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Journal articles on the topic 'Children with cerebral palsy'
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Yutkina, O. S. "METHODS OF REHABILITATION OF CHILDREN WITH CEREBRAL PALSY." Amur Medical Journal, no. 15-16 (2016): 127–29. http://dx.doi.org/10.22448/amj.2016.15-16.127-129.
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Hariprasad, Dr P. G. "Impact of Comprehensive Intervention in Children with Cerebral Palsy." Journal of Medical Science And clinical Research 05, no. 03 (March 29, 2017): 19436–40. http://dx.doi.org/10.18535/jmscr/v5i3.175.
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Maenner, Matthew J., Ruth E. Benedict, Carrie L. Arneson, Marshalyn Yeargin-Allsopp, Martha S. Wingate, Russell S. Kirby, Kim Van Naarden Braun, and Maureen S. Durkin. "Children With Cerebral Palsy." Epidemiology 23, no. 1 (January 2012): 35–43. http://dx.doi.org/10.1097/ede.0b013e31823a4205.
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Steele, Shirley. "Children with Cerebral Palsy." Nurse Practitioner 11, no. 1 (January 1986): 64. http://dx.doi.org/10.1097/00006205-198601000-00010.
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Knezevic-Pogancev, Marija. "Cerebral palsy and epilepsy." Medical review 63, no. 7-8 (2010): 527–30. http://dx.doi.org/10.2298/mpns1008527k.
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Introduction. Cerebral palsy is the most common cause of physical disability in early childhood. Epilepsy is known to have a high association with cerebral palsy. All types of epileptic seizures can be seen in patients with cerebral palsy. Complex partial and secondary generalized ones are the most frequent seizure types. In persons with cerebral palsy and mental retardation, the diagnosis of epilepsy presents unique difficulties. Generally they are not able to describe the epileptic events themselves, parents are not able to describe them without fear and persons trained in epilepsy witness the events only rarely. Some syndromes, such as infantile spasms, West and Lennox-Gastaut syndrome, are particularly frequent, whereas children with cerebral palsy are rarely free of epilesy. It has been observed that epileptic seizures in children with cerebral palsy tend to have an earlier onset; they often appear in children with cerebral palsy and mental retardation; they are more severe in patients with a more severe degree of cerebral palsy. The overall outcome of seizures in children with cerebral palsy is poor, requiring prolonged course of antiepileptic medications, polytherapy with higher incidence of refractory seizures and hospital admissions for status epilepticus. The presence of a neurological deficit, as well as cerebral palsy, does not necessarily mean a poor prognosis after the discontinuation of antiepileptic drugs, but the risk of a relaps in persons with cerebral palsy is high. Aim. The objective of the paper was to show the relationship between cerebral palsy and epilepsy and to determine the occurrence, associated factors, nature and prognosis of epilepsy in children with cerebral palsy.
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Michelsen, Susan. "Health Care Usage among Children and Adults with Cerebral Palsy." Central European Journal of Paediatrics 16, no. 1 (March 1, 2020): 46–59. http://dx.doi.org/10.5457/p2005-114.256.
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Akolkar, N. A., R. B. Kothari, Sunil Mhaske, Vineetranjan Gupta, and Bipin Rathod. "To Study the Co-Morbidities Associated with Cerebral Palsy Children." Indian Journal of Trauma & Emergency Pediatrics 9, no. 3 (2017): 171–74. http://dx.doi.org/10.21088/ijtep.2348.9987.9317.4.
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Stevanovic, Radoje, and Olivera Jovicic. "Dental characteristics of children with cerebral palsy." Srpski arhiv za celokupno lekarstvo 132, no. 7-8 (2004): 214–18. http://dx.doi.org/10.2298/sarh0408214s.
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Cerebral palsy is one of the commonest children's physical handicaps with frequency of 1.5-3/1000. Beside many other disturbances, these children may have serious disorders caused by dental diseases. Concerning this fact, the objective of our study was to examine children with cerebral palsy in our country and determine condition of dental health and suggest adequate protective measures. A total of 116 children, 3-18 years old, with cerebral palsy were examined and the results were compared to the control group of healthy children of the same age. Among healthy children, 7-10 years old, 66.3% had healthy parodontium, while none of children with cerebral palsy had healthy parodontium. Children, 11-14 years old with cerebral palsy had higher percentage of untreated caries, but lower percentage of filled teeth (18.7%) compared to healthy children (55.0%). Children, 15-18 years old with cerebral palsy had significantly higher percentage of extracted teeth (10.6%) than healthy children (4.1%) and more often orthodontic anomalies (70.6%), compared to healthy children (46.9%). Results of these study indicate that children with cerebral palsy need special and planned dental care.
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Gurav, Anushree Kailas. "Prevalence of Scoliosis in Cerebral Palsy." Indian Journal of Youth & Adolescent Health 07, no. 03 (February 3, 2021): 20–25. http://dx.doi.org/10.24321/2349.2880.202014.
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Background: Significant structural deformity of the spine often accompanies cerebral palsy. Progression of curve will eventually lead to pain, loss of ambulation, sitting balance. The aetiology of scoliosis in CP has yet to be well defined. Objective: The objective of this study was to find incidence of scoliosis in different sub-types of cerebral palsy. Method: A total population of 30 children with cerebral palsy aged 5 to 20 years followed with examination and assessment for scoliosis in a health care setting was analysed. GMFCS level, CP subtype, age at diagnosis, gender dominance of the condition were correlates registered. Effect of 5 factors on progression of the curve and type of scoliosis dominant in cerebral palsy was studied. Results: Of the 30 subjects initially enrolled in the study, 19 of them with scoliosis in which incidence of 28% was found among spastic quadriplegia followed by 24% in diplegia. The risk of scoliosis increased with GMFCS level and age. 22% of children showed moderate scoliosis with respect to scoliosis appearance questionnaire. Conclusions: Scoliosis was most common in the spastic group with the highest incidence in the spastic quadriplegics. There was a definite inverse relationship between the level of ambulation and scoliosis: the higher the level of ambulation the lower the incidence of scoliosis. Moderate scoliosis was found because progression of curve is expected to continue until skeletal maturity.
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Demesi-Drljan, Cila, Snezana Tomasevic-Todorovic, Aleksandar Knezevic, and Jelena Zvekic-Svorcan. "Functional abilities of children with cerebral palsy." Medical review 70, no. 7-8 (2017): 235–40. http://dx.doi.org/10.2298/mpns1708235d.
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Introduction. Cerebral palsy is one of the leading causes of neurological impairment in childhood. The dominant clinical sign is the impairment of gross motor functions; however, associated conditions may limit the child with cerebral palsy in daily activities as well. The aim of this study was to determine the functional status of children with cerebral palsy, its relationship with the types of cerebral palsy, and concomitant conditions. Material and Methods. The sample included 206 children with cerebral palsy. The data were obtained from medical records with clinical characteristics of cerebral palsy, and associated conditions. The clinical types of cerebral palsy were determined using the Surveillance of Cerebral Palsy in Europe registry and topographical categories. Gross motor function abilities were evaluated using the Gross Motor Function Classification System and manual abilities by the Manual Ability System Classification. Results. According to the Gross Motor Function Classification System, about two thirds of children with cerebral palsy (64.0%) had levels I, II or III of gross motor function impairment. A statistically significant difference was noted with respect to the distribution of various clinical types of cerebral palsy in relation to functional classification based on Gross Motor Function Classification System (p < 0.001), as well as in the functional classification in terms of intellectual impairment (p <0.001); children with severe forms of intellectual impairment were classified at a higher level of functional limitation. Epilepsy was more prevalent in children with higher level of functional limitation (p = 0.009). Conclusion. Two thirds of children with cerebral palsy could walk independently or with walking aids. Children with quadriplegia and dyskinetic type of cerebral palsy had the most limited functional abilities. Associated conditions were more prevalent in children with higher functional limitations.
