Latest & greatest articles for cerebral palsy

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Top results for cerebral palsy

161. Effects of Antigravity Treadmill Training on Gait, Balance, and Fall Risk in Children With Diplegic Cerebral Palsy. (Abstract)

Effects of Antigravity Treadmill Training on Gait, Balance, and Fall Risk in Children With Diplegic Cerebral Palsy. The aim of this study was to investigate the effects of antigravity treadmill training on gait, balance, and fall risk in children with diplegic cerebral palsy.Thirty children with diplegic cerebral palsy were selected for this randomized controlled study. They were randomly assigned to (1) an experimental group that received antigravity treadmill training (20 mins/d, 3 d/wk (...) group. The posttreatment gait parameters (i.e., velocity, stride length, cadence, and percent of time spent in double-limb support) were 0.74 m/sec, 119 steps/min, 0.75 m/sec, 0.65 sec, and 55.9% as well as 0.5 m, 125 steps/min, 0.6 m/sec, 0.49 sec, and 50.4% for the experimental and control group, respectively.Antigravity treadmill training may be a useful tool for improving gait parameters, balance, and fall risk in children with diplegic cerebral palsy.

2017 American journal of physical medicine & rehabilitation Controlled trial quality: uncertain

162. Efficacy of constraint-induced movement therapy compared with bimanual intensive training in children with unilateral cerebral palsy: a systematic review. (Abstract)

Efficacy of constraint-induced movement therapy compared with bimanual intensive training in children with unilateral cerebral palsy: a systematic review. To systematically review the evidence on the effect of constraint-induced movement therapy compared with bimanual intensive training in children with unilateral cerebral palsy.Seven electronic databases (Cinahl, Cochrane Library, EMBASE, Ovid MEDLINE, PEDro, PsycINFO, PubMed) were searched from database inception through December 2016 (...) .A systematic review was performed using the American Academy of Cerebral Palsy and Developmental Medicine and Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. Standardised mean differences (effect sizes) were calculated for each study and outcome.Nine studies met the eligibility criteria. All studies provided level II evidence. Methodological quality was high in two studies, moderate in four studies and low in three studies. The methodology, participant and intervention

2017 Clinical rehabilitation

163. Anterior or posterior walkers for children with cerebral palsy? A systematic review. (Abstract)

Anterior or posterior walkers for children with cerebral palsy? A systematic review. To review the literature comparing use of anterior and posterior walkers (PW's) by children with cerebral palsy (CP) to determine which walker type is preferable.Electronic databases were searched using pre-defined terms by two independent reviewers. Reference lists of included studies were hand searched. Studies published between 1985 and 2016 comparing use of anterior and PW's by children with CP were (...) anterior or posterior walkers are preferable for children with cerebral palsy based on the existing evidence. Velocity, trunk flexion/pelvic tilt, and stability may be improved by using a posterior walker. The majority of walking aid users and their parents preferred posterior walkers. Adequately powered studies designed to minimize bias are needed.

2017 Disability and rehabilitation. Assistive technology

164. Lumbosacral dorsal rhizotomy for spastic cerebral palsy: OHTAC recommendation

Lumbosacral dorsal rhizotomy for spastic cerebral palsy: OHTAC recommendation Lumbosacral dorsal rhizotomy for spastic cerebral palsy: OHTAC recommendation Lumbosacral dorsal rhizotomy for spastic cerebral palsy: OHTAC recommendation Ontario Health Technology Advisory Committee (OHTAC) Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation (...) Ontario Health Technology Advisory Committee (OHTAC). Lumbosacral dorsal rhizotomy for spastic cerebral palsy: OHTAC recommendation. Toronto: Health Quality Ontario (HQO). 2017 Authors' conclusions The Ontario Health Technology Advisory Committee accepted the findings of the health technology assessment, which found that carefully selected patients reported clinically relevant improvements in motor function and functional independence with lumbosacral dorsal rhizotomy. OHTAC also felt that the total

