Subscribe: MedWorm: Cerebral Palsy
http://www.medworm.com/rss/medicalfeeds/conditions/Cerebral-Palsy.xml
Added By: Feedage Forager Feedage Grade B rated
Language: English
Tags:
cerebral palsy  cerebral  children cerebral  children  find christmas  motor  palsy  pmid pubmed  sales find  source  study 
Rate this Feed
Rate this feedRate this feedRate this feedRate this feedRate this feed
Rate this feed 1 starRate this feed 2 starRate this feed 3 starRate this feed 4 starRate this feed 5 star

Comments (0)

Feed Details and Statistics Feed Statistics
Preview: MedWorm: Cerebral Palsy

MedWorm: Cerebral Palsy



MedWorm.com provides a medical RSS filtering service. Over 7000 RSS medical sources are combined and output via different filters. This feed contains the latest news and research in the Cerebral Palsy category.



Last Build Date: Tue, 22 Mar 2016 08:25:45 +0100

 



Efficacy of Predicting Videofluoroscopic Results in Dysphagic Patients with Severe Cerebral Palsy Using the Mann Assessment of Swallowing Ability

Sun, 20 Mar 2016 17:07:08 +0100

Conclusion: MASA was not useful in differentiating aspirators and nonaspirators and between silent and overt aspirators in severely disabled cerebral palsy, but it could predict oral dysfunction in videofluoroscopic swallowing studies. (Source: American Journal of Physical Medicine and Rehabilitation)

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Effects of Induced Volitional Fatigue on Sprint and Jump Performance in Paralympic Athletes with Cerebral Palsy

Sun, 20 Mar 2016 17:07:08 +0100

Conclusions: The similarity in fatigue between CP and able-bodied groups confirms that Paralympic athletes with CP may have overcome deficits associated with CP documented in sedentary children. The identified asymmetry may assist with a deeper understanding of performance deficits in CP, as it is indicated that activity generated by both legs is performed toward the capacity of the affected leg. (Source: American Journal of Physical Medicine and Rehabilitation)



Intrathecal baclofen pumps do not accelerate progression of scoliosis in quadriplegic spastic cerebral palsy

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: The literature is unclear whether intrathecal baclofen (ITB) pumps accelerate scoliosis progression in cerebral palsy. (Source: The Spine Journal)



Comparison of segmental pedicle screws versus hybrid constructs using sublaminar wires for deformity correction in cerebral palsy (CP)

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Correction of spinal deformity in cerebral palsy (CP) patients is challenging. Historically, sublaminar wire fixation methods have been used, but more recently segmental pedicle screw fixation has increased in popularity among spinal surgeons. (Source: The Spine Journal)



Is there a correlation between gross motor function classification system (GMFCS) level and scoliosis in patients with cerebral palsy (CP)? A systematic review

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Gross motor function classification system (GMFCS) is now an established standardised assessment tool used to classify cerebral palsy (CP) children to levels I–V according to their gross motor function skills. Studies predating GMFCS have shown scoliosis prevalence to be associated with poor motor function. Prevalence of other secondary musculoskeletal complications is associated with increased GMFCS level. (Source: The Spine Journal)



Quality of life after scoliosis surgery in cerebral palsy

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Radiological correction of scoliosis in quadriplegic cerebral palsy (CP) after posterior instrumentation is well established, but patient and caregiver outcomes are required to justify this high-risk and high-cost surgery. (Source: The Spine Journal)

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Caregiver Satisfaction for Orthotic Management of a Severely Involved Child with Cerebral Palsy Seen at Age 7 Years and 19 Years

Sat, 19 Mar 2016 01:34:19 +0100

Conclusions: The primary caregiver is the key regulating factor in determining orthotic compliance outcomes. For an aging caregiver, with a young adult dependent in self-care, a daily wearing schedule may be an unrealistic goal. An alternative orthosis or wear schedule may be needed to assist with caregiver compliance. (Source: JPO Journal of Prosthetics and Orthotics)



Managing children with sialorrhoea (drooling): experience from the first 301 children in our saliva control clinic

Sat, 19 Mar 2016 00:00:00 +0100

Sialorrhoea (drooling) is defined as the involuntary escape of saliva from the mouth. It is considered normal in young children but may cause social problems in older children. Sialorrhoea is frequently seen in children with cerebral palsy, with rates between 10-58% and in other neurodevelopmental diseases. Management of these children can be challenging and often requires an individual and stepwise approach. This is a large case series of children managed at the saliva control clinic in Glasgow, Scotland. (Source: International Journal of Pediatric Otorhinolaryngology)



Stem cells therapy in cerebral palsy: A systematic review

Sat, 19 Mar 2016 00:00:00 +0100

The aim of this study was to systematically present the best available stem cell therapies for children with cerebral palsy (CP). The databases Medline, PubMed, EMBASE, and the Cochrane Controlled Trials Register for RCTs were searched for studies published from 1967 to August 2015. Systematic reviews, randomised controlled trials (RCTs), controlled trials, uncontrolled trials, cohort studies, open-label studies, and a meta-analysis were analysed.Of 360 articles, seven fulfilled the inclusion criteria: one RCT and six were open-label trials. (Source: Brain and Development)



Experience Journal: Growing up with cerebral palsy

Fri, 18 Mar 2016 15:22:31 +0100

Cerebral palsy (CP) is the most common physical disability of childhood. The term CP is an umbrella term for a group of disorders that affect body movement and posture as a result of damage to a baby’s developing brain. There are many causes for CP, but all occur either during pregnancy, birth or shortly after birth. Common causes include differences in brain development, infection or stroke. Oxygen deprivation is accountable for only a small percentage of cases of CP; often, the cause is unknown. Although CP is a lifelong condition that can’t be reversed, children with the diagnosis can lead rich, fulfilling lives with the right medical and surgical management. The Cerebral Palsy Experience Journal, created by the Boston Children’s Hospital Department of Psychiatry and the Cere...