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Trisnowiyanto, Bambang. "The Level of Children’s Independence with Cerebral Palsy in Several Regions in Java and Sumatra." Jurnal Keterapian Fisik 5, no. 1 (May 4, 2020): 1–12. http://dx.doi.org/10.37341/jkf.v5i1.171.
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Background: The most common disorder or disability in childhood is cerebral palsy, obtained during the antenatal, perinatal or early postnatal period. Cerebral palsy is a non-progressive injury or brain lesion with very variable clinical manifestations. children with cerebral palsy have impaired movement, ability levels and functional limitations and affected body parts. Therefore, to find out the level of independence in children with cerebral palsy, it is necessary to have an examination carried out by health workers, especially physiotherapy. In this case, an examination using the Gross Motor Function Classification System (GMFCS). The purpose of this study was to determine the degree of independence of children with cerebral palsy in several regions in Java and Sumatra. Methods: A total of 315 children with cerebral palsy (mean ± SD) participated in this cross-sectional study design. The research was conducted in March-June 2019. GMFCS data was collected from children with cerebral palsy in the parent community of cerebral palsy in 10 cities. The Kolmogorov-Smirnov test used for data normality test. Result: Overall research subjects from 10 cerebral palsy communities with a total sample of 315 children, most cerebral palsy with GMFCS level 4 as many as 117 children (37.1%), then GMFCS level 3 as many as 84 children (26.7%), GMFCS level 5 is 67 children (21.3%), level 2 GMFCS is 24 children (7.6%), and at least children with level 1 GMFCS are 23 children (7.3%). Conclusion: The conclusion is from a total of 315 children with cerebral palsy, the level of Indonesian children's independence based on GMFCS most of them are less independent.
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Rofasita, Safrina. "Sharing Experience dan Resiliensi: Studi atas Facebook Group Orang Tua Anak Cerebral Palsy." INKLUSI 4, no. 1 (June 15, 2017): 119. http://dx.doi.org/10.14421/ijds.040106.
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Cerebral Palsy is a brain disorder that affects a motor area. Parents who have a child with Cerebral palsy are usually sorrowful. They feel hopeless and inferior because of their inability to manage their stress, and their resilience is poor. The level of stress management for each parent is different. For that reason, parents join an online group created on the Facebook online. Among the typical objective of joining such groups is to share their experience of having children with cerebral palsy. Is there any positive effect of this sharing experience toward their resilience? This study used a mixed method to answer this question. The quantitative data are collected by using questionnaire with a scale of CD-RiSC resilience and scale of sharing experience Response. This quantitative data is then elaborated by interviewing the participants by using purposive sampling technique. The research found that the Facebook group indeed helps the parents in improving their resilience. It is achieved by additional information and knowledge they learn from the group.[Orang tua yang mendapati anaknya terfonis sebagai anak Cerebral Palsy mengalami kedukaan mendalam yang mengakibatkan ketidakpercayaan diri, dan putus asa. Hal itu diakibatkan ketahanan terhadap stres (resiliensi) rendah, oleh karena itu orang tua mengikuti sharing experiences penyandang Cerebral Palsy melalui Facebook Group orang tua anak Cerebral Palsy. Penelitian ini bertujuan menjawab pertanyaan adakah pengaruh sharing experiences penyandang Cerebral Palsy terhadap resiliensi orang tua anak Cerebral Palsy yang terhimpun dalam Facebook Group Orang Tua Anak Cerebral Palsy. Penelitian menggunakan methode kombinasi antara kuantitatif dan kualitatif. Penelitian menemukan bahwa Facebook Group berpengaruh pada peningkatan resiliensi orang tua anak cerebal palcy karena mereka mendapatkan pengetahuan dan informasi tambahan dari forum itu.]
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Potterton, Joanne. "Cerebral palsy in Giyani." South African Journal of Physiotherapy 52, no. 3 (August 31, 1996): 66–68. http://dx.doi.org/10.4102/sajp.v52i3.629.
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This study sets out to establish the epidemiology of cerebral palsy in the drought stricken Giyani district in the Northern Province. Seventy-nine children with cerebral palsy were assessed at Nkhensani hospital. The cause and type of cerebral palsy were established as well as the main concerns of the parents. Thirty-two percent of cerebral palsy was found to be due to postnatal causes, which may be attributed to the prevalence of meningitis and gastroenteritis. Only sixteen percent of the children had diplegia, which is in keeping with findings in other third world countries. Major concerns expressed by the parents included issues of education and institutionalisation as facilities for children with disabilities in this area are inadequate. An obvious need exists to impart neuro-developmental skills to therapy assistants and to parents who play the biggest role in managing children with cerebral palsy in the Northern Province.
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Sakhaei, Farhad, Golnoosh Golmohamadi, and Mohamad Rezaei. "Investigation of feeding problems in children with cerebral palsy." Journal of Otolaryngology-ENT Research 11, no. 1 (2019): 56–48. http://dx.doi.org/10.15406/joentr.2019.11.00410.
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Introduction: Eating and swallowing are important for child health and play an essential role in her/his physical, social, emotional and cultural development. In children with cerebral palsy because of neuromuscular disorders, there is high prevalence of feeding and swallowing disorders. Early diagnosis, prevention and management of feeding problems are important process. In this study, feeding problems in different types of cerebral palsy were investigated. Materials and methods: In this cross-sectional descriptive study, 60 children with cerebral palsy that referred to clinical centers were selected using random sampling. Feeding and swallowing skills of these children were investigated with using of Pediatric assessment scale for severe feeding problems. Results: Findings indicated that children with spastic and flaccid cerebral palsy have feeding problems with similar severity. Also children with athetoid cerebral palsy showed lowest severity of feeding problems. Conclusion: Swallowing performance and proper feeding skills plays an important role in children's development. Given the high prevalence of feeding problems in children with cerebral palsy, early diagnosis and intervention should be done to prevent of secondary problems. Keywords: cerebral palsy, feeding skills, swallowing
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Hai, Md Shaheen Bin Abdul, Rathindro Nath Sarker, Afroza Akter, Pijous Biswas, Gocul Chand Kundu, and Md Tarique Mehedi. "Determinants of cerebral palsy among under-5 children." Bangladesh Medical Journal 44, no. 1 (January 12, 2016): 3–7. http://dx.doi.org/10.3329/bmj.v44i1.26336.
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Cerebral palsy (CP) is one of the leading causes of childhood disability worldwide, with the greatest burden found in the developing countries of the world. This hospital based case-control study was conducted from January 2010 to June 2010 to find out the determinants of cerebral palsy among under-5 children. The study was conducted among 76 diagnosed cerebral palsy cases with 76 children considered as control group from the same institute. Study suggested that, children with male sex were four times more likely to have cerebral palsy than the female child. There were more than 2.5 times more chance of developing cerebral palsy among the parents who had consanguineous marriage. In case of home delivery there were 2.25 times more chance of developing cerebral palsy than those had the hospital delivery. Among the mothers of the cases who were suffering from problem during delivery, 47.5% had prolong labour during delivery, 25.0% had premature rupture of membrane and 20.0% had breech presentation.There were 33 times more risk of developing cerebral palsy among the premature baby than the term birth. There were 12.5 times more chance of developing cerebral palsy among the low birth weight child than the of normal weight child. This study concluded that, greater knowledge and understanding on cerebral palsy is required to enhance decision-making processes about the affected children.Bangladesh Med J. 2015 Jan; 44 (1): 3-7
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Sharma, Deepika, Smati Sambyal, and Sandeep Kumar. "FUNCTIONAL INDEPENDENCE IN POST OPERATIVE SPASTIC CEREBRAL PALSY CHILDREN WITH REHABILITATION." International Journal of Physiotherapy and Research 4, no. 4 (August 11, 2016): 1600–1602. http://dx.doi.org/10.16965/ijpr.2016.146.