2017 Health Technology Assessment (HTA) Database.

165. Lumbosacral dorsal rhizotomy for spastic cerebral palsy: a health technology assessment

Lumbosacral dorsal rhizotomy for spastic cerebral palsy: a health technology assessment Lumbosacral dorsal rhizotomy for spastic cerebral palsy: a health technology assessment Lumbosacral dorsal rhizotomy for spastic cerebral palsy: 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 cerebral palsy: 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 cerebral palsy and significantly improves their gross motor function and functional independence. Major peri-operative complications were infrequently

2017 Health Technology Assessment (HTA) Database.

166. Bony reconstruction of hip in cerebral palsy children Gross Motor Function Classification System levels III to V: a systematic review. (Abstract)

Bony reconstruction of hip in cerebral palsy children Gross Motor Function Classification System levels III to V: a systematic review. Hip dislocation is a common source of disability in cerebral palsy children. It has been remedied by various reconstructive procedures. This review aims at providing the best evidence for bony reconstructive procedures in cerebral palsy hip migration. The literature extraction process yielded 36 articles for inclusion in this review. There is fair evidence (...) in none and minimally ambulatory cerebral palsy children in the short and long term. This has been shown in studies with a summed sizable patient population. There is limited evidence available that would support the use of soft-tissue and isolated femoral reconstruction. In the context of these retrospective and biased studies, it is extremely difficult to identify, with great precision, predictors of surgical success. Future studies should consider prospective designs that allow for bias control

2017 Journal of pediatric orthopedics. Part B

167. Garment Therapy does not Improve Function in Children with Cerebral Palsy: A Systematic Review. (Abstract)

Garment Therapy does not Improve Function in Children with Cerebral Palsy: A Systematic Review. To conduct a systematic review asking, does garment therapy improve motor function in children with cerebral palsy?A systematic review with meta-analysis was conducted to review the literature. Inclusion criteria involved the wearing of therapy suits/garments in children with cerebral palsy. The primary outcome of interest was movement related function and secondary outcomes included impairment (...) in proximal kinematics (MD = -5.02; 95% CI = -7.28, -2.76), however significant improvements were not demonstrated in distal kinematics (MD = -0.79; 95% CI = -3.08, 1.49).This review suggests garment therapy does not improve function in children with cerebral palsy. While garment therapy was shown to improve proximal stability, this benefit must be considered functionally and consider difficulties associated with garment use.

2017 Physical & occupational therapy in pediatrics

168. Vision Assessments and Interventions for Infants 0-2 Years at High Risk for Cerebral Palsy: A Systematic Review. (Full text)

Vision Assessments and Interventions for Infants 0-2 Years at High Risk for Cerebral Palsy: A Systematic Review. We performed a systematic review and evaluated the level of evidence of vision interventions and assessments for infants at high risk for or with a diagnosis of cerebral palsy from zero to two years of age. Articles were evaluated based on the level of methodologic quality, evidence, and clinical utilization. Thirty publications with vision assessments and five with vision (...) /cortical visual impairment-related needs of infants and toddlers at high risk for or with cerebral palsy. Recommendation guidelines include the use of three types of standard care methodologies and two types of protective interventions.Copyright © 2017 Elsevier Inc. All rights reserved.

2017 Pediatric Neurology PubMed abstract

169. The prevalence of mental health disorders and symptoms in children and adolescents with cerebral palsy: a systematic review and meta-analysis. (Full text)

The prevalence of mental health disorders and symptoms in children and adolescents with cerebral palsy: a systematic review and meta-analysis. Mental health conditions and problems are often reported in children and adolescents with cerebral palsy (CP). A systematic review was undertaken to describe their prevalence.MEDLINE and PsycINFO databases from 1996 to 2016 were searched and reference lists of selected studies were reviewed. Studies were included if they reported point prevalence (...) with cerebral palsy and intellectual disability have a higher risk of mental health symptoms. The prevalence of mental health symptoms for age and severity groups is unclear.© 2017 Mac Keith Press.