Drug used for preemie eye disease tied to disabilities

Fri, 18 Mar 2016 15:14:25 +0100

Amy Norton, HealthDay News A drug used to treat an eye disease in premature infants may be linked to serious disabilities such as cerebral palsy and hearing loss, a new study suggests. (Source: Health News - UPI.com)

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Drug Used for Preemie Eye Disease Tied to Disabilities

Fri, 18 Mar 2016 10:21:56 +0100

FRIDAY, March 18, 2016 -- A drug used to treat an eye disease in premature infants may be linked to serious disabilities such as cerebral palsy and hearing loss, a new study suggests. The drug in question is Avastin (bevacizumab), a cancer drug that... (Source: Drugs.com - Daily MedNews)



Development and implementation of microsimulation models of neurological conditions.

Fri, 18 Mar 2016 00:03:01 +0100

Authors: Finès P, Garner R, Bancej C, Bernier J, Manuel DG Abstract BACKGROUND: As part of a program of the first National Population Health Study of Neurological Conditions launched in 2009, a series of microsimulation models of neurological conditions (called POHEM-Neurological meta-model) was developed to project health and economic impacts of seven neurological conditions (NCs)-Alzheimer's disease and other dementias, cerebral palsy, epilepsy, multiple sclerosis, Parkinson's disease, traumatic brain injury, and traumatic spinal cord injury-over a 20-year horizon. DATA AND METHODS: The common framework of the seven models allows for dynamic, continuous-time, discrete-event simulation of synthetic large populations in which persons are subject to the risk of developing the N...



Idiopathic constipation in children clinical practice guidelines

Thu, 17 Mar 2016 00:00:00 +0100

Information about current guidelines Constipation in children is a common reason for consulting medical professionals. It has a reported prevalence of 5%–30% in children depending on the criteria used.1 2 In 2010, the National Institute for Health and Care Excellence (NICE) published clinical practice guidelines on the diagnosis and management of constipation in children.1 The aim of this guideline was to offer ‘best practice advice on the care of children and young people with idiopathic constipation’.1 The subsequent NICE quality standard (2014) consisted of a concise set of prioritised statements to achieve quality improvements in managing children with constipation.2 Also in 2014, the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN)...



Diffusion Tensor Imaging Abnormalities in the Cerebral White Matter Correlate with Sex-Dependent Neurobehavioral Deficits in Adult Mice with Neonatal Ischemia

Wed, 16 Mar 2016 22:34:17 +0100

Conclusions: Our findings suggest structural sex-dependent long-term abnormalities after neonatal ischemia. These changes lead to behavioral deficits resembling common problems of patients with cerebral palsy.Dev Neurosci (Source: Developmental Neuroscience)



Pediatric Cerebral Palsy in Botswana: Etiology, Outcomes, and Comorbidities

Wed, 16 Mar 2016 00:00:00 +0100

Cerebral palsy is the most common cause of motor dysfunction in children worldwide, and is often accompanied by multiple comorbidities. While cerebral palsy has been studied extensively in high-resource settings, there are few published studies on cerebral palsy etiology, outcomes and comorbidities in low-resource settings. (Source: Pediatric Neurology)

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Structural and Perfusion Abnormalities of Brain on MRI and Technetium-99m-ECD SPECT in Children With Cerebral Palsy: A Comparative Study

Wed, 16 Mar 2016 00:00:00 +0100

This study was undertaken to demonstrate structural and perfusion brain abnormalities. Fifty-six children diagnosed clinically as having cerebral palsy were studied between 1 to 14 years of age and were subjected to 3 Tesla magnetic resonance imaging (MRI). Brain and Technetium-99m-ECD brain single-photon emission computed tomography (SPECT) scan. Male to female ratio was 1.8:1 with a mean age of 4.16 ± 2.274 years. Spastic cerebral palsy was the most common type, observed in 91%. Birth asphyxia was the most common etiology (69.6%). White matter changes (73.2%) such as periventricular leukomalacia and corpus callosal thinning were the most common findings on MRI. On SPECT all cases except one revealed perfusion impairments in different regions of brain. MRI is more sensitive in dete...



Validity of the Child Facial Coding System for the Assessment of Acute Pain in Children With Cerebral Palsy

Wed, 16 Mar 2016 00:00:00 +0100

The purpose of the current study was to examine the concurrent and discriminant validity of the Child Facial Coding System for children with cerebral palsy. Eighty-five children (mean = 8.35 years, SD = 4.72 years) were videotaped during a passive joint stretch with their physiotherapist and during 3 time segments: baseline, passive joint stretch, and recovery. Children’s pain responses were rated from videotape using the Numerical Rating Scale and Child Facial Coding System. Results indicated that Child Facial Coding System scores during the passive joint stretch significantly correlated with Numerical Rating Scale scores (r = .72, P < .01). Child Facial Coding System scores were also significantly higher during the passive joint stretch than the baseline and recovery segments (P...



The Effects of the Severity of Periventricular Leukomalacia on the Neuropsychological Outcomes of Preterm Children

Wed, 16 Mar 2016 00:00:00 +0100

This study investigates the developmental outcomes of preterm children according to severity of periventricular leukomalacia. One hundred preterm children with periventricular leukomalacia evident on brain magnetic resonance imaging and who had undergone neuropsychologic evaluation were selected. Intellectual disability was noted in 27.8% of the children with mild periventricular leukomalacia, 53.2% with moderate periventricular leukomalacia, and 77.1% with severe periventricular leukomalacia. The rates of major neurodevelopmental impairments such as cerebral palsy or intellectual disability were related to the severity of periventricular leukomalacia but not to gestational age or epilepsy. There were significant differences in the intelligence quotient (IQ) and social maturity quotient be...



Higher Levels of Caregiver Strain Perceived by Indian Mothers of Children and Young Adults with Cerebral Palsy Who have Limited Self-Mobility.

