Latest & greatest articles for cerebral palsy

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Top results for cerebral palsy

61. A comparison of treadmill training and overground walking in ambulant children with cerebral palsy: randomized controlled clinical trial

A comparison of treadmill training and overground walking in ambulant children with cerebral palsy: randomized controlled clinical trial 23503736 2013 07 11 2014 03 10 2013 07 11 1477-0873 27 8 2013 Aug Clinical rehabilitation Clin Rehabil A comparison of treadmill training and overground walking in ambulant children with cerebral palsy: randomized controlled clinical trial. 686-96 10.1177/0269215513476721 Compare the effects of treadmill training and training with overground walking (both (...) without partial weight support) on motor skills in children with cerebral palsy. Randomized controlled clinical trial. Physical therapy clinics. Thirty-six children with cerebral palsy (levels I-III of the Gross Motor Functional Classification System) randomly divided into two intervention groups. Experimental group (17 children) submitted to treadmill training without partial weight support. Overground walking group (18 children) submitted to gait training on a fixed surface (ground). Training

EvidenceUpdates2013

63. Preterm Labour, Antibiotics and Cerebral Palsy

Preterm Labour, Antibiotics and Cerebral Palsy Preterm Labour, Antibiotics, and Cerebral Palsy Scientific Impact Paper No. 33 February 2013Preterm Labour, Antibiotics, and Cerebral Palsy 1. Introduction The rate of preterm birth (pregnancy under 37 +0 weeks of gestation) is 5–9% of all births in Europe, and 12–13% in the United States of America (USA); the rates in both continents increased up to 2008, partly due to the higher number of multiple births associated with assisted conceptions. 1 (...) , emotional and stressful times of their lives, 3 regardless of the longer term outcome. The sequelae of preterm birth also pose significant challenges. Children born preterm are at increased risk of major disabilities such as cerebral palsy. The risk of cerebal palsy increases as gestation at birth decreases. 4 Many children who were born preterm without disability develop significant behavioural and educational difficulties. 5 This paper will examine the evidence for: ? Prescribing antibiotics

Royal College of Obstetricians and Gynaecologists2013

64. Dynamic elastomeric fabric orthoses (DEFOs) for cerebral palsy

Dynamic elastomeric fabric orthoses (DEFOs) for cerebral palsy File name: 20130520 AS DEFOs v1.0 Version: 1.0 Date: 2 September 2013 Produced by: SHTG Page: 1 Review date: May 2015 Advice Statement 005/13 May 2013 What is the clinical and cost effectiveness of dynamic elastomeric fabric orthoses (DEFOs) for cerebral palsy? This advice has been produced following completion of technologies scoping report 14 by Healthcare Improvement Scotland, in response to an enquiry from NHS Lothian SHTG (...) advises that: ? There is insufficient evidence to determine whether or not dynamic elastomeric fabric orthoses (DEFOs) – often referred to as lycra ® splinting – are effective in improving function in cerebral palsy. Synthesis of the evidence is difficult due to the heterogeneity in types of orthoses worn (eg glove/body suit), manufacturers’ designs, types of cerebral palsy (CP) in clinical samples and outcomes measured. Further research is required to determine the clinical effectiveness

SHTG Advice Statements2013

65. Can a six-week exercise intervention improve gross motor function for non-ambulant children with cerebral palsy? A pilot randomized controlled trial

Can a six-week exercise intervention improve gross motor function for non-ambulant children with cerebral palsy? A pilot randomized controlled trial 22850757 2013 01 22 2013 08 21 2013 01 22 1477-0873 27 2 2013 Feb Clinical rehabilitation Clin Rehabil Can a six-week exercise intervention improve gross motor function for non-ambulant children with cerebral palsy? A pilot randomized controlled trial. 150-9 10.1177/0269215512453061 To determine the effect of a six-week exercise intervention (...) on gross motor function for non-ambulant children with cerebral palsy. A parallel arm randomized controlled trial. Four special schools. Thirty-five children aged 8-17 with bilateral cerebral palsy; Gross Motor Function Classification System levels IV-V. Participants were randomly allocated to a static bike group, a treadmill group or control group. Participants in the bike and treadmill groups received exercise training sessions, three times weekly for six weeks. The control group received their usual

