurological and musculoskeletal complications.  It is a permanent condition attributed to nonprogressive disturbances that occurred in the developing brain.Methods: Retro prospective cross-sectional study done in super speciality tertiary care centre of East India. Total 70 Children enrolled in multidisciplinary CP clinic in Physical medicine and Rehabilitation (PMR) OPD between September 2017- March 2018.Results: 78.57%male and 21.42% female, all had hospital delivery with 78.5% had normal and 21.5% caesarean section. 70% had history of birth asphyxia and 61.5% required NICU admission. 61.4% had birth wt. less than 2 kg and 10% had birth wt. less than 1kg. One fourth cases had microcephaly and one third had history of seizures. Visual abnormalities, Hearing impairment and history of jaundice were found in about one sixth children. Spastic CP was the most common (76% cases) followed by Dyskinetic 10%, Hyponic and Ataxic (1%). In spastic CP Diplegia was most common (55%), followed by Quadriplegia 24%, Hemiplegia 19% and Monoplegia 2%. GMFCS score 5 was seen in 29% (mostly quadriplegic), followed by GMFCS level 1, 21.27% (mostly hemiplegic), others mostly diplegic in level 3(19%), level 2 and 4 (14%).Conclusions: Male CP are more reaching tertiary care centre in Bihar. Perinatal factors (asphyxia) were main etiological risk factor, and Spastic Diplegia is the most common type of CP. Disability need to be detected at the earliest to facilitate a timely and appropriate intervention like early rehabilitation, special education and psycho-social support.

scholarly journals A CROSS-SECTIONAL STUDY OF CLINICAL PROFILE OF CEREBRAL PALSY PATIENTS VISITING A GOVERNMENT TERTIARY CARE HOSPITAL FROM MAHARASHTRA, INDIA

2020 ◽  
pp. 1-5
Author(s):  
Smita Mundada ◽  
Tejas Mandlecha ◽  
Prabha Khaire ◽  
Shilpa Pawar
Keyword(s):  
Cerebral Palsy ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Common Finding ◽  
Periventricular White Matter ◽  
Care Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
History Of

Cerebral palsy has emerged as one of the major causes of childhood disability in India. In low and middle income countries there are gaps in knowledge in the spheres of epidemiological research, intervention and service utilization. AIMS AND OBJECTIVES: This study describes the clinical features associated problems of children with CP visiting a government tertiary care Hospital from Maharashtra, India. Materials and Methods: This was cross sectional retrospective observational study conducted on 78 children of cerebral palsy. Result: Among 78 enrolled children, maximum 50%(n=39) of children were between1-3yr age group with male to female ratio was 1.05:1. History of consanguinity was seen in 35.9% (n=28) subjects, 69.2%(n=54)of subjects were from the urban area. 78.2% (n=61) subjects were born term , 65.3%(n=51) cases had a history of NICU stay with the most common etiological factor being birth asphyxia seen in 38.4 %( n=30) subjects followed by sepsis in 29.5% subjects (n=23). Most common type of cerebral palsy was spastic 87.1% followed by dyskinetic 10.2%. Most of the participants were at GMFCS level IV and V (23.1% and 47.4% respectively). 78.2% subjects were having feeding problems, 43.6% had associated epilepsy. Majority of our subjects had Microcephaly (69.2%) and malnutrition (74.3%). MRI was done in only 34.6% of subjects with most common finding being periventricular white matter injury (PVWMI)). Conclusion: It is suggested that rehabilitation clinics should be set up for CP patients at every government medical college so that parents can be made aware of the disease, handicaps, prognosis, and management.

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.

Effect of an interval rehabilitation program with home-based, vibration-assisted training on the development of muscle and bone in children with cerebral palsy – an observational study

2020 ◽  
Vol 33 (8) ◽  
pp. 1083-1092 ◽  
Author(s):  
Ibrahim Duran ◽  
Kyriakos Martakis ◽  
Christina Stark ◽  
Leonie Schafmeyer ◽  
Mirko Rehberg ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Bone Growth ◽  
Muscle Growth ◽  
Rehabilitation Program ◽  
Whole Body ◽  
Cross Sectional ◽  
Home Based ◽  
Children With Cerebral Palsy ◽  
One Year ◽  
Intensive Rehabilitation