Wed, 16 Mar 2016 00:00:00 +0100

CONCLUSIONS: Physiotherapists and occupational therapists serving children and youth with CP are encouraged to partner with families to identify goals for ease of caregiving, activity, and participation at home and in the community. PMID: 26984713 [PubMed - as supplied by publisher] (Source: Physical Therapy)



Erratum to: Annual changes in radiographic indices of the spine in cerebral palsy patients

Tue, 15 Mar 2016 00:00:00 +0100

(Source: European Spine Journal)

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Planned Repeat Cesarean Section at Term and Adverse Childhood Health Outcomes: A Record-Linkage Study

Tue, 15 Mar 2016 00:00:00 +0100

Conclusions Birth by repeat CS, whether planned or unscheduled, was associated with an increased risk of hospitalisation with asthma but no difference in risk of obesity at age 5 y. Greater risk of death and learning disability following unscheduled repeat CS compared to VBAC may reflect complications during labour. Further research, including meta-analyses of studies of rarer outcomes (e.g., cerebral palsy), are needed to confirm whether such risks are similar between delivery groups. (Source: PLoS Medicine)



Growth during infancy and early childhood in children with cerebral palsy: a population‐based study

Tue, 15 Mar 2016 00:00:00 +0100

AimTo describe growth in infancy and early childhood in children with cerebral palsy (CP). MethodOne hundred and four children with CP born at minimum 36 weeks' gestation in 2002 to 2010 were included. Prospectively collected growth data were requested from public health clinics. We calculated standard deviation (SD) scores (z‐scores) for weight and height for 12 set age points for each child from birth to 5 years, and for head circumference from birth to 12 months. ResultsChildren with CP had normal growth in weight and height if they were born non‐small for gestational age (non‐SGA) or had mild motor impairments (i.e. Gross Motor Function Classification System [GMFCS] I–II), whereas children born SGA or with severe motor impairments (GMFCS III–V) had reduced growth (p<0.001)...



Performing mathematics activities with non-standard units of measurement using robots controlled via speech-generating devices: three case studies.

Tue, 15 Mar 2016 00:00:00 +0100

Conclusions Having access to both their SGD and a robot gave the students multiple ways to show their understanding of the measurement concepts. Though they could participate actively in the new mathematics activities, robot use is most appropriate in short tasks requiring reasonable operational skill. Implications for Rehabilitation Lego robots controlled via speech-generating devices (SGDs) can help students to engage in the mathematics pedagogy of performing hands-on activities while communicating about concepts. Students can "show what they know" using the Lego robots, and report and reflect on concepts using the SGD. Level 1 and Level 2 mathematics measurement activities have been adapted to be accomplished by the Lego robot. Other activities can likely be accomplished with similar ro...



Custom sizing of lower limb exoskeleton actuators using gait dynamic modelling of children with cerebral palsy.

Tue, 15 Mar 2016 00:00:00 +0100

This study provides the recommendations to support the design of actuators to normalize the movement of children with CP. PMID: 26980164 [PubMed - as supplied by publisher] (Source: Computer Methods in Biomechanics and Biomedical Engineering)



Impact of a short walking exercise on gait kinematics in children with cerebral palsy who walk in a crouch gait

Mon, 14 Mar 2016 00:00:00 +0100

Abstract (Source: Clinical Biomechanics)

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Factors associated with caregiver experience in families with a child with cerebral palsy.

Sun, 13 Mar 2016 09:40:02 +0100

CONCLUSION: Caregiver experience varied widely and is associated with a range of factors among families caring for a child with CP. Further research is needed to test whether interventions to minimize the areas of greatest stress could make a meaningful difference in family functioning. PMID: 26966802 [PubMed - in process] (Source: Journal of Pediatric Rehabilitation Medicine)



Factors influencing the evaluation and management of neuromuscular scoliosis: A review of the literature.

Sun, 13 Mar 2016 07:23:02 +0100

Authors: Roberts SB, Tsirikos AI Abstract Neuromuscular scoliosis (NMS) is the second most prevalent spinal deformity (after idiopathic scoliosis) and is usually first identified during early childhood. Cerebral palsy (CP) is the most common cause of NMS, followed by Duchenne muscular dystrophy (DMD). Progressive spinal deformity causes difficulty with daily care, walking and sitting, and can lead to back and rib pain, cardiac and pulmonary complications, altered seizure thresholds, and skin compromise. Early referral to specialist spinal services and early diagnosis of NMS is essential to ensure appropriate multidisciplinary patient management. The most important goals for patients are preservation of function, facilitation of daily care, and alleviation of pain. Non-operative man...



Quantitative evaluation for spasticity of calf muscle after botulinum toxin injection in patients with cerebral palsy: a pilot study

Sat, 12 Mar 2016 00:00:00 +0100

Cerebral palsy (CP) is the most common pediatric disease to cause motor disability. Two common symptoms in CP are spasticity and contracture. If this occurred in the ankle plantar flexors of children with CP, ... (Source: Journal of NeuroEngineering and Rehabilitation)



Serial 1- and 2-Dimensional Cerebral MRI Measurements in Full-Term Infants after Perinatal Asphyxia.

Sat, 12 Mar 2016 00:00:00 +0100

CONCLUSIONS: One- and 2-dimensional measurements for basal ganglia surface, BGT width and cerebellar width are associated with neurodevelopmental outcome at 18 months. PMID: 26968012 [PubMed - as supplied by publisher] (Source: Neonatology)



Long-Term Neurodevelopmental Outcome after Doxapram for Apnea of Prematurity.

Sat, 12 Mar 2016 00:00:00 +0100

CONCLUSIONS: This study suggests that doxapram is not associated with an increased risk of ND. These findings need to be confirmed or refuted by a large, well-designed, placebo-controlled randomized trial. PMID: 26967910 [PubMed - as supplied by publisher] (Source: Neonatology)

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Sociometric status and the attribution of intentions in a sample of adolescents with cerebral palsy.