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Begum, Mst Rabea, Mohammad Anwar Hossain, and Shahnaj Sultana. "GROSS MOTOR FUNCTION CLASSIFICATION SYSTEM (GMFCS) FOR CHILDREN WITH CEREBRAL PALSY." International Journal of Physiotherapy and Research 7, no. 7 (December 11, 2019): 3281–86. http://dx.doi.org/10.16965/ijpr.2019.180.
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Mazumder, Md Shehabul Islam, Ehsanur Rahman, Md Abid Hossain Mollah, Md Obaidul Haque, Md Fazlul Karim Patwary, Md Shofiqul Islam, Mohammad Habibur Rahman, and Farjana Akter. "Knowledge about child nutrition among mothers of children with cerebral palsy." Asian Pacific Journal of Health Sciences 2, no. 1 (January 2015): 197–202. http://dx.doi.org/10.21276/apjhs.2015.2.1.34.
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Rudenko, Liliia, and Tetіana Sniatkova. "Preventive System of Hospitalism Syndrome in Early Children with Cerebral Palsy." Collection of Research Papers "Problems of Modern Psychology", no. 53 (July 13, 2021): 235–57. http://dx.doi.org/10.32626/2227-6246.2021-53.235-257.
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Hällöf, Inger. "Teaching Children with Cerebral Palsy." Developmental Medicine & Child Neurology 6, no. 4 (November 12, 2008): 403–5. http://dx.doi.org/10.1111/j.1469-8749.1964.tb08143.x.
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Mohanty, Mugdha, Forrest Beaulieu, Spoorthi Sampath, Dimira Tambunan, Shivangi Kataria, and N. Paul Rosman. "“Your Child Has Cerebral Palsy”: Parental Understanding and Misconceptions." Journal of Child Neurology 36, no. 8 (February 23, 2021): 648–54. http://dx.doi.org/10.1177/0883073821991300.
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Importance: Caregivers of children with cerebral palsy can best help their child if they understand the disorder and the correct terminology. Objective: To assess caregiver understanding of cerebral palsy. Design: This was a cross-sectional study from a large tertiary medical center in Boston, to assess understanding of the term cerebral palsy by primary caregivers of children and adolescents with cerebral palsy. All cases were obtained from hospital electronic medical records. Telephone surveys were conducted. Caregiver understanding of cerebral palsy was assessed by open-ended responses (50%) and success in answering true/false questions about cerebral palsy (50%). Participants: Primary caregivers of children 18 years and younger with cerebral palsy. Results: Thirty-three percent of caregivers denied ever being told that their child had cerebral palsy. Most caregivers identified cerebral palsy as a brain problem (79%), lifelong condition (73%), often caused by a perinatal (60%) or gestational (40%) insult. Fifty-two percent knew that cerebral palsy was nonprogressive. Sixty-two percent of caregivers believed they had a good, very good, or excellent understanding of cerebral palsy, whereas the investigators found 69% of caregivers had a good, very good, or excellent understanding of cerebral palsy (P = .006). Most caregivers rated very good or excellent the setting where cerebral palsy was discussed (58%), the explanations provided (55%), and the amount of time spent (45%), yet using a Pearson correlation coefficient, most important was the time spent ( r = 0.53). Conclusions: Following discussion with their child’s physician, most primary caregivers of children with cerebral palsy have a good, very good, or excellent understanding of cerebral palsy. Most critical to a good understanding of cerebral palsy was the time spent in explaining the diagnosis.
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Kułak, Piotr, Elżbieta Maciorkowska, and Elżbieta Gościk. "Volumetric Magnetic Resonance Imaging Study of Brain and Cerebellum in Children with Cerebral Palsy." BioMed Research International 2016 (2016): 1–9. http://dx.doi.org/10.1155/2016/5961928.
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Introduction. Quantitative magnetic resonance imaging (MRI) studies are rarely used in the diagnosis of patients with cerebral palsy. The aim of present study was to assess the relationships between the volumetric MRI and clinical findings in children with cerebral palsy compared to control subjects.Materials and Methods. Eighty-two children with cerebral palsy and 90 age- and sex-matched healthy controls were collected.Results. The dominant changes identified on MRI scans in children with cerebral palsy were periventricular leukomalacia (42%) and posthemorrhagic hydrocephalus (21%). The total brain and cerebellum volumes in children with cerebral palsy were significantly reduced in comparison to controls. Significant grey matter volume reduction was found in the total brain in children with cerebral palsy compared with the control subjects. Positive correlations between the age of the children of both groups and the grey matter volumes in the total brain were found. Negative relationship between width of third ventricle and speech development was found in the patients. Positive correlations were noted between the ventricles enlargement and motor dysfunction and mental retardation in children with cerebral palsy.Conclusions. By using the voxel-based morphometry, the total brain, cerebellum, and grey matter volumes were significantly reduced in children with cerebral palsy.
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Rachmadani, Fadhila, Siti Murtiningsih, and Septiana Dwiputri Maharani. "CAPABILITY APPROACH AS A BASIC EDUCATION FOR CHILDREN WITH CEREBRAL PALSY IN INDONESIA." PEDAGOGIA 17, no. 2 (August 21, 2019): 135–46. http://dx.doi.org/10.17509/pdgia.v17i2.17269.
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AbstrakLatar belakang kajian ini bermula dari minat dalam melihat masalah dalam pendidikan untuk anak-anak Cerebral Palsy di tengah situasi sosial, budaya, dan ekonomi di negara membangun seperti Indonesia. Anak-anak Cerebral Palsy yang mempunyai masalah pada otak, memberikan tantangan untuk guru sekolah untuk menyampaikan pendidikan untuk anak-anak Cerebral Palsy. Walau bagaimanapun, peranan kerajaan sebagai pembuat kebijakan adalah penting untuk membuat peraturan yang baik dalam pendidikan untuk kanak-kanak dengan Cerebral Palsy. Tujuan kajian ini adalah untuk memperluaskan pendidikan untuk anak-anak Cerebral Palsy yang diperlukan untuk mendapatkan perhatian lebih lanjut mengenai pelaksanaan pendidikan di Indonesia. Penelitian ini menggunakan Filsafat Pendidikan sebagai kerangka teori dengan unsur-unsur metodis yakni deskripsi, interpretasi, refleksi, dan hermeneutika. Metode dalam kajian ini ialah kualitatif dengan berdasar pada sumber data kepustakaan. Hasil penelitian ini yaitu pendekatan kemampuan dapat menjadi dasar dalam penerapan pendidikan bagi anak berkebutuhan khusus Cerebral Palsy, mengingat persoalan dilematis ketidaksesuaian antara teori dan praktik dalam pendidikan anak-anak Cerebral Palsy di IndonesiaAbstractThe background of this study started from the interest in exploring the case of education for children with Cerebral Palsy in the middle of social, culture, and economy situations in developing country such as Indonesia. Children with Cerebral Palsy which has a problem on brain, gives a challenge for a school teacher to deliver the education for children with Cerebral Palsy. However, the role of goverment as a policy maker are important to make a good regulation in education for children with Cerebral Palsy. The aim of this study is to extending that education for children with Cerebral Palsy is necessary to get more attention regarding to the implementation of education in Indonesia. The methohodology in this study is qualitative research based on literature data. This study using Philosophy of Education as a theoretical framework with the element of methodology: description, interpretation, reflection, and hermeneutics. The result of this study is capability approach could be a basic education for children with special needs Cerebral Palsy in Indonesia regarding to the dilema incoherence between theory and practice in apllication of special education for children with Cerebral Palsy.