2017 Developmental Medicine and Child Neurology PubMed abstract

170. Do research papers provide enough information on design and material used in ankle foot orthoses for children with cerebral palsy? A systematic review. (Full text)

Do research papers provide enough information on design and material used in ankle foot orthoses for children with cerebral palsy? A systematic review. The purpose of this article is to determine how many of the current peer-reviewed studies of ankle foot or-thoses (AFOs) on children with cerebral palsy (CP) have included adequate details of the design and material of the AFO, to enable the study to be reproduced and outcomes clearly understood.A thorough search of studies published in English

2017 Journal of children's orthopaedics PubMed abstract

171. Protocol for a systematic review of instruments for the assessment of quality of life and well-being in children and adolescents with cerebral palsy. (Full text)

Protocol for a systematic review of instruments for the assessment of quality of life and well-being in children and adolescents with cerebral palsy. Cerebral palsy is the most common cause of physical disability in children and adolescents and is associated with impairments that may reduce the quality of life (QOL) of this population. Patient-reported outcome measures (PROMs) can facilitate the assessment of the effect of disease and treatment on QOL, from a patient viewpoint. The purpose (...) of this systematic review is to identify PROMs that are used to measure QOL and subjective well-being (SWB) outcomes in young people with cerebral palsy and to evaluate the suitability of these PROMs for application in economic evaluations within this population.MEDLINE, Scopus, the Cochrane Library, Web of Science Core Collection, EconLit, PsycINFO, CINAHL, EMBASE and Informit will be systematically searched from inception to date of search. Published peer-reviewed, English-language articles reporting PROMs

2017 BMJ open PubMed abstract

172. Efficacy of oral pharmacological treatments in dyskinetic cerebral palsy: a systematic review. (Full text)

Efficacy of oral pharmacological treatments in dyskinetic cerebral palsy: a systematic review. To evaluate the actual evidence of efficacy of oral pharmacological treatments in the management of dyskinetic cerebral palsy (CP).A systematic review was performed according to the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology. Articles were searched for in PubMed/MEDLINE, Scopus, Web (...) , Disability and Health.Evidence to prove (or disprove) the efficacy of oral drugs in dyskinetic cerebral palsy is low. The most investigated drugs, trihexyphenidyl and levodopa, show contradictory results. Tetrabenazine, levetiracetam, and gabapentin efficacy should be studied in more detail. Lack of evidence is partially due to the inconsistency of classifications and outcome measures used. Outcome measures should be selected within the framework of the International Classification of Functioning

2017 Developmental Medicine and Child Neurology PubMed abstract

173. Early, Accurate Diagnosis and Early Intervention in Cerebral Palsy: Advances in Diagnosis and Treatment (Full text)

Early, Accurate Diagnosis and Early Intervention in Cerebral Palsy: Advances in Diagnosis and Treatment Cerebral palsy 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 cerebral palsy and to summarize best available evidence about cerebral palsy (...) -specific early intervention that should follow early diagnosis to optimize neuroplasticity and function.This study systematically searched the literature about early diagnosis of cerebral palsy in MEDLINE (1956-2016), EMBASE (1980-2016), CINAHL (1983-2016), and the Cochrane Library (1988-2016) and by hand searching. Search terms included cerebral palsy, diagnosis, detection, prediction, identification, predictive validity, accuracy, sensitivity, and specificity. The study included systematic reviews

2017 EvidenceUpdates PubMed abstract

174. Eye-gaze control technology for children, adolescents and adults with cerebral palsy with significant physical disability: Findings from a systematic review. (Abstract)

Eye-gaze control technology for children, adolescents and adults with cerebral palsy with significant physical disability: Findings from a systematic review. The primary objective of this systematic review was to examine the effectiveness of eye-gaze control technology for facilitating communication across different social contexts for people with cerebral palsy and significant physical disability.Systematic review.The search identified 756 potentially eligible articles, of which two, low level (...) articles were eligible. One study reported positive results for achieving communication goals for children with cerebral palsy. The second concluded that eye-gaze control technology resulted in greater quality of life and less depression for adults with late stage amyotrophic lateral sclerosis when compared to non-users.Research regarding the effectiveness of eye-gaze control technology used to access a laptop, tablet or computer on communication outcomes, participation, quality of life and self-esteem