Sat, 12 Mar 2016 00:00:00 +0100

Conclusions There were no significant results for the combined effect of CP and sociometric status on the development of hostile AI at age 15. However, knowing the risk incurred by children with CP of being socially rejected, attention should be paid in the rehabilitation process to opportunities for social participation to facilitate the development of social competence. Implications for Rehabilitation Level I or II cerebral palsy (CP) is a condition that affects not only motor abilities but also social competence in children. Sociometric status in a group tends to affect the development of the ability to interprete intentions of others during adolescence. Sociometric measures in the class of children with CP could be a useful tool in the rehabilitation process in order to better define s...



Parents’ experiences and needs regarding physical and occupational therapy for their young children with cerebral palsy

Fri, 11 Mar 2016 00:00:00 +0100

Conclusion This study suggests that various themes play a key role in the experiences and needs of parents of young children with CP. The identified themes provide important insights into how and why service providers might change their approach. Practice implications Becoming empowered is a dynamic process for parents, in which both parents and service providers play a role. Service providers should continually adapt their role to parents’ needs of information, communication and partnership, and they should support and facilitate parents in becoming empowered. For that, service providers should be educated on the process of parent empowerment, on ways to facilitate this process and on the importance of involving and interacting with parents. This allows families of young children with ...



Hunter’s story: Oh, the places he’ll go!

Thu, 10 Mar 2016 13:25:52 +0100

Hunter VanBrocklin is a kid on the go. The fearless fourth grader loves to hike on his family’s 20-acre property in Alfred, Maine, with his constant canine companion Wendy by his side. He trekked through national parks in the U.S. and Canada with his parents and sister in the summer of 2015. He’s even developed his own version of four-wheeling. Hunter is exceedingly mobile for a child who shouldn’t be walking, according to the experts. “When Hunter was a baby, he was slow to roll over and crawl and wasn’t walking,” recalls his mother Kelly VanBrocklin. His pediatrician referred Hunter to Dr. Gregory Melkonian, an orthopedist in the Boston Children’s Hospital Orthopedic Center and Cerebral Palsy Program, who diagnosed Hunter with cerebral palsy, just shy of his second birthday...



Tanzania: Fresh Initiative Helps Save Kids in Danger

Thu, 10 Mar 2016 10:04:01 +0100

[Daily News] Arusha -Arusha region has successfully implemented the Newborn Resuscitation Programme that has seen 16,928 babies who were in danger of death or getting cerebral palsy saved in two years. (Source: AllAfrica News: Pregnancy and Childbirth)



Observations From Below: Knight Rider's KITT

Thu, 10 Mar 2016 00:56:22 +0100

For most people, sixteen is a big birthday. Some teenagers get their first car and their license, because they've gone through the required driver's education course. This is one area where my disability has made me choose a different path. Like I've mentioned before, I had to have some of every type of Cerebral Palsy (CP). One of the things that is most difficult is probably something that most people don't think of. It's not the tight muscles that cause me some of the biggest problems, I can go to physical therapy and improve those, but there is one thing I've never been able to change at all. A lot of my reflexes are hyper, especially my startle reflex. When I was younger, some of my family thought it was fun to startle me and I was always good natured about it. I could see it coming a...

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Obstructive sleep apnea in children: update on the recognition, treatment and management of persistent disease.

Wed, 09 Mar 2016 08:02:02 +0100

Authors: Tan HL, Kheirandish-Gozal L, Gozal D Abstract Adenotonsillectomy (AT) is the recommended first-line treatment for pediatric obstructive sleep apnea (OSA) in children with adenotonsillar hypertrophy. It is now clearly established that AT results in improvement in the severity of OSA in most children. However, a significant number of OSA children undergoing AT exhibit residual persistent OSA post-surgery. Patients at increased risk of persistent OSA include those with severe disease at initial review, older or obese patients, children with underlying asthma or allergic rhinitis, and those who have concurrent underlying medical conditions, such as Trisomy 21, craniofacial syndromes or cerebral palsy. Here, we aim to highlight recent research findings into those who have persi...



An evaluation of psychometric properties of caregiver burden outcome measures used in caregivers of children with cerebral palsy: a systematic review protocol

Wed, 09 Mar 2016 00:00:00 +0100

Discussion The proposed systematic review will give an extensive review of the psychometrical properties of tools used to measure caregiver burden in caregivers of children with CP. We hope to identify tools that can be used to accurately screen for caregiver burden both in clinical setting and for research purposes. Systematic review registration PROSPERO CRD42015028026. (Source: Systematic Reviews)



An individual approach for optimizing ankle-foot orthoses to improve mobility in children with spastic cerebral palsy walking with excessive knee flexion

Wed, 09 Mar 2016 00:00:00 +0100

Children with Cerebral Palsy (CP) have a wide variety of motor impairments (e.g. spasticity and muscle weakness), often resulting in gait deviations, such as excessive knee flexion in stance. The gait pattern of children who walk with excessive knee flexion is prone to deteriorate, as it is associated with the development of knee flexion contractures[1] and elevated walking energy cost levels, reflecting poor gait efficiency[2]. Interventions in these children therefore primarily aim to reduce knee flexion to prevent deterioration, which could improve gait efficiency[3] and walking activity in daily life. (Source: Gait and Posture)



Effect of hippotherapy on motor proficiency and function in children with cerebral palsy who walk - Champagne D, Corriveau H, Dugas C.

Tue, 08 Mar 2016 12:34:25 +0100

AIMS: To evaluate the effects of hippotherapy on physical capacities of children with cerebral palsy. METHODS: Thirteen children (4-12 years old) with cerebral palsy classified in Gross Motor Function Classification System Level I or II were inclu... (Source: SafetyLit)



Treadmill Training with Virtual Reality Improves Gait, Balance, and Muscle Strength in Children with Cerebral Palsy.

Tue, 08 Mar 2016 11:02:02 +0100

In conclusion, VRTT programs are effective for improving gait, balance, muscular strength, and gross motor function in children with CP. PMID: 26947315 [PubMed - in process] (Source: The Tohoku Journal of Experimental Medicine)

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Are Gait Indices Sensitive Enough to Reflect the Effect of Ankle Foot Orthosis on Gait Impairment in Cerebral Palsy Diplegic Patients?