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HA, Rashmi, Shailaja U, and Prasanna N. Rao. "INCIDENCE OF CONSANGUINITY IN INDIAN CHILDREN WITH CEREBRAL PALSY: A SURVEY STUDY." International Journal of Research in Ayurveda and Pharmacy 12, no. 3 (July 6, 2021): 38–40. http://dx.doi.org/10.7897/2277-4343.120370.
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Cerebral palsy is a non-progressive neurodevelopmental disorder. Cerebral palsy is 2.5 times higher in consanguineous marriage due to autosomal recessive transmission. In India, the estimated incidence is 3 per 1000 live births. The objective of this study is to evaluate the incidence of consanguinity in children with cerebral palsy and measures taken to create awareness. A survey study in the form of semi structured interview was conducted by eliciting the history from the parents of 50 cerebral palsy children in Hassan, Bangalore and Udupi within the period of 3 months using pretested questionnaires, where cerebral palsy patient’s cases were taken and symptoms, age of their parents, presence of consanguinity and its degree were noted and compared with other neurological and genetic conditions to exclude them. Thus obtained results were tabulated and analysis is done by statistical method. It was found that, the incidence rate of consanguinity in children with Cerebral palsy is 18%. And 22% of cases presented with dysmorphism, which suggests multiple genetic factors in the form of autosomal recessive gene mutation contributing for Cerebral palsy. Findings suggests that the incidence rate of consanguinity in children with Cerebral palsy is 18% those children also presented with dysmorphism, so when these two are taken into consideration we can conclude that consanguinity as a risk factor for cerebral palsy.
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Jöud, Anna, Andréa Sehlstedt, Karin Källén, Lena Westbom, and Lars Rylander. "Associations between antenatal and perinatal risk factors and cerebral palsy: a Swedish cohort study." BMJ Open 10, no. 8 (August 2020): e038453. http://dx.doi.org/10.1136/bmjopen-2020-038453.
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ObjectivesTo investigate known and suggested risk factors associated with cerebral palsy in a Swedish birth cohort, stratified by gestational age.SettingInformation on all births between 1995 and 2014 in Skåne, the southernmost region in Sweden, was extracted from the national birth register.ParticipantsThe cohort comprised a total of 215 217 children. Information on confirmed cerebral palsy and subtype was collected from the national quality register for cerebral palsy (Cerebral Palsy Follow-up Surveillance Programme).Primary and secondary outcome measuresWe calculated the prevalence of risk factors suggested to be associated with cerebral palsy and used logistic regression models to investigate the associations between potential risk factors and cerebral palsy. All analyses were stratified by gestational age; term (≥37 weeks), moderately or late preterm (32–36 weeks) and very preterm (<32 weeks).ResultsIn all, 381 (0.2 %) children were assigned a cerebral palsy diagnosis. Among term children, maternal preobesity/obesity, small for gestational age, malformations, induction, elective and emergency caesarian section, Apgar <7 at 5 min and admission to neonatal care were significantly associated with cerebral palsy (all p values<0.05). Among children born moderately or late preterm, small for gestational age, malformations, elective and emergency caesarian section and admission to neonatal care were all associated with cerebral palsy (all p values <0.05), whereas among children born very preterm no factors were significantly associated with the outcome (all p values>0.05).ConclusionOur results support and strengthen previous findings on factors associated with cerebral palsy. The complete lack of significant associations among children born very preterm probably depends on to the small number of children with cerebral palsy in this group.
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Raja, Mauli V., and Palak T. Hapani. "Comorbidities associated with cerebral palsy in children presenting at department of Pediatrics, K. T. children hospital Rajkot, India." International Journal of Contemporary Pediatrics 6, no. 2 (February 23, 2019): 863. http://dx.doi.org/10.18203/2349-3291.ijcp20190744.
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Background: Cerebral palsy is a diagnostic term used to describe a group of motor syndromes resulting from disorder of early brain development. It describes a group of permanent disorders of the development of brain and posture causing activity limitation. The magnitude of cerebral palsy in our country is 2 to 2.5 per thousand live birth. The objective is to study co-morbidities associated in cerebral palsy patients.Methods: It was a hospital based cross sectional study carried out in KT Children Hospital, PDU Medical College, Rajkot for 1 year (April 2017-April 2018). Sample size: minimum 100 cases. Selection of subject: All the children suffering from cerebral palsy presenting at KT Children hospital, P.D.U. Medical college Rajkot, Gujarat. Cases were evaluated by history, clinical examination and necessary investigations.Results: From data collected in present study most common variety of Cerebral Palsy is spastic type (72.5%) followed by, dyskinetic (16%), ataxic (7%), and hypotonic (4.5%) type. Within spastic type; diplegic (48%) is the most common variety. Caesarean section delivered cases are more predisposed to Cerebral palsy in present study which might be due to other risk factors associated with it. Gender and consanguinity showed not major significance in association with CP child. Most of Cerebral palsy cases in present study were born full term (81.5%) and of normal birth weight (78.5%). The most common comorbidities in present study were cognitive impairment (77%) followed by epilepsy (38%), visual impairment (10%), hearing disability (9%) thyroid dysfunction (3%) and G.I. disturbances (2%). Perinatal asphyxia is the most common history finding in Cerebral palsy cases including in present study, followed by seizures during infancy, pathological jaundice, neonatal sepsis and history of NICU admission for any cause.Conclusions: 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 have a significant role in preventing comorbidities in cerebral palsy cases, which is still lacking in developing countries.
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Arshad, Naveed, Muhammad Imran, Zuha Munir, Samrood Akram, and Amna Abdul Hameed. "SPASTIC CEREBRAL PALSY." Professional Medical Journal 25, no. 10 (October 10, 2018): 1546–51. http://dx.doi.org/10.29309/tpmj/18.4614.
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Objectives: To improved motor learning in spastic cerebral palsy children andreinforce weak movement patterns and to discourage overactive ones. To reduce the spasticitywith different Bobath physical therapy techniques and control body posture as well as bodymovements. Study Design: A case series. Place and Duration of Study: Madina TeachingHospital (The University of Faisalabad) Faisalabad, Pakistan. Period: The duration of the studywas 3 months March 2013 to May 2013. Patients & Methods: A total 13 patients, aged 2-10years of spastic CP were randomly selected. Effects of treatment were measured and datawere collected by using non-probability convenience sampling technique. All children weretested thrice once completion of first month, then end of second month and then completion oftherapy at the end of third month. Results: The result revealed that grading of spasticity from1st to 3rd months of study was measured mean and standard deviations as follow, 1.62±0.87to 0.85±0.80, CV% 53.75 to 95.24% and variance 0.93 to 0.89. The gross motor learningof 5 conditions that was Lying & rolling, Sitting, Crawling & kneeling, Standing, Walking &running and Overall % from first month to third month was measured as follow, Lying & rolling41.48±30.36 to 44.49±31.90 P-value 0.000, Sitting 47.18±37.59 to 49.74±38.11 P-value 0.000,Crawling & kneeling 26.74±27.11 to 29.49±29.17 P-value 0.000, Standing 12.43±16.25 to14.20±17.53 P-value 0.000, Walking & running 9.08±12.75 to 10.47±13.79 P-value 0.000 andOverall % 27.38±23.46 to 29.68±24.85 P-value 0.000. Conclusion: The Bobath techniques(neurodevelopment treatment) on gross motor learning are very effective and do play animportant role in cerebral palsy children.
