Latest & greatest articles for cerebral palsy

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Top results for cerebral palsy

121. Neurotropic viruses and cerebral palsy: population based case-control study.

Neurotropic viruses and cerebral palsy: population based case-control study. OBJECTIVE: To investigate the association between cerebral palsy and direct evidence for perinatal exposure to neurotropic viruses. DESIGN: Population based case-control study. SETTING: Adelaide Women's and Children's Hospital Research Laboratory. PARTICIPANTS AND MAIN OUTCOME MEASURES: Newborn screening cards of 443 white case patients with cerebral palsy and 883 white controls were tested for viral nucleic acids from (...) babies. The detection of herpes group B viral nucleic acids increased the risk of developing cerebral palsy (odds ratio 1.68, 95% confidence interval 1.09 to 2.59). CONCLUSIONS: Perinatal exposure to neurotropic viruses is associated with preterm delivery and cerebral palsy.

BMJ2006 Full Text: Link to full Text with Trip Pro

122. A systematic review of the evidence for hip surveillance in children with cerebral palsy

A systematic review of the evidence for hip surveillance in children with cerebral palsy A systematic review of the evidence for hip surveillance in children with cerebral palsy A systematic review of the evidence for hip surveillance in children with cerebral palsy Gordon G S, Simkiss D E CRD summary This review found that hip surveillance based on widely available radiological methods can identify children with cerebral palsy who are most at risk of subluxation. Limitations in the review (...) , especially the lack of detail about the included studies, make it difficult to comment on the reliability of these findings. Authors' objectives To determine the effectiveness of hip surveillance in children with cerebral palsy. Searching MEDLINE, EMBASE and CINAHL were searched from inception to April 2005. The Cochrane Controlled Trials Register, Cochrane Database of Systematic Reviews and DARE were also searched. Key journals were handsearched from 1998 to 2005, reference lists of retrieved studies

DARE.2006

123. Effects of botulinum toxin type A on upper limb function in children with cerebral palsy: a systematic review

Effects of botulinum toxin type A on upper limb function in children with cerebral palsy: a systematic review Effects of botulinum toxin type A on upper limb function in children with cerebral palsy: a systematic review Effects of botulinum toxin type A on upper limb function in children with cerebral palsy: a systematic review Reeuwijk A, van Schie P E, Becher J G, Kwakkel G CRD summary This generally well-conducted review concluded that differences between studies, the use of unreliable (...) methods of measuring outcomes and small sample sizes meant that there was insufficient evidence for the effect of botulinum toxin type A injections in the upper limbs of children with cerebral palsy. This conclusion appears appropriate. Authors' objectives To assess the effectiveness of botulinum toxin type A injections in the upper limbs of children with cerebral palsy in terms of body functions, structures and activities. Searching PubMed, EMBASE, CINAHL, PiCarta, PEDro and the Cochrane Controlled

DARE.2006

124. The effectiveness of passive stretching in children with cerebral palsy

The effectiveness of passive stretching in children with cerebral palsy The effectiveness of passive stretching in children with cerebral palsy The effectiveness of passive stretching in children with cerebral palsy Pin T, Dyke P, Chan M CRD summary The authors concluded that there was limited evidence that manual stretching can increase range of motion, reduce spasticity and improve walking in children with cerebral palsy, and further research is required. Evidence for some outcomes was very (...) limited and a more cautious conclusion might have been more appropriate. Authors' objectives To evaluate the effectiveness of passive stretching in children with spastic cerebral palsy (CP). Searching MEDLINE, CINAHL, PsycINFO, EMBASE, the Cochrane Library and PEDro were searched from inception to April 2006; the search terms were reported. In addition, the reference lists from relevant studies and reviews were screened. Study selection Study designs of evaluations included in the review Studies

DARE.2006

125. Botulinum toxin type A injection for management of upper limb spasticity in children with cerebral palsy: a literature review