Tue, 08 Mar 2016 07:34:28 +0100

Conclusions: The use of AFO in diplegic CP children caused a statistically significant improvement in temporal and kinematic parameters. Interestingly, it was found that this improvement was not reflected by GGI, GDI, or GPS. These findings might suggest that gait indices, as outcome measures, may sometimes not reflect all the effects of specific interventions. Level of Evidence: Level III—retrospective study. (Source: Journal of Pediatric Orthopaedics)



A Preliminary Study to Assess Whether Spinal Fusion for Scoliosis Improves Carer-assessed Quality of Life for Children With GMFCS Level IV or V Cerebral Palsy

Tue, 08 Mar 2016 07:34:28 +0100

This study assesses whether scoliosis surgery improves carer-assessed QoL for children with severe CP. Methods: Retrospective review of 33 children (16 male:17 female) with GMFCS level IV/V CP and significant scoliosis. Fifteen underwent observational treatment during childhood, and 18 underwent surgery. Questionnaire and radiographic data were recorded over a 2-year period. The carer-completed Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD) questionnaire was used to assess QoL. Results: In the observational group, Cobb angle and pelvic obliquity increased from 46 (40 to 60) and 8 degrees (0 to 28) to 62 (42 to 94) and 12 degrees (1 to 35). Mean CPCHILD score decreased from 50 (30 to 69) to 48 (27 to 69) (P (Source: Journal of Pediatric Orthopaedics)



Infection as a Complication of Intrathecal Baclofen Treatment in Children With Cerebral Palsy

Tue, 08 Mar 2016 07:34:28 +0100

Conclusions: ITB in children with CP has a relatively low and manageable risk of infection. It is important to always consider infection as a complication with ITB because with prompt treatment the positive impact of ITB is still possible. It is safe to perform concurrent orthopaedic procedures with ITB procedures. Levels of evidence: Level III—therapeutic study. (Source: Journal of Pediatric Orthopaedics)



Evaluation of group versus individual physiotherapy following lower limb intra-muscular Botulinum Toxin-Type A injections for ambulant children with cerebral palsy: A single-blind randomized comparison trial

Mon, 07 Mar 2016 00:00:00 +0100

This study aimed to evaluate efficacy of group (GRP) versus individual (IND) physiotherapy rehabilitation following lower limb intramuscular injections of Botulinum Toxin-Type A (BoNT-A) for ambulant children with cerebral palsy (CP). Following lower limb BoNT-A injections, 34 children were randomly allocated to GRP (n =17; mean age 7y8m SD 2.0; 13 males; Gross Motor Function Classification System (GMFCS) I=5, II=8, III=4) or IND physiotherapy (n =17; mean age 8y7m SD 2.0; 11 males; GMFCS I=9, II=5, III=3). Primary outcomes were the Canadian Occupational Performance Measure (COPM) and Edinburgh Visual Gait Score (EVGS) assessed at baseline, 10 and 26 weeks post intervention. There were no baseline differences between groups. GRP intervention had greater, but not clinically meaningful, impr...



Does early communication mediate the relationship between motor ability and social function in children with cerebral palsy?

Mon, 07 Mar 2016 00:00:00 +0100

Conclusions and implication Early communication ability partially mediates the relationship between early motor ability and later social function in children with CP. This demonstrates the important role of early communication in ongoing social development. Early identification of communication delay and enriched language exposure is crucial in this population. (Source: Research in Developmental Disabilities)

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Silent and deadly: Abdominal catastrophe in the nonverbal adolescent patient

Sun, 06 Mar 2016 00:00:00 +0100

We present a case series of four adolescent males with communicative difficulties and abdominal pathology. We characterize a relatively short latency between recognized onset of symptoms and exploratory laparotomy, and suggest further investigation into early warning signs of impending disaster in this patient population. (Source: Journal of Pediatric Surgery Case Reports)



Nutrition and physical activity in people with cerebral palsy: opposite sides of the same coin

Sun, 06 Mar 2016 00:00:00 +0100

(Source: Developmental Medicine and Child Neurology)



Retrospective Descriptive Study of Cerebral Palsy in Nepal.

Sat, 05 Mar 2016 00:00:00 +0100

Authors: Thapa R Abstract There is very little data pertaining to cerebral palsy (CP) from Nepal. In this retrospective study it was observed that dyskinetic CP was seen in 29 % and the sex ratio of males to females was two in the study population of children with CP. Both of these are much higher than data from developed countries. Hence, further randomized cross-sectional community based study is recommended to enquire into this pattern. Data regarding early identification was encouraging as majority of the cases (56 %) were diagnosed before 4 years of age. There is a stark necessity of early screening and rehabilitation program with provision for follow-up for the affected children, which must also be accessible to the disadvantaged and marginalized groups in Nepal. PMID:...



VIDEO: Cerebral palsy operation 'life-changing'

Fri, 04 Mar 2016 12:29:45 +0100

The parents of twins with cerebral palsy are calling for the NHS to make a "truly life-changing" operation available to everyone with the condition. (Source: BBC News | Health | UK Edition)



Time dependent impact of perinatal hypoxia on growth hormone, insulin-like growth factor 1 and insulin-like growth factor binding protein-3

Fri, 04 Mar 2016 00:00:00 +0100

Abstract Hypoxic-ischemia (HI) is a widely used animal model to mimic the preterm or perinatal sublethal hypoxia, including hypoxic-ischemic encephalopathy. It causes diffuse neurodegeneration in the brain and results in mental retardation, hyperactivity, cerebral palsy, epilepsy and neuroendocrine disturbances. Herein, we examined acute and subacute correlations between neuronal degeneration and serum growth factor changes, including growth hormone (GH), insulin-like growth factor 1 (IGF-1) and insulin-like growth factor binding protein-3 (IGFBP-3) after hypoxic-ischemia (HI) in neonatal rats. In the acute phase of hypoxia, brain volume was increased significantly as compared with control animals, which was associated with reduced GH and IGF-1 secretions. Reduced neuronal surviva...