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Bruck, Isac, Sérgio Antônio Antoniuk, Adriane Spessatto, Ricardo Schmitt de Bem, Romeu Hausberger, and Carlos Gustavo Pacheco. "Epilepsy in children with cerebral palsy." Arquivos de Neuro-Psiquiatria 59, no. 1 (March 2001): 35–39. http://dx.doi.org/10.1590/s0004-282x2001000100008.
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OBJECTIVE: To describe the prevalence and characteristics of epilepsy in patients with cerebral palsy in a tertiary center. METHODS: a total of 100 consecutive patients with cerebral palsy were retrospectively studied. Criteria for inclusion were follow-up period for at least 2 years. Types and incidence of epilepsy were correlated with the different forms of cerebral palsy. Other factors associated with epilepsy such as age of first seizure, neonatal seizures and family history of epilepsy were also analysed. RESULTS: follow-up ranged between 24 and 151 months (mean 57 months). The overall prevalence of epilepsy was 62%. Incidence of epilepsy was predominant in patients with hemiplegic and tetraplegic palsies: 70.6% and 66.1%, respectively. First seizure occurred during the first year of life in 74.2% of patients with epilepsy. Generalized and partial were the predominant types of epilepsy (61.3% and 27.4%, respectively). Thirty-three (53.2%) of 62 patients were seizure free for at least 1 year. Neonatal seizures and family history of epilepsy were associated with a higher incidence of epilepsy. CONCLUSIONS: epilepsy in cerebral palsy can be predicted if seizures occur in the first year of life, in neonatal period and if there is family history of epilepsy.
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Levy, Jake P., Maryam Oskoui, Pamela Ng, John Andersen, David Buckley, Darcy Fehlings, Adam Kirton, et al. "Ataxic-hypotonic cerebral palsy in a cerebral palsy registry." Neurology: Clinical Practice 10, no. 2 (September 5, 2019): 131–39. http://dx.doi.org/10.1212/cpj.0000000000000713.
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ObjectiveTo specifically report on ataxic-hypotonic cerebral palsy (CP) using registry data and to directly compare its features with other CP subtypes.MethodsData on prenatal, perinatal, and neonatal characteristics and gross motor function (Gross Motor Function Classification System [GMFCS]) and comorbidities in 35 children with ataxic-hypotonic CP were extracted from the Canadian Cerebral Palsy Registry and compared with 1,804 patients with other subtypes of CP.ResultsPerinatal adversity was detected significantly more frequently in other subtypes of CP (odds ratio [OR] 4.3, 95% confidence interval [CI] 1.5–11.7). The gestational age at birth was higher in ataxic-hypotonic CP (median 39.0 weeks vs 37.0 weeks, p = 0.027). Children with ataxic-hypotonic CP displayed more intrauterine growth restriction (OR 2.6, 95% CI 1.0–6.8) and congenital malformation (OR 2.4, 95% CI 1.2–4.8). MRI was more likely to be either normal (OR 3.8, 95% CI 1.4–10.5) or to show a cerebral malformation (OR 4.2, 95% CI 1.5–11.9) in ataxic-hypotonic CP. There was no significant difference in terms of GMFCS or the presence of comorbidities, except for more frequent communication impairment in ataxic-hypotonic CP (OR 4.2, 95% CI 1.5–11.6).ConclusionsOur results suggest a predominantly genetic or prenatal etiology for ataxic-hypotonic CP and imply that a diagnosis of ataxic-hypotonic CP does not impart a worse prognosis with respect to comorbidities or functional impairment. This study contributes toward a better understanding of ataxic-hypotonic CP as a distinct nosologic entity within the spectrum of CP with its own pathogenesis, risk factors, clinical profile, and prognosis compared with other CP subtypes.
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Pak, Lale A., L. M. Kuzenkova, A. P. Fisenko, and A. V. Naidenko. "GENETICALLY DETERMINED DISEASES IN THE STRUCTURE OF CEREBRAL PALSY IN CHILDREN." Russian Pediatric Journal 21, no. 6 (April 30, 2019): 324–30. http://dx.doi.org/10.18821/1560-9561-2018-21-6-324-330.
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There are presented results of own clinical studies of instrumental characteristics of children with hereditary diseases, initially observed with a diagnosis of cerebral palsy. Under the supervision, there were 44 children aged 2 to 16 years, including 23 boys and 21 girls. All patients were diagnosed with cerebral palsy at different age periods of life. At the same time, another type of cerebral palsy (G80.8) was established in 34 patients, spastic diplegia (G80.1) - in 5 patients, spastic cerebral palsy (G80.0) - in 4 children, pediatric hemiplegia (G80.2) - in 1 child. Prospective observation of patients revealed they to have separate phenotypic features not typical of cerebral palsy and brain MRI data, which determined the need to continue the diagnostic search with the involvement of molecular genetic studies and allowed us verifying a variety of genetically determined diseases. There is presented a comparative analysis of clinical symptoms and results of examinations of patients with genetically determined diseases and children with cerebral palsy.
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Uday, Suma, Nick Shaw, Ruth Krone, and Jeremy Kirk. "Hypopituitarism in children with cerebral palsy." Archives of Disease in Childhood 102, no. 6 (October 27, 2016): 559–61. http://dx.doi.org/10.1136/archdischild-2016-311012.
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Poor growth and delayed puberty in children with cerebral palsy is frequently felt to be related to malnutrition. Although growth hormone deficiency is commonly described in these children, multiple pituitary hormone deficiency (MPHD) has not been previously reported. We present a series of four children with cerebral palsy who were born before 29 weeks gestation who were referred to the regional endocrinology service, three for delayed puberty and one for short stature, in whom investigations identified MPHD. All patients had a height well below −2 standard deviation score (2nd centile) at presentation and three who had MRI scans had an ectopic posterior pituitary gland. We therefore recommend that the possibility of MPHD should be considered in all children with cerebral palsy and poor growth or delayed puberty. Early diagnosis and treatment is essential to maximise growth and prevent associated morbidity and mortality.
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Solomon, Nancy Pearl, and Sandy Charron. "Speech Breathing in Able-Bodied Children and Children With Cerebral Palsy." American Journal of Speech-Language Pathology 7, no. 2 (May 1998): 61–78. http://dx.doi.org/10.1044/1058-0360.0702.61.
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Management of the communication problems of children with cerebral palsy presents many challenges to speech-language pathologists. In this paper, we focus on one aspect of that challenge, speech breathing. To understand the nature of speech breathing problems in children with dysarthria, it is necessary tohave a thorough knowledge of speech breathing in able-bodied children. In the first part of this paper, we review this literature according to four parameters: air pressure, lung volume, air flow, and chest wall shape. Incorporated into this section are data and clinical reports of speech breathing in children with cerebral palsy. In the second part of this paper, we have provided management suggestions for the speech-language pathologist working with children with cerebral palsy. These include the general topics of muscle weakness and incoordination, body positioning, and neurodevelopmental treatment. Throughout this review, it becomes clear that little information regarding either the nature or the treatment of speech breathing in children with cerebral palsy is available and that there is a definite need for basic research as well as treatment efficacy studies.
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Havaei, Naser, Mandana Rezaei, Hamid Reza Rostami, Ahmad Mohammadi, Babak Kashefimehr, and Mohammad Javad Mirzaei. "Occupational performance in mothers of children with cerebral palsy." International Journal of Therapy and Rehabilitation 26, no. 4 (April 2, 2019): 1–7. http://dx.doi.org/10.12968/ijtr.2018.0023.