2017 Developmental neurorehabilitation

175. Chorioamnionitis in the Development of Cerebral Palsy: A Meta-analysis and Systematic Review. (Full text)

Chorioamnionitis in the Development of Cerebral Palsy: A Meta-analysis and Systematic Review. Chorioamnionitis (CA) has often been linked etiologically to cerebral palsy (CP).To differentiate association from risk of CA in the development of CP.PubMed, Cochrane Library, Embase, and bibliographies of original studies were searched by using the keywords (chorioamnionitis) AND ((cerebral palsy) OR brain).Included studies had to have: (1) controls, (2) criteria for diagnoses, and (3) neurologic

2017 Pediatrics PubMed abstract

176. Functional electrical stimulation of the ankle dorsiflexors during walking in spastic cerebral palsy: a systematic review. (Full text)

Functional electrical stimulation of the ankle dorsiflexors during walking in spastic cerebral palsy: a systematic review. To assess the effect of functional electrical stimulation (FES) of ankle dorsiflexors in children and adolescents with spastic cerebral palsy (CP) during walking.A systematic review was performed using the American Academy of Cerebral Palsy and Developmental Medicine methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (...) as an alternative to orthoses in children with spastic CP.Effects of functional electrical stimulation (FES) point towards a potential role as an alternative to orthoses for patients with spastic cerebral palsy (CP). Some evidence for a decrease in self-reported frequency of toe-drag and falls with the use of FES in spastic CP. Limited evidence for improvements in activity and participation in patients with spastic CP using FES.© 2017 Mac Keith Press.

2017 Developmental Medicine and Child Neurology PubMed abstract

177. Task-specific gross motor skills training for ambulant school-aged children with cerebral palsy: a systematic review (Full text)

Task-specific gross motor skills training for ambulant school-aged children with cerebral palsy: a systematic review The primary objective is to systematically evaluate the evidence for the effectiveness of task-specific training (TST) of gross motor skills for improving activity and/or participation outcomes in ambulant school-aged children with cerebral palsy (CP). The secondary objective is to identify motor learning strategies reported within TST and assess relationship

2017 BMJ Paediatrics Open PubMed abstract

178. Antenatal and intrapartum interventions for preventing cerebral palsy: an overview of Cochrane systematic reviews. (Full text)

Antenatal and intrapartum interventions for preventing cerebral palsy: an overview of Cochrane systematic reviews. Cerebral palsy 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 cerebral palsy. 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 cerebral palsy. 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

2017 Cochrane PubMed abstract

179. Robotic Gait Training For Indiviuals With Cerebral Palsy: A Systematic Review And Meta-Analysis. (Abstract)

Robotic Gait Training For Indiviuals With Cerebral Palsy: A Systematic Review And Meta-Analysis. To identify the effects of robotic gait training practices in individuals with cerebral palsy.The search was performed in the following electronic databases: PubMed, Embase, Medline (OvidSP), Cochrane Database of Systematic Reviews, Web of Science, Scopus, Compendex, IEEE Xplore, ScienceDirect, Academic Search Premier, and Physiotherapy Evidence Database.Studies were included if they fulfilled (...) the following criteria: (1) they investigated the effects of robotic gait training, (2) they involved patients with cerebral palsy, and (3) they enrolled patients classified between levels I and IV using the Gross Motor Function Classification System.The information was extracted from the selected articles using the descriptive-analytical method. The Critical Review Form for Quantitative Studies was used to quantitate the presence of critical components in the articles. To perform the meta-analysis

2017 Archives of physical medicine and rehabilitation

180. Efficacy of ankle foot orthoses types on walking in children with cerebral palsy: A systematic review. (Full text)

Efficacy of ankle foot orthoses types on walking in children with cerebral palsy: A systematic review. Ankle foot orthoses (AFOs) are orthotic devices that can be used to normalize the walking pattern of children with cerebral palsy (CP). One of the aims of orthotic management is to produce a more normal gait pattern by positioning joints in the proper position to reduce pathological reflex or spasticity.To conduct a systematic review of the literature and establish the effect of treatment

2017 Annals of physical and rehabilitation medicine PubMed abstract