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




The effect of intrathecal baclofen treatment on activities of daily life in children and young adults with cerebral palsy and progressive neurological disorders.

Thu, 03 Mar 2016 00:00:00 +0100

DISCUSSION: This is the first study to show that ITB treatment has similar effects on personal care and communication in stable and progressive neurological disease. The decrease in mobility in the PND group is likely due to the progressive nature of the disease. The different effect on comfort between groups is mainly due to the smaller effect on startles in the PND group. PMID: 26995704 [PubMed - as supplied by publisher] (Source: European Journal of Paediatric Neurology)



Neonatal Magnesium Levels Between 24 and 48 Hours of Life and Outcomes for Epilepsy and Motor Impairment in Premature Infants

Wed, 02 Mar 2016 00:00:00 +0100

Elevated rates of epilepsy and motor impairments including cerebral palsy are seen in children who were born prematurely. Maternal antenatal magnesium supplementation has been associated with decreased rates of cerebral palsy in infants born prematurely. Our objective was to determine whether the neonatal serum magnesium level between 24 and 48 hours following birth is associated with better long-term neurodevelopmental outcomes (epilepsy, motor impairment) in premature infants. (Source: Pediatric Neurology)



Comparison of psychomotor outcome in patients with perinatal asphyxia with versus without therapeutic hypothermia at 4 years using the Ages and Stages Questionnaire screening tool.

Wed, 02 Mar 2016 00:00:00 +0100

CONCLUSION: In this study patients treated with hypothermia tend to have a better neurodevelopmental outcome. No significant differences were found between the two groups, apart from the fine motor skills. PMID: 26970946 [PubMed - as supplied by publisher] (Source: European Journal of Paediatric Neurology)



Thorax and pelvis kinematics during walking, a comparison between children with and without cerebral palsy: A systematic review.

Tue, 01 Mar 2016 16:37:02 +0100

CONCLUSION: In general, children with bilateral CP showed larger movement amplitudes of the trunk compared to children without CP. This increase in movement amplitudes could influence the dynamic stability of the body during walking. In children with unilateral CP, the results were less obvious and further research on this topic is required. PMID: 26923354 [PubMed - as supplied by publisher] (Source: NeuroRehabilitation)



The effects of virtual reality based bilateral arm training on hemiplegic children's upper limb motor skills.

Tue, 01 Mar 2016 16:37:02 +0100

CONCLUSION: This study confirmed that for children with hemiplegic with cerebral palsy, bilateral arm training based on virtual reality can be an effective intervention method for enhancing the upper limb motor skills on the affected side, as well as bilateral coordination ability. PMID: 26923353 [PubMed - as supplied by publisher] (Source: NeuroRehabilitation)

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Effect of Hippotherapy on Motor Proficiency and Function in Children with Cerebral Palsy Who Walk.

Tue, 01 Mar 2016 00:00:00 +0100

CONCLUSIONS: Hippotherapy provided by a trained therapist who applies an intense and graded session for 10 weeks can improve body functions and performance of gross motor and fine motor activities in children with cerebral palsy. PMID: 26930110 [PubMed - as supplied by publisher] (Source: Physical Therapy)



Sleep positioning systems for children with cerebral palsy

Thu, 25 Feb 2016 16:08:42 +0100

Sleep positioning systems can be prescribed for children with cerebral palsy to help reduce or prevent hip migration, provide comfort to ease pain and/or improve sleep. As sleep disturbance is common in children with developmental disabilities, with impact on their carers' sleep, and as sleep positioning systems can be expensive, guidance is needed to support decisions as to their use (Source: Current Awareness Service for Health (CASH))



Relations between muscle endurance and subjectively reported fatigue, walking capacity, and participation in mildly affected adolescents with cerebral palsy

Thu, 25 Feb 2016 07:08:03 +0100

AimTo investigate the relation between muscle endurance and subjectively reported fatigue, walking capacity, and participation in mildly affected adolescents with cerebral palsy (CP) and peers with typical development. MethodIn this case–control study, knee extensor muscle endurance was estimated from individual load–endurance curves as the load corresponding to a 15‐repetition maximum in 17 adolescents with spastic CP (six males, 11 females; age 12–19y) and 18 adolescents with typical development (eight males, 10 females; age 13–19y). Questionnaires were used to assess subjectively reported fatigue (Pediatric Quality of Life Inventory Multidimensional Fatigue Scale) and participation (Life‐Habits questionnaire). Walking capacity was assessed using the 6‐minute walk test. Rel...



Towards compliant and wearable robotic orthoses: A review of current and emerging actuator technologies

Thu, 25 Feb 2016 00:00:00 +0100

Many people, including around 2% of adult New Zealanders, have a physical disability such as stroke, cerebral palsy, or a spinal cord injury and could benefit from rehabilitation [1–4]. However, effective rehabilitation requires long, intense, frequent, and task-based therapy sessions [5–7]. The cost and limited availability of therapists often prevent these requirements from being met to a satisfactory level [8]. The result is that people with physical disabilities do not receive optimal healthcare, limiting the quality of their everyday lives. (Source: Medical Engineering and Physics)



Neurological sequelae of healthcare-associated sepsis in very-low-birthweight infants: Umbrella review and evidence-based outcome tree

Thu, 25 Feb 2016 00:00:00 +0100

Sepsis is a frequent cause of death in very-low-birthweight infants and often results in neurological impairment. Its attributable risk of sequelae has not been systematically assessed. To establish an outcome tree for mapping the burden of neonatal sepsis, we performed systematic literature searches to identify systematic reviews addressing sequelae of neonatal sepsis. We included cohort studies and performed meta-analyses of attributable risks. Evidence quality was assessed using GRADE. Two systematic reviews met inclusion criteria. The first included nine cohort studies with 5,620 participants and five outcomes (neurodevelopmental impairment, cerebral palsy, vision impairment, hearing impairment, death). Pooled risk differences varied between 4% (95% confidence interval (CI):2-10) and 1...

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Coactivation During Dynamometry Testing in Adolescents With Spastic Cerebral Palsy.