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Background/Aims Caring for children with cerebral palsy may affect different domains in the caregiver's life. This study aimed to compare the occupational performance of mothers of a child who has cerebral palsy with mothers of a typically developing child. Methods A total of 41 mothers with a child who has cerebral palsy and 45 mothers with a typically developing child were recruited in this cross-sectional study. The age-matched mothers had only one child. The Canadian Occupational Performance Measure was used to collect data on the occupational performance and satisfaction of mothers. Findings There was a statistically significant between-group difference in maternal occupational performance and occupational satisfaction (P<0.05), with mothers of children with cerebral palsy reporting lower scores for both. There were no relationships between demographic variables and the occupational performance and satisfaction of mothers with a child with cerebral palsy (P>0.05). The age of children with cerebral palsy had a direct positive relationship with the mothers' level of occupational satisfaction (P<0.05). Conclusion Mothers who take care of a child with cerebral palsy face significant reductions in occupational performance and satisfaction compared to mothers with a typically developing child, and therefore may need help and education in performing and organising their daily activities and roles.
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Borzikov, Vladimir V., Natalia N. Rukina, Alexei N. Kuznetsov, and Anna N. Belova. "Objectification of motor disorders in children with cerebral palsy: what we know so far." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 6, no. 1 (March 26, 2018): 67–77. http://dx.doi.org/10.17816/ptors6167-77.
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This study provides an overview of the recent literature regarding the assessment methods of the functional state of the locomotor system in children with cerebral palsy. The objective methods of quantitative assessment of motor disorders in cerebral palsy are presented, including the measurement of stability, biomechanical assessment of walking, and video analysis of movements. The influence of the cognitive load on the ability to maintain the vertical posture in children with cerebral palsy as well as the changes in the stability of the vertical posture with closed eyes were observed. Changes in the walking parameters with an increase in the speed were also recorded in children with cerebral palsy.
Methods that assess hand motion in children with cerebral palsy include tests involving the moving of objects, tests for speed assessment in joint movements, and video analysis of motions.
The methods and tests for such an evaluation require to be valid and reliable, allowing an objective assessment of the severity of motor disorders in cerebral palsy.
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Robertson, Charlene M. T., Lawrence W. Svenson, and Michel R. Joffres. "Prevalence of Cerebral Palsy in Alberta." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 25, no. 2 (May 1998): 117–22. http://dx.doi.org/10.1017/s0317167100033710.
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ABSTRACT:Background:In spite of scattered reports to the contrary, concern is continually expressed that the frequency of cerebral palsy has not decreased with modern perinatal/neonatal care. Overall, epidemiological information on cerebral palsy is scant. The generally accepted prevalence is 2 to 2.5 per thousand school-age children.Methods:A population-based record linkage study of a presently living cohort of 96,359 children born from April, 1985 through March, 1988 and followed over an eight-year tracking period captured the diagnostic codes for all fee-for-service physician claims, all hospital separations and individual birth data from the Department of Vital Statistics of the Government of Alberta. The ICD-9 code "343" was used to identify subjects. The childhood prevalence and frequency by birthweight- specific sub-groups of cerebral palsy were determined.Results:Two hundred and forty-eight living children with confirmed cerebral palsy after age three years (congenital, 229 [92.3%]; probable acquired 19 [7.7%]) were identified giving an overall prevalence of 2.57 per 1000. Seventy percent were diagnosed before their third birthday. Cohort prevalence of cerebral palsy for low birthweight children (< 2500 grams) was 17.7, very low birthweight (< 1500 grams), 78.5; and extremely low birthweight (< 1000 grams), 98.4. Low birthweight children made up just over one-third of cases in this study.Conclusions:Cerebral palsy continues to affect a significant number of children suggesting the prevalence of cerebral palsy has not decreased. The proportion of affected children with low birthweight in this study is less than that reported in the literature.
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Siron, Yubaedi, Hana Sausan Ningrum, Lingga Gustiani, and Fauziah Muaz. "FATHER'S INVOLVEMENT IN PARENTING CHILDREN WITH CEREBRAL PALSY." Journal of Early Childhood Education (JECE) 2, no. 2 (February 5, 2021): 183–96. http://dx.doi.org/10.15408/jece.v0i0.18745.
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Cerebral palsy children need special treatment from their parents. The optimal caring from father has a significant influence on the development of children with cerebral palsy. This study aims to explore the role of fathers in caring for children with cerebral palsy. This research uses a qualitative approach. This study uses semi-structured interviews with fathers who have children with cerebral palsy. The results of this study found that fathers play an active role in childcare. Fathers help build good relationships with children by inviting them to play, sing, and read a child's favourite storybook. Even though he is busy at work, the father always tries to fulfil the children's needs such as bathing, eating, giving medication, changing diapers and routine therapy. Each participant in this study had their parenting challenges. Although sometimes the participants feel unwilling to do therapy on children, what makes them enthusiastic is their high expectations.
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Siron, Yubaedi, Hana Sausan Ningrum, Lingga Gustiani, and Fauziah Muaz. "FATHER'S INVOLVEMENT IN PARENTING CHILDREN WITH CEREBRAL PALSY." Journal of Early Childhood Education (JECE) 2, no. 2 (February 5, 2021): 183–96. http://dx.doi.org/10.15408/jece.v2i2.18745.
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Cerebral palsy children need special treatment from their parents. The optimal caring from father has a significant influence on the development of children with cerebral palsy. This study aims to explore the role of fathers in caring for children with cerebral palsy. This research uses a qualitative approach. This study uses semi-structured interviews with fathers who have children with cerebral palsy. The results of this study found that fathers play an active role in childcare. Fathers help build good relationships with children by inviting them to play, sing, and read a child's favourite storybook. Even though he is busy at work, the father always tries to fulfil the children's needs such as bathing, eating, giving medication, changing diapers and routine therapy. Each participant in this study had their parenting challenges. Although sometimes the participants feel unwilling to do therapy on children, what makes them enthusiastic is their high expectations.
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Kenis, Vladimir M., Svetlana L. Bogdanova, Tatyana N. Prokopenko, Andrei V. Sapogovskiy, and Tatyana I. Kiseleva. "Bone metabolism biomarkers in walking children with cerebral palsy." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 7, no. 4 (January 20, 2020): 79–86. http://dx.doi.org/10.17816/ptors7479-86.
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Backgrоund. Osteoporosis is an important factor in the pathogenesis of orthopedic manifestations in children with cerebral palsy. It was previously demonstrated that children with cerebral palsy have specific changes in bone metabolism, which can cause changes in laboratory parameters compared with other orthopedic patients without neurological backgrounds.
Aim. The aim of this study was to assess bone metabolism biomarkers in children with cerebral palsy, identifying distinguishing characteristic patterns in comparison with patients with orthopedic pathology without neurological backgrounds.
Materials and methods. This study evaluated the concentrations of calcium, phosphorus, -cross laps, osteocalcin, vitamin D, CICP, and alkaline phosphatase in the blood serum of 50 children with cerebral palsy aged between 6 to 12 years with GMFCS levels IIII. The control group consisted of 50 patients with plano-valgus deformities of the feet.
Results. The alkaline phosphatase activity in the group of children with cerebral palsy was 170.25 59.35 u/L, while in the control group it was 145.58 46.29 u/L; the CICP concentration in the study group was higher than in the control group (324.01 174.10 and 269.68 240.98, respectively). The concentration of -cross laps, osteocalcin, calcium, and vitamin D in the study group was lower than in children with flat feet.
Conclusions. This study demonstrated multidirectional changes in the biomarkers of bone metabolism that are characteristic of walking children with cerebral palsy. These changes are characterized by a corresponding increase in the activity of osteoresorption and osteoreparation. This makes it possible to justify the combined use of metabolites and metabolic activators (calcium and vitamin D) and drugs that suppress osteoresorption (bisphosphonates) for the prevention and treatment of osteoporosis in children with cerebral palsy.