Botulinum toxin type A injection for management of upper limb spasticity in children with cerebral palsy: a literature review Botulinum toxin type A injection for management of upper limb spasticity in children with cerebral palsy: a literature review Botulinum toxin type A injection for management of upper limb spasticity in children with cerebral palsy: a literature review Park E S, Rha D W CRD summary The authors concluded that high quality evidence was too limited and data too conflicting (...) for the efficacy of botulinum toxin type A for upper limb spasticity in children with cerebral palsy to be supported or refuted. This conclusion was supported by the evidence included in the review; but poor reporting of review methodology means that its reliability cannot be assessed. Authors' objectives To assess the outcome of botulinum toxin type A (BTX-A) for the management of upper limb spasticity in children with cerebral palsy (CP). Searching The databases MEDLINE and CINAHL were searched to June 2006

DARE.2006

126. The effect of positioning for children with cerebral palsy on upper-extremity function: a review of the evidence

The effect of positioning for children with cerebral palsy on upper-extremity function: a review of the evidence The effect of positioning for children with cerebral palsy on upper-extremity function: a review of the evidence The effect of positioning for children with cerebral palsy on upper-extremity function: a review of the evidence Stavness C CRD summary The author concludes that an upright sitting position improves upper-extremity functioning in a child with cerebral palsy. Children (...) should be fitted for wheelchairs that place them in a functional sitting position (FSP) using the complete FSP package. Given the inadequate reporting of the review process and the poor quality of the available evidence, the author's conclusions should be treated with caution. Authors' objectives To determine the most appropriate seating position for children with cerebral palsy (CP) to promote energy conservation and optimal functional abilities. Searching MEDLINE, PubMed, CINAHL, AMED, HealthSTAR

DARE.2006

127. Selective dorsal rhizotomy for spasticity in cerebral palsy

Selective dorsal rhizotomy for spasticity in cerebral palsy Selective dorsal rhizotomy for spasticity in cerebral palsy Selective dorsal rhizotomy for spasticity in cerebral palsy National Institute for Health and Clinical Excellence Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation National Institute for Health and Clinical Excellence. Selective dorsal rhizotomy (...) for spasticity in cerebral palsy. London: National Institute for Health and Clinical Excellence (NICE). Interventional Procedure Guidance 195. 2006 Authors' objectives This study aims to assess the current evidence on selective dorsal rhizotomy for spasticity in cerebral palsy. Authors' conclusions 1 Guidance 1.1 Current evidence on the safety of selective dorsal rhizotomy (SDR) for spasticity in cerebral palsy appears adequate; however, there is evidence of only limited efficacy. Therefore, the procedure

Health Technology Assessment (HTA) Database.2006

128. Selected dorsal rhizotomy for cerebral palsy

Selected dorsal rhizotomy for cerebral palsy Selected dorsal rhizotomy for cerebral palsy Selected dorsal rhizotomy for cerebral palsy HAYES, Inc. Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc.. Selected dorsal rhizotomy for cerebral palsy. Lansdale: HAYES, Inc.. Directory Publication. 2006 Authors' objectives Selective dorsal rhizotomy (SDR (...) ) involves the severing of spinal nerve rootlets selected by electromyographic techniques, with the goal of reducing or eliminating spasticity and facilitating the progress of normal movement patterns, and improving functional performance and daily care routines of patients with cerebral palsy (CP). Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Cerebral Palsy /therapy; Rhizotomy; Spinal Nerve Roots /surgery Language Published English Country

Health Technology Assessment (HTA) Database.2006

129. Computerized gait analysis for cerebral palsy, spina bifida, and orthopedic disorders

Computerized gait analysis for cerebral palsy, spina bifida, and orthopedic disorders Computerized gait analysis for cerebral palsy, spina bifida, and orthopedic disorders Computerized gait analysis for cerebral palsy, spina bifida, and orthopedic disorders Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Computerized gait analysis for cerebral palsy, spina (...) bifida, and orthopedic disorders. Lansdale: HAYES, Inc.. Directory Publication. 2006 Authors' objectives Computerized gait analysis assesses the dynamic and static function of the musculoskeletal system. Gait analysis data are used to diagnose, to plan treatments, and to evaluate outcomes for gait disorders. Gait analysis is generally intended to supplement clinical evaluation. Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Cerebral Palsy

Health Technology Assessment (HTA) Database.2006

130. There was insufficient evidence to determine whether occupational therapy interventions to improve the use of the upper limb also enhanced social participation in children with cerebral palsy.

There was insufficient evidence to determine whether occupational therapy interventions to improve the use of the upper limb also enhanced social participation in children with cerebral palsy.

