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Latest & greatest articles for cerebral palsy
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Trihexyphenidyl for dystonia in cerebralpalsy. Cerebralpalsy occurs in up to 2.1 of every 1000 live births and encompasses a range of motor problems and movement disorders. One commonly occurring movement disorder amongst those with cerebralpalsy is dystonia: sustained or intermittent involuntary muscle spasms and contractions that cause twisting, repetitive movements and abnormal postures. The involuntary contractions are often very painful and distressing and cause significant limitations (...) to activity and participation.Oral medications are often the first line of medical treatment for dystonia. Trihexyphenidyl is one such medication that clinicians often use to treat dystonia in people with cerebral palsy.To assess the effects of trihexyphenidyl in people with dystonic cerebralpalsy, according to the World Health Organization's (WHO) International Classification of Functioning, Disability and Health (ICF) domains of impairment, activity and participation. We also assessed the type
A food bolus obstructing the oesophagus in a patient with infantile cerebralpalsy A foreign body (FB) in the upper aerodigestive tract is a fairly common encounter. Fish bones are the commonest FB seen in adults. The commonest presentation is odynophagia. Usually, the patient will point at the level of FB on the neck to indicate the location.Clinical report.This case report describes a large FB in an adult with underlying infantile cerebralpalsy. Besides dysphagia, it was associated
Five and 10 minute Apgar scores and risks of cerebralpalsy and epilepsy: population based cohort study in Sweden. To investigate associations between Apgar score at five and 10 minutes across the entire range of score values (from 0 to 10) and risks of childhood cerebralpalsy or epilepsy, and to analyse the effect of changes in Apgar scores from five to 10 minutes after birth in infants born ≥37 completed weeks.Population based cohort study in Sweden, including 1 213 470 non-malformed live (...) singleton infants, born at term between 1999 and 2012. Data on maternal and pregnancy characteristics and diagnoses of cerebralpalsy and epilepsy were obtained by individual record linkages of nationwide Swedish registries.Apgar scores at five and 10 minutes.Cerebral palsy and epilepsy diagnosed up to 16 years of age. Adjusted hazard ratios were calculated, along with 95% confidence intervals.1221 (0.1%) children were diagnosed as having cerebralpalsy and 3975 (0.3%) as having epilepsy. Compared
Early Diagnosis for Children with CerebralPalsy: Clinical Effectiveness and Guidelines Early Diagnosis for Children with CerebralPalsy: Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Early Diagnosis for Children with CerebralPalsy: Clinical Effectiveness and Guidelines Early Diagnosis for Children with CerebralPalsy: Clinical Effectiveness and Guidelines Published on: January 10, 2018 Project Number: RB1181-000 Product Line: Research Type: Other Diagnostics (...) Report Type: Summary of Abstracts Result type: Report Question What is the clinical effectiveness of early diagnosis in children with cerebralpalsy? What are the evidence-based guidelines addressing early diagnosis in children with cerebralpalsy? Key Message Five systematic reviews, one with meta-analysis, one randomized controlled trial, and one non-randomized study were identified regarding the clinical effectiveness of early diagnosis in children with cerebralpalsy. Tags diagnostic tests
CerebralpalsyCerebralpalsy - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search Cerebralpalsy Last reviewed: February 2019 Last updated: February 2019 Summary An umbrella term referring to a non-progressive disease of the brain originating during the antenatal, neonatal, or early postnatal period when brain neuronal connections are still evolving. Most common cause of childhood disability affecting 2.5 per 1000 (...) , and extremity deformity. Definition Cerebralpalsy (CP) is an umbrella term referring to a non-progressive disease of the brain originating during the antenatal, neonatal, or early postnatal period when brain neuronal connections are still evolving. Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebralpalsy April 2006. Dev Med Child Neurol Suppl. 2007 Feb;109:8-14. http://www.ncbi.nlm.nih.gov/pubmed/17370477?tool=bestpractice.com Secondary effects of spasticity
Participation in physical activities for children with cerebralpalsy: feasibility and effectiveness of physical activity on prescription Children with cerebralpalsy (CP) are less physically active and more sedentary than other children which implies risk factors for their physical and mental health. Physical activity on prescription (PAP) is an effective intervention to promote a lifestyle change towards increased physical activity in adults in general. Knowledge is lacking about the use
Effects of Antigravity Treadmill Training on Gait, Balance, and Fall Risk in Children With Diplegic CerebralPalsy. The aim of this study was to investigate the effects of antigravity treadmill training on gait, balance, and fall risk in children with diplegic cerebral palsy.Thirty children with diplegic cerebralpalsy were selected for this randomized controlled study. They were randomly assigned to (1) an experimental group that received antigravity treadmill training (20 mins/d, 3 d/wk (...) group. The posttreatment gait parameters (i.e., velocity, stride length, cadence, and percent of time spent in double-limb support) were 0.74 m/sec, 119 steps/min, 0.75 m/sec, 0.65 sec, and 55.9% as well as 0.5 m, 125 steps/min, 0.6 m/sec, 0.49 sec, and 50.4% for the experimental and control group, respectively.Antigravity treadmill training may be a useful tool for improving gait parameters, balance, and fall risk in children with diplegic cerebralpalsy.