Thu, 25 Feb 2016 00:00:00 +0100

CONCLUSION: Co-activation was higher in adolescents with CP classified in GMFCS-II than TD adolescents and those in GMFCS-I, at different load levels. Within all groups, co- activation was independent of load level and fatigue. In individuals with CP, co-activation can lead to an underestimation of agonist muscle strength, which should be taken into account while interpreting both maximal and submaximal dynamometer tests. PMID: 26916928 [PubMed - as supplied by publisher] (Source: Physical Therapy)



Neurological sequelae of healthcare-associated sepsis in very-low-birthweight infants: Umbrella review and evidence-based outcome tree.

Thu, 25 Feb 2016 00:00:00 +0100

Authors: Haller S, Deindl P, Cassini A, Suetens C, Zingg W, Abu Sin M, Velasco E, Weiss B, Ducomble T, Sixtensson M, Eckmanns T, Harder T Abstract Sepsis is a frequent cause of death in very-low-birthweight infants and often results in neurological impairment. Its attributable risk of sequelae has not been systematically assessed. To establish an outcome tree for mapping the burden of neonatal sepsis, we performed systematic literature searches to identify systematic reviews addressing sequelae of neonatal sepsis. We included cohort studies and performed meta-analyses of attributable risks. Evidence quality was assessed using GRADE. Two systematic reviews met inclusion criteria. The first included nine cohort studies with 5,620 participants and five outcomes (neurodevelopmental imp...



Antecedents of cerebral palsy according to severity of motor impairment

Wed, 24 Feb 2016 05:20:51 +0100

ConclusionsOur results suggest a variation in antecedents associated with cerebral palsy, related to severity of motor impairment. Timing of antecedents corresponded to neuroimaging patterns.This article is protected by copyright. All rights reserved. (Source: Acta Obstetricia et Gynecologica Scandinavica)



Integrative Review of Genetic Factors Influencing Neurodevelopmental Outcomes in Preterm Infants

Wed, 24 Feb 2016 00:00:00 +0100

Preterm infants are at elevated risk for a host of neurodevelopmental problems, including disorders that appear later in life. Gene–environment interactions and prematurity may combine to increase the risk for poor neurodevelopmental outcomes. Increasing evidence supports a genetic link to risk for atypical development; however, no genomic risk profiles are currently used for infants without apparent genetic disorders. The purpose of this review was to synthesize recent evidence of genetic associations with atypical neurodevelopmental outcomes that may affect preterm infants who do not have a rare genetic disease. Electronic and hand-search strategies were used to find relevant articles that were English-language, peer-reviewed primary research or meta-analysis reports published betw...



The Inspiring Way This 9-Year-Old With Cerebral Palsy Is Helping Kids With Disabilities

Mon, 22 Feb 2016 22:20:34 +0100

A 9-year-old British boy with cerebral palsy is showing the world that disabilities don't have to prevent kids from pursuing their athletic dreams. Bailey Matthews, who inspired millions last year with his triumphant finish at the Castle Howard Triathlon, decided to pay it forward by creating a triathlon that allows all kids to compete. Scheduled for July 17 in the U.K., the event is called The Be More Bailey Triathlon and will feature a 50-meter swim, 2.5 kilometer bike ride and 750 meter footrace.  "It isn't a triathlon just for children with disabilities -- it is for every child," Matthews told ABC News. Event organizer Dean Jackson added that there will be no timing component so that participants can go at their own pace. "[I]t's purely based on participation, excitemen...

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Botulinum Toxin Treatment for Limb Spasticity in Childhood Cerebral Palsy

Sat, 20 Feb 2016 00:00:00 +0100

Vito Pavone, Gianluca Testa, Domenico A. Restivo, Luca Cannavò, Giuseppe Condorelli, Nicola M. Portinaro, Giuseppe Sessa (Source: Frontiers in Pharmacology)



Home-based versus laboratory-based robotic ankle training for children with cerebral palsy: A pilot randomized comparative trial

Sat, 20 Feb 2016 00:00:00 +0100

To examine the outcomes of a home-based robotic rehabilitation and compare it to a laboratory-based robotic rehabilitation for the treatment of impaired ankles in children with cerebral palsy (Source: Archives of Physical Medicine and Rehabilitation)



Adequately Dosed Autologous Cord Blood Infusion Is Associated with Motor Improvement in Children with Cerebral Palsy

Fri, 19 Feb 2016 10:35:24 +0100

Cerebral palsy (CP) is caused by injury to the developing brain, often via stroke, hypoxia or hemorrhage. Current treatments are supportive only. Umbilical cord blood (CB) prevents neurologic damage in children withleukodystrophies and improves motor function in animal models of brain injury and CP. We conducted a randomized trial to assess the efficacy of autologous CB infusion in young children with CP. (Source: Biology of Blood and Marrow Transplantation)



The Effect of Ankle-Foot Orthoses on Community-Based Walking in Cerebral Palsy: A Clinical Pilot Study.

Fri, 19 Feb 2016 00:00:00 +0100

CONCLUSIONS: Clinically prescribed AFO/footwear did not consistently enhance walking activity levels or intensity. Larger studies are warranted. PMID: 26901534 [PubMed - as supplied by publisher] (Source: Physical Therapy)



Clinical outcomes of botulinum toxin injection in patients with cerebral palsy and esotropia.

Thu, 18 Feb 2016 02:42:03 +0100

CONCLUSION: Botulinum toxin injection is reasonably less invasive with light anesthesia, scar free, and a therapeutic alternative for the patient with esotropia and CP. Therefore, it can provide more possible surgical options in future. PMID: 25789846 [PubMed - in process] (Source: Strabismus)

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Severe Neonatal Anaemia, MRI Findings and Neurodevelopmental Outcome.