Occupational Therapy CATs2006

131. Surgical treatment for the thumb-in-palm deformity in patients with cerebral palsy.

Surgical treatment for the thumb-in-palm deformity in patients with cerebral palsy. BACKGROUND: Thumb-in-palm deformity in patients with spastic cerebral palsy is a deformity that impairs the ability to use the thumb and thus severely limits hand function. From the variety of operative procedures that have been described, it may be clear that there is no consensus on the surgical treatment of thumb-in-palm deformity. OBJECTIVES: To review the efficacy of surgical interventions for the thumb (...) -in-palm deformity in patients with spastic cerebral palsy; to review the selection criteria to surgically treat thumb-in-palm deformity in these patients; and to review the outcome assessment used in these studies. SEARCH STRATEGY: We identified studies for inclusion from searches of several electronic databases: the Cochrane Central Register of Controlled Trials (Issue 4, 2003), MEDLINE (1966 to December 2004), EMBASE (1980 to December 2004) and CINAHL (1982 to December 2004). We also cross-checked

Cochrane2005

132. Intrathecal baclofen for cerebral palsy

Intrathecal baclofen for cerebral palsy Intrathecal baclofen for cerebral palsy Intrathecal baclofen for cerebral palsy Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Intrathecal baclofen for cerebral palsy. Lansdale: HAYES, Inc.. Directory Publication. 2005 Authors' objectives Intrathecal administration of baclofen is used to reduce spasticity and spasm (...) frequency in patients with cerebral palsy who cannot be adequately treated with oral medications. If a screening trial involving a bolus dose of intrathecal baclofen indicates adequate response, an infusion pump is implanted to allow continuous intrathecal infusion of the drug. Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Baclofen /administration& Cerebral Palsy /drug therapy; Injections, Spinal; dosage /therapeutic use Language Published

Health Technology Assessment (HTA) Database.2005

133. Dynamic lycra splinting for children with cerebral palsy

Dynamic lycra splinting for children with cerebral palsy Dynamic lycra splinting for children with cerebral palsy Dynamic lycra splinting for children with cerebral palsy NHS Quality Improvement Scotland 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 NHS Quality Improvement Scotland. Dynamic lycra splinting for children with cerebral (...) palsy. Glasgow: Quality Improvement Scotland (NHS QIS ). Evidence Note 11. 2005 Authors' conclusions Dynamic lycra splinting may improve functional abilities in the short term in some children with cerebral palsy. Suitability needs to be decided on a case by case basis. Further research is required to determine the long term effects of dynamic lycra splinting and which specific patient groups might benefit. No published evidence on the cost effectiveness of dynamic lycra splinting was identified

Health Technology Assessment (HTA) Database.2005

134. Botulinum toxin A as an adjunct to treatment in the management of the upper limb in children with spastic cerebral palsy.

Botulinum toxin A as an adjunct to treatment in the management of the upper limb in children with spastic cerebral palsy. BACKGROUND: Cerebral palsy (CP) is a central nervous system deficit resulting from a non-progressive lesion in the developing brain. Although the brain lesions are static, the movement disorders that arise are not unchanging and are characterised by atypical muscle tone, posture and movement (Rang 1990). The spastic motor type is the most common form of CP and its (...) as an adjunct to managing the upper limb in children with spastic cerebral palsy. Only one of the two identified RCTs reported some promising results in support of reduced muscle tone following BtA injections. Further research incorporating larger sample sizes, rigorous methodology, measurement of upper limb function and functional outcomes is essential.

Cochrane2004

135. Cerebral palsy.

Cerebral palsy. Cerebral palsy, a range of non-progressive syndromes of posture and motor impairment, is a common cause of disability in childhood. The disorder results from various insults to different areas within the developing nervous system, which partly explains the variability of clinical findings. Management options include physiotherapy, occupational and speech therapy, orthotics, device-assisted modalities, pharmacological intervention, and orthopaedic and neurosurgical procedures (...) . Since 1980, modification of spasticity by means of orally administered drugs, intramuscular chemodenervation agents (alcohol, phenol, botulinum toxin A), intrathecally administered drugs (baclofen), and surgery (neurectomy, rhizotomy) has become more frequent. Family-directed use of holistic approaches for their children with cerebral palsy includes the widespread adoption of complementary and alternative therapies; however, the prevalence of their use and the cost of these options are unknown