Lumbosacral dorsal rhizotomy for spastic cerebralpalsy: OHTAC recommendation Lumbosacral dorsal rhizotomy for spastic cerebralpalsy: OHTAC recommendation Lumbosacral dorsal rhizotomy for spastic cerebralpalsy: OHTAC recommendation Ontario Health Technology Advisory Committee (OHTAC) Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation (...) Ontario Health Technology Advisory Committee (OHTAC). Lumbosacral dorsal rhizotomy for spastic cerebralpalsy: OHTAC recommendation. Toronto: Health Quality Ontario (HQO). 2017 Authors' conclusions The Ontario Health Technology Advisory Committee accepted the findings of the health technology assessment, which found that carefully selected patients reported clinically relevant improvements in motor function and functional independence with lumbosacral dorsal rhizotomy. OHTAC also felt that the total
Lumbosacral dorsal rhizotomy for spastic cerebralpalsy: a health technology assessment Lumbosacral dorsal rhizotomy for spastic cerebralpalsy: a health technology assessment Lumbosacral dorsal rhizotomy for spastic cerebralpalsy: a health technology assessment Health Quality Ontario Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation (...) Health Quality Ontario. Lumbosacral dorsal rhizotomy for spastic cerebralpalsy: a health technology assessment. Toronto: Health Quality Ontario (HQO). Ontario health technology assessment series; 17(10). 2017 Authors' conclusions Lumbrosacral dorsal rhizotomy and physical therapy effectively reduces lower-limb spasticity in children with spastic cerebralpalsy and significantly improves their gross motor function and functional independence. Major peri-operative complications were infrequently
Early, Accurate Diagnosis and Early Intervention in CerebralPalsy: Advances in Diagnosis and Treatment Cerebralpalsy describes the most common physical disability in childhood and occurs in 1 in 500 live births. Historically, the diagnosis has been made between age 12 and 24 months but now can be made before 6 months' corrected age.To systematically review best available evidence for early, accurate diagnosis of cerebralpalsy and to summarize best available evidence about cerebralpalsy (...) -specific early intervention that should follow early diagnosis to optimize neuroplasticity and function.This study systematically searched the literature about early diagnosis of cerebralpalsy in MEDLINE (1956-2016), EMBASE (1980-2016), CINAHL (1983-2016), and the Cochrane Library (1988-2016) and by hand searching. Search terms included cerebralpalsy, diagnosis, detection, prediction, identification, predictive validity, accuracy, sensitivity, and specificity. The study included systematic reviews
Lumbosacral Dorsal Rhizotomy for Spastic CerebralPalsy Public Comment: Held April 12 to May 3, 2017. Lumbosacral Dorsal Rhizotomy for Spastic CerebralPalsy: OHTAC Recommendation ONTARIO HEALTH TECHNOLOGY ADVISORY COMMITTEE RECOMMENDATIONS ? The Ontario Health Technology Advisory Committee recommends that lumbrosacral dorsal rhizotomy be publicly funded for children with spastic cerebralpalsy who have been evaluated as appropriate candidates by a multi-disciplinary team ? The Ontario Health (...) that the total cost of this procedure was reasonable. Members of the Ontario Health Technology Advisory Committee also noted that success of the surgery appeared to depend not only on careful selection of candidates by a multi-disciplinary team but also on physical rehabilitation after surgery. Lumbrosacral Dorsal Rhizotomy for Spastic CerebralPalsy: OHTAC Recommendation. July 2017; pp. 1–3 2 Decision Determinants for Lumbosacral Dorsal Rhizotomy for Spastic CerebralPalsy Decision Criteria Subcriteria
Exploring perceptions of health caregivers on the causes of caregiversâ€™ occupational burnout in institutes of children with cerebralpalsy: A qualitative study Providing care for children with cerebralpalsy (CP) is hard, energy-consuming, and long-term. Consequently, occupational burnout is highly probable for caregivers.This study aimed to explore the perception of health caregivers regarding the causes of caregivers' occupational burnout in institutes of children with CP.This qualitative
Curve flexibility in cerebralpalsy-related neuromuscular scoliosis: does the intraoperative prone radiograph reveal more flexibility than preoperative radiographs? Spinal flexibility is determined preoperatively by manipulating the spine and assessing, radiographically, to what extent the amount of deformity reduces. Quantifying spinal flexibility is important when determining the approach to the planned operation in order to achieve the most optimal spinal correction and balance. Currently (...) , supine traction radiography is a popular method used in patients with severe, cerebralpalsy-related neuromuscular scoliosis. The different methods for determining spinal flexibility have been studied extensively in the adolescent idiopathic scoliosis population. No such studies exist in the cerebralpalsy population. The purpose of this study was to determine how predictive the intraoperative prone radiograph is in determining spinal flexibility in patients with severe, cerebralpalsy related
Association Between Maternal Body Mass Index in Early Pregnancy and Incidence of CerebralPalsy. Maternal overweight and obesity are associated with increased risks of preterm delivery, asphyxia-related neonatal complications, and congenital malformations, which in turn are associated with increased risks of cerebralpalsy. It is uncertain whether risk of cerebralpalsy in offspring increases with maternal overweight and obesity severity and what could be possible mechanisms.To study (...) the associations between early pregnancy body mass index (BMI) and rates of cerebralpalsy by gestational age and to identify potential mediators of these associations.Population-based retrospective cohort study of women with singleton children born in Sweden from 1997 through 2011. Using national registries, children were followed for a cerebralpalsy diagnosis through 2012.Early pregnancy BMI.Incidence rates of cerebralpalsy and hazard ratios (HRs) with 95% CIs, adjusted for maternal age, country of origin
Factors in the Efficacy, Safety, and Impact on Quality of Life for Treatment of Drooling with Botulinum Toxin Type A in Patients with CerebralPalsy. To assess the efficacy and safety of botulinum toxin A (BoNT-A) injected in both submandibular and parotid versus only in parotid glands as a treatment for drooling in patients with spastic and dyskinetic cerebralpalsy (CP), including an assessment of impact on quality of life (QoL) based on items from the International Classification