EvidenceUpdates2012

66. Effects of hyperbaric oxygen on motor function in children with cerebral palsy

Effects of hyperbaric oxygen on motor function in children with cerebral palsy 23071074 2013 01 02 2013 02 19 2013 10 17 1531-8249 72 5 2012 Nov Annals of neurology Ann. Neurol. Effects of hyperbaric oxygen on motor function in children with cerebral palsy. 695-703 10.1002/ana.23681 We conducted a randomized, double-blind, controlled clinical trial to determine whether hyperbaric oxygen (HBO) improves gross motor function in children with cerebral palsy. Forty-nine children aged 3 to 8 years (...) with spastic cerebral palsy were randomized to 40 treatments of HBO (100% oxygen at 1.5atm) or hyperbaric air (HBA, 14% oxygen at 1.5atm) over an 8-week period. The primary outcome was the Gross Motor Function Measure (GMFM) global score. Other outcomes included the Pediatric Evaluation of Disability Inventory (PEDI). Assessments were made before and immediately, 3 months, and 6 months after the treatment period. Within-group changes were analyzed with paired t tests or repeated measures analysis

EvidenceUpdates2012

67. Interventions for drooling in children with cerebral palsy.

Interventions for drooling in children with cerebral palsy. BACKGROUND: Drooling is a common problem for children with cerebral palsy (CP). This can be distressing for these children as well as for their parents and caregivers. The consequences of drooling include risk of social rejection, damp and soiled clothing, unpleasant odour, irritated chapped skin, mouth infections, dehydration, interference with speech, damage to books, communication aids, computers, and the risk of social isolation (...) (Blasco 1992; Van der Burg 2006). A range of interventions exist that aim to reduce or eliminate drooling. There is a lack of consensus regarding which interventions are most effective for children with CP. OBJECTIVES: (1) To evaluate the effectiveness and safety of interventions aimed at reducing or eliminating drooling in children with cerebral palsy. (2) To provide the best available evidence to inform clinical practice. (3) To assist with future research planning. SEARCH METHODS: We searched

Cochrane2012

68. Interventions for drooling in children with cerebral palsy.

Interventions for drooling in children with cerebral palsy. BACKGROUND: Drooling is a common problem for children with cerebral palsy (CP). This can be distressing for these children as well as for their parents and caregivers. The consequences of drooling include risk of social rejection, damp and soiled clothing, unpleasant odour, irritated chapped skin, mouth infections, dehydration, interference with speech, damage to books, communication aids, computers, and the risk of social isolation (...) (Blasco 1992; Van der Burg 2006). A range of interventions exist that aim to reduce or eliminate drooling. There is a lack of consensus regarding which interventions are most effective for children with CP. OBJECTIVES: (1) To evaluate the effectiveness and safety of interventions aimed at reducing or eliminating drooling in children with cerebral palsy. (2) To provide the best available evidence to inform clinical practice. (3) To assist with future research planning. SEARCH METHODS: We searched

Cochrane2012

69. Mortality from 1 to 16-18 years in bilateral cerebral palsy

Mortality from 1 to 16-18 years in bilateral cerebral palsy 20551190 2011 10 13 2011 12 07 2011 10 13 1468-2044 96 11 2011 Nov Archives of disease in childhood Arch. Dis. Child. Mortality from 1 to 16-18 years in bilateral cerebral palsy. 1077-81 10.1136/adc.2009.172841 To ascertain mortality from 1 to 18 years, and predictors of mortality. Long-term follow-up of population cohort born 1989-1992. Births in South East Thames Region. 346 children with bilateral cerebral palsy (CP). Not applicable (...) not have major functional impairment at 2 years. This confirms findings of other studies of children with CP. Baird Gillian G Newcomen Child Development Centre, Guy's and St Thomas' NHS Trust, London SE1 9RT, UK. gillian.baird@gstt.nhs.uk Allen Elizabeth E Scrutton David D Knight Adrienne A McNee Anne A Will Elspeth E Elbourne Diana D eng Journal Article Research Support, Non-U.S. Gov't 2010 06 15 England Arch Dis Child 0372434 0003-9888 AIM IM Adolescent Birth Weight Cerebral Palsy mortality Child

EvidenceUpdates2012

70. Functional Electric Stimulation (FES) for children with cerebral palsy: clinical effectiveness

Functional Electric Stimulation (FES) for children with cerebral palsy: clinical effectiveness Functional Electric Stimulation (FES) for children with cerebral palsy: clinical effectiveness Functional Electric Stimulation (FES) for children with cerebral palsy: clinical effectiveness Canadian Agency for Drugs and Technologies in Health 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 Canadian Agency for Drugs and Technologies in Health. Functional Electric Stimulation (FES) for children with cerebral palsy: clinical effectiveness. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). 2011 Authors' conclusions The evidence included in this review suggests efficacy of FES on both impairment and activity limitations in children with cerebral palsy. However, small sample sizes, inadequate report of quality assessment