Lancet2004

136. Interaction training for conversational partners of children with cerebral palsy: a systematic review

Interaction training for conversational partners of children with cerebral palsy: a systematic review Interaction training for conversational partners of children with cerebral palsy: a systematic review Interaction training for conversational partners of children with cerebral palsy: a systematic review Pennington L, Goldbart J, Marshall J CRD summary This review assessed the effects of training for conversational partners of children with cerebral palsy upon changes in interaction style (...) and communication development. Whilst the review was well conducted, the quality of the small number of included studies was poor. The authors' conclusion pertaining to further rigorous research involving different interventions and subgroups was substantiated. Authors' objectives To investigate the relative effectiveness of models of communication training for conversational partners of children with cerebral palsy (CP). Searching Several electronic databases were searched up to December 2002: MEDLINE (from

DARE.2004

137. Electrical stimulation in cerebral palsy: a review of effects on strength and motor function

Electrical stimulation in cerebral palsy: a review of effects on strength and motor function Electrical stimulation in cerebral palsy: a review of effects on strength and motor function Electrical stimulation in cerebral palsy: a review of effects on strength and motor function Kerr C, McDowell B, McDonough S CRD summary This review evaluated the efficacy of electrical stimulation in children with cerebral palsy. The authors concluded that the evidence is insufficient to provide conclusive (...) evidence for or against the use of neuromuscular electrical stimulation or threshold electrical stimulation. Despite limitations in the review methodology, the authors' conclusion is likely to reflect the evidence available in this field. Authors' objectives To assess the efficacy of electrical stimulation in strengthening or improving the motor function of children with cerebral palsy (CP). Searching MEDLINE (1966 to 2003), CINAHL (1982 to 2003), AMED (1985 to 2003) and PEDro (1966 to 2003) were

DARE.2004

138. Costs and consequences of botulinum toxin type A use: management of children with cerebral palsy in Germany

Costs and consequences of botulinum toxin type A use: management of children with cerebral palsy in Germany Costs and consequences of botulinum toxin type A use: management of children with cerebral palsy in Germany Costs and consequences of botulinum toxin type A use: management of children with cerebral palsy in Germany Ruiz F J, Guest J F, Lehmann A, Davie A M, Guttler K, Schluter O, Dreiss G 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. Health technology The use of botulinum toxin injections for the treatment of children with cerebral palsy was compared with no such injections. No further details of the medical treatment were provided. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population

NHS Economic Evaluation Database.2004

139. Speech and language therapy to improve the communication skills of children with cerebral palsy.

Speech and language therapy to improve the communication skills of children with cerebral palsy. BACKGROUND: The production of speech, language and gesture for communication is often affected by cerebral palsy. Communication difficulties associated with cerebral palsy can be multifactorial, arising from motor, intellectual and / or sensory impairments, and children with this diagnosis can experience mild to severe difficulties in expressing themselves. They are often referred to speech (...) and language therapy (SLT) services, to maximise their communication skills and help them to take an independent a role as possible in interaction. This can include introducing augmentative and alternative communication (AAC) systems, such as symbol charts or speech synthesizers, as well treating children's natural forms of communication. Various strategies have been used to treat the communication disorders associated with cerebral palsy but evidence of their effectiveness is limited. OBJECTIVES

Cochrane2004

140. Gastrostomy feeding versus oral feeding alone for children with cerebral palsy.

Gastrostomy feeding versus oral feeding alone for children with cerebral palsy. BACKGROUND: Children with cerebral palsy (CP) can be significantly disabled in terms of their ability to suck, chew and swallow. This can lead to significant impairment in feeding ability and, eventually, to under-nutrition. It can also result in aspiration of food into the lungs. Feeding time may be considerably increased and, instead of being an enjoyable experience, mealtimes may be distressing for both the child (...) facilitate feeding of children with CP, many carers find it very difficult to accept this intervention emotionally. The treatment is also relatively costly. For all of these reasons, its effectiveness requires assessment. OBJECTIVES: To assess the effects of nutritional supplementation given via gastrostomy or jejunostomy in children with feeding difficulties due to cerebral palsy. SEARCH STRATEGY: We searched the Cochrane Library's register of controlled trials (CENTRAL) up to Issue 4, 2003, MEDLINE

Cochrane2004