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Latest & greatest articles for cerebral palsy
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on cerebral palsy or other clinical topics then use Trip today.
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Effects of Antigravity Treadmill Training on Gait, Balance, and Fall Risk in Children With Diplegic CerebralPalsy. 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 cerebralpalsy 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 cerebralpalsy.
Efficacy of constraint-induced movement therapy compared with bimanual intensive training in children with unilateral cerebralpalsy: 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 CerebralPalsy 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
Anterior or posterior walkers for children with cerebralpalsy? A systematic review. To review the literature comparing use of anterior and posterior walkers (PW's) by children with cerebralpalsy (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 cerebralpalsy 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.
Lumbosacral dorsal rhizotomy for spastic cerebralpalsy: OHTAC recommendation Lumbosacral dorsal rhizotomy for spastic cerebralpalsy: OHTAC recommendation Lumbosacral dorsal rhizotomy for spastic cerebralpalsy: 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 cerebralpalsy: 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
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
Bony reconstruction of hip in cerebralpalsy children Gross Motor Function Classification System levels III to V: a systematic review. Hip dislocation is a common source of disability in cerebralpalsy children. It has been remedied by various reconstructive procedures. This review aims at providing the best evidence for bony reconstructive procedures in cerebralpalsy hip migration. The literature extraction process yielded 36 articles for inclusion in this review. There is fair evidence (...) in none and minimally ambulatory cerebralpalsy 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
Garment Therapy does not Improve Function in Children with CerebralPalsy: A Systematic Review. To conduct a systematic review asking, does garment therapy improve motor function in children with cerebralpalsy?A systematic review with meta-analysis was conducted to review the literature. Inclusion criteria involved the wearing of therapy suits/garments in children with cerebralpalsy. 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 cerebralpalsy. While garment therapy was shown to improve proximal stability, this benefit must be considered functionally and consider difficulties associated with garment use.
Do research papers provide enough information on design and material used in ankle foot orthoses for children with cerebralpalsy? 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 cerebralpalsy (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
Protocol for a systematic review of instruments for the assessment of quality of life and well-being in children and adolescents with cerebralpalsy. Cerebralpalsy 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 cerebralpalsy 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
Efficacy of oral pharmacological treatments in dyskinetic cerebralpalsy: a systematic review. To evaluate the actual evidence of efficacy of oral pharmacological treatments in the management of dyskinetic cerebralpalsy (CP).A systematic review was performed according to the American Academy for CerebralPalsy 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 cerebralpalsy 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
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
Eye-gaze control technology for children, adolescents and adults with cerebralpalsy 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 cerebralpalsy 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 cerebralpalsy. 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
Chorioamnionitis in the Development of CerebralPalsy: A Meta-analysis and Systematic Review. Chorioamnionitis (CA) has often been linked etiologically to cerebralpalsy (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 ((cerebralpalsy) OR brain).Included studies had to have: (1) controls, (2) criteria for diagnoses, and (3) neurologic
Task-specific gross motor skills training for ambulant school-aged children with cerebralpalsy: 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 cerebralpalsy (CP). The secondary objective is to identify motor learning strategies reported within TST and assess relationship
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
Robotic Gait Training For Indiviuals With CerebralPalsy: 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 cerebralpalsy, 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
Efficacy of ankle foot orthoses types on walking in children with cerebralpalsy: A systematic review. Ankle foot orthoses (AFOs) are orthotic devices that can be used to normalize the walking pattern of children with cerebralpalsy (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