Health Technology Assessment (HTA) Database.2011

71. A comparison of interventions for children with cerebral palsy to improve sitting postural control: a clinical trial

A comparison of interventions for children with cerebral palsy to improve sitting postural control: a clinical trial 20966212 2010 12 02 2011 01 11 2010 12 02 1538-6724 90 12 2010 Dec Physical therapy Phys Ther A comparison of interventions for children with cerebral palsy to improve sitting postural control: a clinical trial. 1881-98 10.2522/ptj.2010132 The ability to sit independently is fundamental for function but delayed in infants with cerebral palsy (CP). Studies of interventions (...) Randomized Controlled Trial Research Support, U.S. Gov't, Non-P.H.S. 2010 10 21 United States Phys Ther 0022623 0031-9023 AIM IM Cerebral Palsy physiopathology rehabilitation Disability Evaluation Female Home Care Services Humans Infant Linear Models Longitudinal Studies Male Physical Therapy Modalities Postural Balance physiology Risk Factors Treatment Outcome 2010 10 23 6 0 2010 10 23 6 0 2011 1 12 6 0 ppublish 20966212 ptj.2010132 10.2522/ptj.2010132

EvidenceUpdates2011

72. Evaluating the effect of intensive intervention in children with cerebral palsy using a hypothetical matched control group: a preliminary study.

Evaluating the effect of intensive intervention in children with cerebral palsy using a hypothetical matched control group: a preliminary study. 20975523 2011 01 10 2011 02 17 2016 10 18 1537-7385 90 2 2011 Feb American journal of physical medicine & rehabilitation Am J Phys Med Rehabil Evaluating the effect of intensive intervention in children with cerebral palsy using a hypothetical matched control group: a preliminary study. 128-36 10.1097/PHM.0b013e3181fc7ddf To evaluate the effect (...) of intensive intervention in children with cerebral palsy using a hypothetical matched control group based on motor growth curves. For pretest-posttest design using a hypothetical control group, a convenient sample of 39 children with cerebral palsy who received intensive intervention without surgical treatment was assigned to the experimental group. The hypothetical matched control group was created based on motor growth curves. Gains in Gross Motor Function Measure-66 score after intensive treatment

American journal of physical medicine & rehabilitation2011

73. Magnesium sulfate therapy for the prevention of cerebral palsy in preterm infants: a decision-analytic and economic analysis

Magnesium sulfate therapy for the prevention of cerebral palsy in preterm infants: a decision-analytic and economic analysis Magnesium sulfate therapy for the prevention of cerebral palsy in preterm infants: a decision-analytic and economic analysis Magnesium sulfate therapy for the prevention of cerebral palsy in preterm infants: a decision-analytic and economic analysis Cahill AG, Odibo AO, Stout MJ, Grobman WA, Macones GA, Caughey AB Record Status This is a critical abstract of an economic (...) evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary The objective was to assess the cost-effectiveness of magnesium treatment, for pregnant women at high risk of delivery before 32 weeks gestation, for the prevention of cerebral palsy in pre-term infants. Based on the evidence available, magnesium

NHS Economic Evaluation Database.2011

74. Long-term outcome and adverse effects of selective dorsal rhizotomy in children with cerebral palsy: a systematic review

Long-term outcome and adverse effects of selective dorsal rhizotomy in children with cerebral palsy: a systematic review Long-term outcome and adverse effects of selective dorsal rhizotomy in children with cerebral palsy: a systematic review Long-term outcome and adverse effects of selective dorsal rhizotomy in children with cerebral palsy: a systematic review Grunt S, Becher JG, Vermeulen RJ CRD summary The authors concluded that there was poor to moderate evidence that selective dorsal (...) rhizotomy had a positive long-term effect on body structure and function. There was no evidence for activity or participation domains. The review had some methodological/reporting limitations but the authors' cautious conclusions reflect the limited evidence and seem appropriate. Authors' objectives To assess the long-term safety and efficacy of selective dorsal rhizotomy in children with spastic cerebral palsy. Searching Five electronic databases, including MEDLINE, EMBASE and The Cochrane Library

DARE.2011

75. Effectiveness of aquatic interventions for children with cerebral palsy: systematic review of the current literature

Effectiveness of aquatic interventions for children with cerebral palsy: systematic review of the current literature Effectiveness of aquatic interventions for children with cerebral palsy: systematic review of the current literature Effectiveness of aquatic interventions for children with cerebral palsy: systematic review of the current literature Blohm D CRD summary The review concluded that the evidence suggested aquatic interventions were beneficial for children and adolescents (...) with cerebral palsy. The author's conclusions reflected the evidence presented, but the potential for missed studies, lack of reporting of review methods, and limitations in the evidence mean the reliability of the conclusions is uncertain. Authors' objectives To evaluate the effectiveness of aquatic interventions for children or adolescents with cerebral palsy. Searching PubMed, CINAHL, PEDro, SPORTDiscus and The Cochrane Library were searched for articles in English or German published in peer-reviewed

