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Latest & greatest articles for cerebral palsy
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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
Antenatal and intrapartum interventions for preventing cerebralpalsy: an overview of Cochrane systematic reviews. Cerebralpalsy is an umbrella term encompassing disorders of movement and posture, attributed to non-progressive disturbances occurring in the developing fetal or infant brain. As there are diverse risk factors and causes, no one strategy will prevent all cerebralpalsy. Therefore, there is a need to systematically consider all potentially relevant interventions (...) for their contribution to prevention.To summarise the evidence from Cochrane reviews regarding the effects of antenatal and intrapartum interventions for preventing cerebral palsy.We searched the Cochrane Database of Systematic Reviews on 7 August 2016, for reviews of antenatal or intrapartum interventions reporting on cerebralpalsy. Two authors assessed reviews for inclusion, extracted data, assessed review quality, using AMSTAR and ROBIS, and quality of the evidence, using the GRADE approach. We organised 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
Exercise interventions for cerebralpalsy. Cerebralpalsy (CP) is a neurodevelopmental disorder resulting from an injury to the developing brain. It is the most common form of childhood disability with prevalence rates of between 1.5 and 3.8 per 1000 births reported worldwide. The primary impairments associated with CP include reduced muscle strength and reduced cardiorespiratory fitness, resulting in difficulties performing activities such as dressing, walking and negotiating stairs.Exercise
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
Gait analysis in children with cerebralpalsyCerebralpalsy (CP) children present complex and heterogeneous motor disorders that cause gait deviations.Clinical gait analysis (CGA) is needed to identify, understand and support the management of gait deviations in CP. CGA assesses a large amount of quantitative data concerning patients' gait characteristics, such as video, kinematics, kinetics, electromyography and plantar pressure data.Common gait deviations in CP can be grouped into the gait (...) objective identification of gait deviations and further the understanding of gait deviations. Numerous treatment options are available to manage gait deviations in CP. Generally, treatments strive to limit secondary deformations, re-establish the lever arm function and preserve muscle strength.Additional roles of CGA are to better understand the effects of treatments on gait deviations. Cite this article: Armand S, Decoulon G, Bonnefoy-Mazure A. Gait analysis in children with cerebralpalsy. EFORT Open
Dance Improves Functionality and Psychosocial Adjustment in CerebralPalsy: A Randomized Controlled Clinical Trial. This randomized controlled clinical trial aimed to investigate the effect of dance in the functionality and psychosocial adjustment of young subjects with cerebralpalsy (CP).Twenty-six young subjects with CP, GMFCS (Gross Motor Function Classification System) levels from II to V, were randomized into two intervention groups: kinesiotherapy and dance (n = 13 each). Twenty-four (...) emotional and social aspects, supporting the concept of complex multimodal psychomotor adjustments. Dance promoted enhancement on functionality and social activities regarding psychosocial adjustments in cerebralpalsy young subjects.
Sialanar (glycopyrronium) - for treating severe drooling of saliva in children and adolescents (aged 3 years and above) with conditions affecting the nervous system, such as cerebralpalsy, epilepsy and neurodegenerative diseases 30 Churchill Place ? Canary Wharf ? London E14 5EU ? United Kingdom An agency of the European Union Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5520 Send a question via our website www.ema.europa.eu/contact 21 July 2016 EMA/555265/2016 Committee (...) Pharmacopoeia or blood pressure bpm beats per minute CE Conformité Européene CEP Certificate of Suitability of the Ph.Eur. CHMP Committee for Medicinal Products for Human Use CHO chinese hamster ovary C max maximum concentration in plasma (or serum) CI confidence interval Cl (total plasma) clearance CMS Concerned Member State CNS central nervous system CoA Certificate of Analysis CP cerebralpalsy CRS Chemical Reference Substance (official standard) CSF cerebrospinal fluid CSR clinical study report %CV
Randomized Controlled Trial on Effectiveness of Intermittent Serial Casting on Spastic Equinus Foot in Children with CerebralPalsy After Botulinum Toxin-A Treatment. Physical therapy (PT) and botulinum toxin-A (BTX-A) injections are widely used in the treatment of spastic equinus foot due to cerebralpalsy. The aim of this study was to show effects of intermittent serial casting (SC) in addition to standard treatment on spasticity, passive range of motion (PROM), and gait.Fifty-one ambulatory (...) foot.Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME OBJECTIVES: Upon completion of this article, the reader should be able to: (1) identify treatment options for spastic equinus goot in children with cerebralpalsy; (2) explain different approaches of serial casting with an additional model of intermittent casting; and (3) describe the potential benefits of combined treatment modalities, including intermittent serial casting, for spastic equinus foot
Constraint-induced movement therapy improves upper limb activity and participation in hemiplegic cerebralpalsy: a systematic review Does constraint-induced movement therapy improve activity and participation in children with hemiplegic cerebralpalsy? Does it improve activity and participation more than the same dose of upper limb therapy without restraint? Is the effect of constraint-induced movement therapy related to the duration of intervention or the age of the children?Systematic review (...) of randomised trials with meta-analysis.Children with hemiplegic cerebralpalsy with any level of motor disability.The experimental group received constraint-induced movement therapy (defined as restraint of the less affected upper limb during supervised activity practice of the more affected upper limb). The control group received no intervention, sham intervention, or the same dose of upper limb therapy.Measures of upper limb activity and participation were used in the analysis.Constraint-induced movement
CerebralPalsy Integrated Pathway Scotland CerebralPalsy Integrated Pathway Scotland (CPIPS) DVD | Association of Paediatric Chartered Physiotherapists Username or email address. Password Remember me Don't have an account yet? Search Breadcrumb CerebralPalsy Integrated Pathway Scotland (CPIPS) DVD Children with cerebralpalsy (CP) are at risk of developing musculoskeletal problems such as muscle contractures, displacement of the hip and scoliosis. Hip dislocation leads to pain, decreased (...) , standardised physical and radiological assessments. This, in turn, allows the early identification of hip displacement and timely intervention. Monitoring and preventing progressive hip displacement has been the main aim of established hip surveillance programmes in other countries. In Sweden and Australia the incidence of hip dislocation has significantly reduced by earlier intervention after the introduction of the surveillance programmes. CerebralPalsy Integrated Pathway Scotland (CPIPS) has been