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Anindita, Adina Riska, and Nurliana Cipta Apsari. "PELAKSANAAN SUPPORT GROUP PADA ORANGTUA ANAK DENGAN CEREBRAL PALSY." Focus : Jurnal Pekerjaan Sosial 2, no. 2 (February 12, 2020): 208. http://dx.doi.org/10.24198/focus.v2i2.26248.
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AbstrakKeluarga, khususnya orangtua merupakan orang yang paling dekat dengan anak, sehingga orangtua memiliki peranan yang sangat penting di dalam kehidupan anak, terutama anak yang memiliki kondisi cerebral palsy. Namun, di sisi lain, orangtua yang memiliki anak dengan cerebral palsy memiliki peluang lebih besar untuk mengalami kondisi yang menyebabkan stres. Metode yang digunakan dalam jurnal ilmiah ini adalah dengan studi literatur. Agar dapat menjalankan peranannya sebagai orangtua bagi anaknya yang memiliki kondisi cerebral palsy, orangtua memerlukan dukungan sosial. Pekerja sosial dapat berperan dalam mengatasi hal ini yaitu dengan pemberian pelayanan kelompok melalui support group. Support group memiliki kekuatan penyembuhan karena orangtua yang memiliki anak dengan cerebral palsy akan mendapatkan dukungan yang sifatnya timbal balik. AbstrackFamily, especially parents are the people closest to children, so parents have a very important role in the lives of children, especially children who have a condition of cerebral palsy. However, on the other hand, parents who have children with cerebral palsy have a greater chance of experiencing stressful conditions. The method used in this scientific journal is the study of literature. In order to be able to carry out its role as a parent for children who have cerebral palsy, parents need social support. Social workers can play a role in overcoming this, namely by providing group services through a support group. Support groups have therapeutic powers because parents who have children with cerebral palsy will get reciprocal support.
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Mansha, Naeem Mohammad, Sumair Anwar, Itaat Ullah Khan Afridi, and Shazia Maqbool. "CEREBRAL PALSY;." Professional Medical Journal 21, no. 06 (December 10, 2014): 1166–70. http://dx.doi.org/10.29309/tpmj/2014.21.06.2242.
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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.
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Sathish G, Swarnakumari P, and Mridhula K Abraham. "Functional Strength Training In Children With Spastic Cerebral Palsy." International Journal of Research in Pharmaceutical Sciences 11, no. 4 (September 23, 2020): 5158–63. http://dx.doi.org/10.26452/ijrps.v11i4.3120.
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To find out functional strength training exercise on improving gross motor function among the children with spastic hemiplegic cerebral palsy children. Single group pre-experimental research design. The most common cause of movement disability in infancy is cerebral palsy. Cerebral palsy patients have impairments such as spasticity, low muscle strength and selective motor control in their body function. Such deficiencies may limit activity performance and participation in everyday life. Improving and optimising activities and involvement are crucial treatment objectives. Functional strength workouts are vital to overcoming obstacles to improving the functionality of children with neurological issues. 92 subjects of spastic hemiplegic cerebral palsied aged 4-8, male and female with spastic hemiplegic cerebral palsy were selected under purposive sampling technique and received functional strength training exercise for a period of ten weeks. To assess the gross motor function (functional independence) pre and post the exercise program, Gross motor functional measure was used. Results: The pre and post measurements shows significant changes in the gross motor function among children with spastic hemiplegic cerebral palsy. The results of the post-test mean values show improvement in gross motor functions after functional strength training program (p<0.05). The functional strength training program proves that increased gross motor function and thereby improvement in functional abilities among children with spastic hemiplegic cerebral palsy after ten weeks of intervention.
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Kamalova, A. A., R. F. Rakhmaev, and Yu V. Malinovskaya. "Morphofunctional features of organs in children with cerebral palsy." Experimental and Clinical Gastroenterology, no. 1 (May 2, 2020): 56–65. http://dx.doi.org/10.31146/1682-8658-ecg-173-1-56-65.
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Problems associated with impaired gastrointestinal function are common in children with cerebral palsy. Typical gastrointestinal manifestations of cerebral palsy include dysphagia, gastroesophageal reflux disease and constipation, which in chronic course lead to the development of nutritional status disorders, micronutrient insufficiency, osteopenia, reduced immunity and rehabilitation potential. Often it is the gastroenterological aspects of management of children with cerebral palsy that determine the quality of life of the child and his family.
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Tokatly Latzer, Itay, Amit Blumovich, Liora Sagi, Shimrit Uliel-Sibony, and Aviva Fattal-Valevski. "Prediction of Drug-Resistant Epilepsy in Children With Cerebral Palsy." Journal of Child Neurology 35, no. 3 (November 4, 2019): 187–94. http://dx.doi.org/10.1177/0883073819883157.
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Epilepsy is estimated to exist in approximately 40% of individuals with cerebral palsy; however, the specific features that make it drug resistant are not well defined. The main aim of this study was to determine the clinical risk factors that could predict drug-resistant epilepsy, in children with cerebral palsy. The study was performed via a retrospective chart review, analyzing clinical parameters of 118 children with cerebral palsy with either drug-resistant epilepsy or controlled epilepsy, between the years 2013 and 2018. We established a predictive model for drug-resistant epilepsy in children with cerebral palsy that is simple to apply in clinical settings and composed of the additive effect of a low Apgar score at 5 minutes, neonatal seizures, focal-onset epilepsy, and focal slowing on electroencephalogram (EEG; area under the receiver operating characteristic of 0.840). Early prediction of drug-resistant epilepsy may benefit to achieve better seizure control in children with cerebral palsy.
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Sogbossi, Emmanuel Segnon, Damienne Houekpetodji, Toussaint G. Kpadonou, and Yannick Bleyenheuft. "A Cross-sectional Study of the Clinical Profile of Children With Cerebral Palsy in Benin, a West African Low-Income Country." Journal of Child Neurology 34, no. 13 (July 24, 2019): 842–50. http://dx.doi.org/10.1177/0883073819864516.
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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.
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Kanyembo, Chona, Brian Chiluba, and Geoffrey Moyo. "Factors Contributing to Late Physiotherapy Intervention of Children with Cerebral Palsy at The University Teaching Hospital, Lusaka in Zambia." IJDS Indonesian Journal of Disability Studies 8, no. 01 (May 31, 2021): 1–21. http://dx.doi.org/10.21776/ub.ijds.2021.008.01.01.
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Introduction: Cerebral palsy is the leading cause of disability worldwide and Zambia has its fair share of cases. Most parents/caregivers of children with Cerebral palsy at University Teaching Hospital started attending physiotherapy late when their children were over one year Therefore, the aim of this study was to explore the perceptions of mothers towards factors contributing to late physiotherapy intervention of children with Cerebral palsy at University Teaching Hospital. Furthermore, assess the knowledge of mothers with children between 0-5 years on the role of physiotherapy in Cerebral palsy. Methodology: An exploratory study design using qualitative methods was used. Data collection techniques were FGDs that consisted of purposively sampling of 10 mothers of children with CP attending physiotherapy at University Teaching Hospital. Audio-recording from the FGDs was transcribed verbatim for each session by an independent person. The study employed thematic analysis for data analysis. The data was classified systematically by means of coding to identify key factors or issues such as concepts, categories, themes and the relationship between them. Results: This study identified four themes on factors that influence late physiotherapy intervention of children with Cerebral Palsy at University Teaching Hospital. These included: Socio-economic support; late referral for Physiotherapy; Caregiver’s knowledge about Cerebral Palsy; and People’s attitude towards Cerebral Palsy. Limited caregiver knowledge about the role of physiotherapy in Cerebral Palsy was reported to be due to; limited community awareness about physiotherapy; and lack of caregiver education. Conclusion: The present study sought to explore the perceptions of mothers towards factors contributing to late physiotherapy intervention in children with Cerebral Palsy. A diversity of factors that led to delayed intervention was highlighted. Rehabilitation professionals should be aware of the factors that impact mothers both positively and negatively in order to implement effective rehabilitation programs.