DARE.2011

76. Effectiveness of motor learning coaching in children with cerebral palsy: a randomized controlled trial

Effectiveness of motor learning coaching in children with cerebral palsy: a randomized controlled trial 20576667 2010 10 28 2011 03 08 2010 10 28 1477-0873 24 11 2010 Nov Clinical rehabilitation Clin Rehabil Effectiveness of motor learning coaching in children with cerebral palsy: a randomized controlled trial. 1009-20 10.1177/0269215510371428 To evaluate effectiveness of motor learning coaching on retention and transfer of gross motor function in children with cerebral palsy. Block randomized (...) trial, matched for age and gross motor function. Coordinated, multinational study (Israel, Jordan and Palestinian Authority) in schools and rehabilitation centers. 78 children with spastic cerebral palsy, gross motor functional levels II and III, aged 66 to 146 months. 1 hr/day, 3 days/week for 3 months treatment with motor learning coaching or neurodevelopmental treatment: two groups. Gross motor function Measure (GMFM-66), stair-climbing mechanical efficiency (ME) and parent questionnaire rating

EvidenceUpdates2011

77. Magnesium Sulphate to Prevent Cerebral Palsy following Preterm Birth

Magnesium Sulphate to Prevent Cerebral Palsy following Preterm Birth Magnesium Sulphate to Prevent Cerebral Palsy following Preterm Birth Scientific Impact Paper No. 29 August 2011Magnesium Sulphate to Prevent Cerebral Palsy following Preterm Birth 1. Background The prevalence of preterm birth is increasing. 1 While the survival of infants born preterm has improved, 2 the prevalence of cerebral palsy has risen. 3 The incidence of cerebral palsy decreases significantly with increasing (...) gestational age: 14.6% at 22–27 weeks of gestation, 6.2% at 28–31 weeks, 0.7% at 32–36 weeks and 0.1% in term infants. 4 Twenty-five percent of all cases of cerebral palsy are in infants born at less than 34 weeks of gestation. 5 In children born preterm the proportion whose cerebral palsy is considered to havea perinatal origin (49%) is greater than in those born at term (35%). 6,7 Strategies to reduce cerebral palsy in these infants should be considered and implemented if shown to be effective in order

Royal College of Obstetricians and Gynaecologists2011

78. Aquatic exercise programs for children and adolescents with cerebral palsy: what do we know and where do we go?

Aquatic exercise programs for children and adolescents with cerebral palsy: what do we know and where do we go? Aquatic exercise programs for children and adolescents with cerebral palsy: what do we know and where do we go? Aquatic exercise programs for children and adolescents with cerebral palsy: what do we know and where do we go? Gorter JW, Currie SJ CRD summary The review concluded that the research evidence on safety and effectiveness of aquatic exercise in children and adolescents (...) with cerebral palsy was limited and that more research was needed. Although the review had many limitations, it appears likely that these conclusions are reliable. Authors' objectives To evaluate the effectiveness of aquatic exercise for children and adolescents with cerebral palsy. Searching PubMed and CINAHL were searched from August 2005 up to January 2011 for full publications in English; search terms were reported. This was an update of an earlier review by different authors (see Other publications

DARE.2011

79. Association of cerebral palsy with Apgar score in low and normal birthweight infants: population based cohort study.

Association of cerebral palsy with Apgar score in low and normal birthweight infants: population based cohort study. OBJECTIVES: To assess the association of Apgar score 5 minutes after birth with cerebral palsy in both normal weight and low birthweight children, and also the association with the cerebral palsy subdiagnoses of quadriplegia, diplegia, and hemiplegia. DESIGN: Population based cohort study. SETTING: The Medical Birth Registry of Norway was used to identify all babies born between (...) 1986 and 1995. These data were linked to the Norwegian Registry of Cerebral Palsy in Children born 1986-95, which was established on the basis of discharge diagnoses at all paediatric departments in Norway. POPULATION: All singletons without malformations born in Norway during 1986-95 and who survived the first year of life (n=543 064). MAIN OUTCOME MEASURE: Cerebral palsy diagnosed before the age of 5 years. RESULTS: 988 children (1.8 in 1000) were diagnosed with cerebral palsy before the age of 5

BMJ2010 Full Text: Link to full Text with Trip Pro

80. Cerebral palsy among term and postterm births.

Cerebral palsy among term and postterm births. CONTEXT: Although preterm delivery is a well-established risk factor for cerebral palsy (CP), preterm deliveries contribute only a minority of affected infants. There is little information on the relation of CP risk to gestational age in the term range, where most CP occurs. OBJECTIVE: To determine whether timing of birth in the term and postterm period is associated with risk of CP. DESIGN, SETTING, AND PARTICIPANTS: Population-based follow-up

JAMA2010 Full Text: Link to full Text with Trip Pro