AbstractObjectivesIn children with cerebral palsy (CP), the most common cause of physical impairment in childhood, less muscle and bone growth has been reported, when compared with typically developing children. The aim of this study was to evaluate the effect of an intensive rehabilitation program including physiotherapy in combination with 6 months of home-based, vibration-assisted training on muscle and bone growth in children with CP.MethodsWe included children with CP, who participated in a rehabilitation program utilizing whole-body vibration (WBV). Muscle mass was quantified by appendicular lean mass index (App-LMI) and bone mass by total-body-less-head bone mineral content (TBLH-BMC) assessed by Dual-energy X-ray absorptiometry (DXA) at the beginning of rehabilitation and one year later. To assess the functional muscle-bone unit, the relation of TBLH-BMC to TBLH lean body mass (TBLH-LBM) was used.ResultsThe study population included 128 children (52 females, mean age 11.9 ± 2.7). App-LMI assessed in kg/m2 increased significantly after rehabilitation. The age-adjusted Z-score for App-LMI showed no significant change. TBLH-BMC assessed in gram increased significantly. The Z-scores for TBLH-BMC decreased lesser than expected by the evaluation of the cross-sectional data at the beginning of rehabilitation. The parameter $\frac{TBLH-BMC}{TBLH-LBM}$ did not change relevantly after 12 months.ConclusionsMuscle growth and to a lesser extent bone growth could be increased in children with CP. The intensive rehabilitation program including WBV seemed to have no direct effect on the bone, but the observed anabolic effect on the bone, may only been mediated through the muscle.

A Cross-Sectional Study to Evaluate the Quality of Life of Caregivers for Children with Cerebral Palsy in Saudi Arabia, Jeddah

2021 ◽  
Author(s):  
Alanoud Akram Aman ◽  
Bashaer Baharoon ◽  
Haifa Jamal Idrees ◽  
Ahad Mohammedyusuf Taj ◽  
Bassmah Ali Alzahrani ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Saudi Arabia ◽  
Cerebral Palsy ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Children With Cerebral Palsy

scholarly journals Backward walking highlights gait asymmetries in children with cerebral palsy

2018 ◽  
Vol 119 (3) ◽  
pp. 1153-1165 ◽  
Author(s):  
Germana Cappellini ◽  
Francesca Sylos-Labini ◽  
Michael J. MacLellan ◽  
Annalisa Sacco ◽  
Daniela Morelli ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Muscle Activation ◽  
Pattern Generation ◽  
Comprehensive Assessment ◽  
Emg Activity ◽  
Backward Walking ◽  
Spinal Circuitry ◽  
Children With Cerebral Palsy ◽  
Control Circuits ◽  
The Brain

To investigate how early injuries to developing motor regions of the brain affect different forms of gait, we compared the spatiotemporal locomotor patterns during forward (FW) and backward (BW) walking in children with cerebral palsy (CP). Bilateral gait kinematics and EMG activity of 11 pairs of leg muscles were recorded in 14 children with CP (9 diplegic, 5 hemiplegic; 3.0–11.1 yr) and 14 typically developing (TD) children (3.3–11.8 yr). During BW, children with CP showed a significant increase of gait asymmetry in foot trajectory characteristics and limb intersegmental coordination. Furthermore, gait asymmetries, which were not evident during FW in diplegic children, became evident during BW. Factorization of the EMG signals revealed a comparable structure of the motor output during FW and BW in all groups of children, but we found differences in the basic temporal activation patterns. Overall, the results are consistent with the idea that both forms of gait share pattern generation control circuits providing similar (though reversed) kinematic patterns. However, BW requires different muscle activation timings associated with muscle modules, highlighting subtle gait asymmetries in diplegic children, and thus provides a more comprehensive assessment of gait pathology in children with CP. The findings suggest that spatiotemporal asymmetry assessments during BW might reflect an impaired state and/or descending control of the spinal locomotor circuitry and can be used for diagnostic purposes and as complementary markers of gait recovery.NEW & NOTEWORTHY Early injuries to developing motor regions of the brain affect both forward progression and other forms of gait. In particular, backward walking highlights prominent gait asymmetries in children with hemiplegia and diplegia from cerebral palsy and can give a more comprehensive assessment of gait pathology. The observed spatiotemporal asymmetry assessments may reflect both impaired supraspinal control and impaired state of the spinal circuitry.

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