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Theroux, Mary C., Robert E. Akins, Carol Barone, Bobbie Boyce, Freeman Miller, and Kirk W. Dabney. "Neuromuscular Junctions in Cerebral Palsy." Anesthesiology 96, no. 2 (February 1, 2002): 330–35. http://dx.doi.org/10.1097/00000542-200202000-00017.
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Background Cerebral palsy (CP) is the most prevalent neurologic disease in children. A primary deficit in CP is neuromuscular dysfunction; however, neuromuscular junctions in children with CP have not been studied. Evidence exists that up-regulation of acetylcholine receptors (AChRs) may be present in children with CP, and the current study was undertaken to examine this possibility. Methods Thirty-nine children with spastic CP and 25 neurologically normal children were enrolled in the study. Paraspinal muscles underwent biopsy during scheduled spinal fusion surgery. Two sets of assessments were performed on the biopsy specimens: (1) reverse-transcription polymerase chain reaction and Western blotting to evaluate the expression of the gamma subunit of the AChR; and (2) histologic evaluation using a double-stain technique for AChR and acetylcholinesterase, wherein acetylcholinesterase staining defined the limits of the neuromuscular junction, and AChR staining that appeared outside of these limits indicated an abnormal distribution of AChRs. Results Reverse-transcription polymerase chain reaction and Western blot analyses showed that neither the CP nor non-CP samples had detectable gamma-AChR subunit. Histologic analysis indicated that 11 of 39 children with CP and none of 20 children with idiopathic scoliosis scored positive for the presence of AChR outside of the neuromuscular junction (P = 0.0085). Conclusion A subset of children with CP have an abnormal distribution of AChR relative to the acetylcholinesterase found at the neuromuscular junction. The altered distribution of AChR in CP was not associated with a detectable presence of the gamma-AChR subunit, suggesting that the nonjunctional AChRs in CP does not contain the gamma subunit.
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Ashraf, Samina, and Farheen Nisar. "Development of Fine Motor Skills to Enhance the Functional Abilities of Children With Cerebral Palsy." Responsible Education, Learning and Teaching in Emerging Economies 1, no. 1 (June 30, 2019): 31–36. http://dx.doi.org/10.26710/relate.v1i1.1120.
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Cerebral palsy is a neurological, non-progressive and commonest cause of severe physical disabilities. It affects body movement and muscle coordination permanently and usually appears in early childhood. Children with cerebral palsy have severe problems of fine motor skills. The research was conducted to achieve the following objectives 1) to identify the current level of fine motor skills of students with cerebral palsy studying in the schools, 2)Design an intervention strategic plan to enhance the fine motor skills of children with cerebral palsy,3)implement the prescribed intervention plan to enhance the fine motor skills of children with cerebral palsy.4)improve the fine motor skills of children with cerebral palsy by implementing the intervention strategies. It was an experimental research conducted by applying single subject research design (ABA).The researchers used two different checklists to assess the functional abilities of the children with CP before and after intervention. The reliability of all the instruments was checked by using cronbach alpha (.87 and .78) whereas the content validity of the instruments was estimated by taking expert opinions. On the basis of pretest an intervention plan was implemented to enhance the functional abilities of the students. A self-developed test was used after implementing the intervention strategies to see the improvement in the functional abilities of children with cerebral palsy.
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Aumi, Wasim Abed, Farhana Afroz, Shams Ibne Maksud, and Mohammad Mahbubul Alam. "Ocular defect in children with cerebral palsy and its correlation with the types of cerebral palsy." International Journal of Contemporary Pediatrics 8, no. 4 (March 23, 2021): 609. http://dx.doi.org/10.18203/2349-3291.ijcp20211067.
Full textAbstract:
Background: Cerebral palsy (CP) describes a group of permanent disorder of the development of movement and posture, causing activity limitation, that are attributed to non-progressive disturbance that occurred in the developing fetal or infant brain. The motor disorders of cerebral palsy are often accompanied by disturbances of sensation, perception, cognition, communication and behavior, by epilepsy, and secondary musculoskeletal problem. However, no known study has been found on this aspect. Objective of this study was to evaluate the ocular defect in children with cerebral palsy and to correlate with the types of CP.Methods: Study was done in the Paediatric Neurology unit of BSMMU from January 2012 to July 2012. One hundred thirty children with cerebral palsy were studied. The patients were randomly selected who full filled the inclusion criteria and ophthalmological examination was done.Results: Sixty four (64%) of CP patients had pathological finding and 36% percent had normal finding. Most of the abnormalities were squint (strabismus) (40%) and refractive error (36.9%). Most of the ocular defects were found in spastic cerebral palsy, mainly in spastic quadriplegia (34.6%) and spastic diplegia (29.2%).Conclusions: Ocular defect like squint and refractive error common associations of cerebral palsy. Spastic quadriplegic and diplegic children had more ocular defects.
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Ghali, Anmar jumaa, Khalid Ayad Al-Majmae, and Ahmed Adnan Nabat. "Clinical patterns of cerebral palsy with complications and neurodisabilities associated with cerebral palsy." Muthanna Medical Journal 8, no. 2 (August 28, 2021): 54–61. http://dx.doi.org/10.52113/1/2410-4590/2021-54-61.
Full textAbstract:
Cerebral palsy was a primary neuromotor disorder that affects the development of movement, muscular tone and posture due to injury to the developing brain in prenatal, natal, or post-natal period. cp is non progressive disease but it is changeable features with period. The objective of this study is to identify clinical types of cerebral palsy and neuro-disabilities associated with cerebral palsy patient. Data (2019-2020) on 100 children of cerebral palsy in central teaching hospital in Baghdad analysis include clinical patterns of cerebral palsy and topographic classification of spastic cerebral palsy. also, the complication and neurological disabilities associated with cerebral palsy. In this analysis found most of cerebral palsy patients (84%) were spastic according to topographic classification, (47%) of spastic cerebral palsy was diplegic type. (29%) quadriplegic cerebral palsy and (8%) of hemiplegic cerebral palsy. About neurological complication and disabilities associated with cerebral palsy, (79%) of cerebral palsy patients had speech disturbance. (53%) had epilepsy, (43%) Micro acephaly, (32%) of patients had growth retardation, (29 %) had ocular problems, and (15%) of cerebral palsy patients had mental retardation. In conclusions; the most common type of cerebral palsy was spastic cerebral palsy & according to a topographic classification diplegic spastic cerebral palsy was the most common type of Spastic cerebral palsy. About neurodisabilities associated with cerebral palsy, the most common disabilities were speech disturbance and epilepsy.
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Nelson, Carrah, Kirsten Fuchs, Lacie W. Pennington, and Colin G. Pennington. "Cerebral Palsy: Enhancing Movement Opportunity with Help from the Care Team." International Journal of Physical Education, Fitness and Sports 9, no. 4 (October 22, 2020): 27–30. http://dx.doi.org/10.34256/ijpefs2043.
Full textAbstract:
Cerebral palsy is the most common motor disability in childhood. Cerebral palsy can significantly impact the amount of physical activity and individual obtains, and the scope and quality of the physical activity may be limited by cerebral palsy. High-quality physical education can integrate children with cerebral palsy into movement programing, as to enable children with cerebral palsy to achieve goals related to cognitive skills associated with exploring physical health, maintaining physical health, as well as affective values towards physical health, movement, play, and general wellbeing. This article provides a basic overview of the physical characteristics of cerebral palsy, as well as outlines ways the child’s educational care-team can work with physical educators and physical therapist to enhance movement skills and health behavior.