Thu, 18 Feb 2016 00:00:00 +0100

CONCLUSION: Early neurodevelopmental outcome in surviving patients with severe neonatal anaemia was within the normal range in the majority of the survivors. MRI showed mild-to-moderate white matter injury in two thirds of the infants. Prospectively collected data with a longer follow-up period are needed. PMID: 26886231 [PubMed - as supplied by publisher] (Source: Neonatology)



Severe non-infective systemic inflammatory response syndrome, shock, and end-organ dysfunction after zoledronic acid administration in a child

Thu, 18 Feb 2016 00:00:00 +0100

Conclusion Our case highlights the importance of careful monitoring of children following zoledronic acid therapy. We recommend inpatient observation after an initial infusion of zoledronic acid in medically complex children. Children and their parents should be thoroughly counseled on the potential risks of bisphosphonate treatment, which can sometimes be severe and life threatening. (Source: Osteoporosis International)



Obstacle Crossing During Gait in Children With Cerebral Palsy: A Cross-Sectional Study With Kinematic Analysis of Dynamic Balance and Trunk Control.

Thu, 18 Feb 2016 00:00:00 +0100

CONCLUSIONS: Children with CP required greater adjustments at the trunk and pelvis to achieve successful obstacle crossing. The increase in trunk movement could be compensatory for reduced stability distally, or a primary problem reflecting poor proximal control. The findings suggest that rehabilitation should focus both on proximal trunk control and distal stability to improve balance. PMID: 26893506 [PubMed - as supplied by publisher] (Source: Physical Therapy)



A Quantitative Summary of The Listening Program (TLP) Efficacy Studies: What Areas Were Found to Improve by TLP Intervention?

Wed, 17 Feb 2016 00:00:00 +0100

Abstract A quantitative summary of existing research examining the effects of The Listening Program (TLP) on various functions in children is presented. Nine studies were used, looking at TLP intervention effects across studies, within each study and for various outcome measures. The studies looked at TLP intervention on children with autism spectrum disorder, Down syndrome, learning disabilities, auditory processing disorders, attention deficit hyperactivity disorders, Rhett syndrome, dyspraxia, cerebral palsy, fibromyalgia, arthritis and stroke. The magnitude of the TLP effect size revealed a mean value of 0.41 across all studies. For each individual study, effect size ranged from 0.23 to 1.28. Two studies yielded significantly larger effect size than the other studies. One of these stud...



Mother of cerebral palsy sufferer Jacob Baird launches a fundraising appeal for US surgery

Tue, 16 Feb 2016 11:07:32 +0100

Nikki Baird, 39, from Weston-super-Mare, said she was left devastated when Jacob was diagnosed with the condition - and says the surgery in the US is her family's only hope. (Source: the Mail online | Health)

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Mother of boy, 2, with cerebral palsy who 'will never walk' launches a fundraising appeal for £65,000 to take him to the US for surgery

Tue, 16 Feb 2016 07:39:36 +0100

Nikki Baird, 39, from Weston-super-Mare, said she was left devastated when Jacob was diagnosed with the condition - and says the surgery in the US is her family's only hope. (Source: the Mail online | Health)



Association Between Chronic Aspiration and Chronic Airway Infection with Pseudomonas aeruginosa and Other Gram-Negative Bacteria in Children with Cerebral Palsy

Tue, 16 Feb 2016 00:00:00 +0100

Conclusion Colonization with P. aeruginosa and other Gram-negative organisms in children with CP is associated with increased morbidity, prolonged hospitalization, and severity of pneumonia including need for PICU admission and intervention. Further research is required to determine causality, the role of antimicrobials active against Gram negative in pneumonia treatment, and the role of GNB eradication therapy in children with CP. (Source: Lung)



Pain in Children and Adolescents with Cerebral Palsy A Population Based Registry Study

Tue, 16 Feb 2016 00:00:00 +0100

ConclusionOur results showed that although a lower prevalence than in many other studies, pain constituted a significant problem in children and adolescents with CP.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)



A randomized controlled trial of web‐based training to increase activity in children with cerebral palsy

Mon, 15 Feb 2016 00:00:00 +0100

AimTo determine the efficacy of web‐based training on activity capacity and performance in children with unilateral cerebral palsy (CP). MethodIn a matched‐pairs randomized waitlist controlled trial, independently ambulant children and adolescents with unilateral CP were allocated to receive 30 minutes of training (intervention) 6 days per week, or usual care (waitlist control) for 20 weeks. Activity capacity was assessed using maximal repetitions of functional strength tasks and 6‐minute walk test (6MWT); performance using 4‐day ActiGraph GT3X+ accelerometer records at baseline and 20 weeks. Data were analysed by intention to treat comparing between groups using hierarchical linear modelling. ResultsParticipants were n=101, 52 males, mean age 11 years 3 months (SD 2y 4mo). Interve...



Health-Related Quality of Life in Children and Adolescents with Cerebral Palsy: A Secondary Analysis of the DISABKIDS Questionnaire in the Field-Study Cerebral Palsy Subgroup

Mon, 15 Feb 2016 00:00:00 +0100

Conclusions The DCGM-37 and CPM were able to differentiate between patients with different levels of impairment and can be recommended for treatment evaluation and group comparison in clinical studies of children and adolescents with CP.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Neuropediatrics)

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Determinants of participation in family and recreational activities of young children with cerebral palsy.

Mon, 15 Feb 2016 00:00:00 +0100

Conclusion Supporting children's adaptive behaviour, family ecology, and access to community recreational programmes may foster participation in family and recreational activities for young children with CP. Implications for Rehabilitation Participation in family and recreational activities for young children with CP is complex and influenced by child, family and environmental factors. Practitioners are encouraged to support children's adaptive behaviour and access to community programs and family relationships, involvement in community activities and expectations of their children. Optimizing gross motor function for children who have limitations in self-mobility may enhance their participation in family and recreational activities. For children with a good prognosis for walking, providin...



Parental stress in families of children with a genetic disorder/disability and the resiliency model of family stress, adjustment, and adaptation.

Sun, 14 Feb 2016 19:09:04 +0100

This study sought to model parental stress using the McCubbin and McCubbin (1993) Resiliency Model of Stress, Adjustment, and Adaptation using qualitative and quantitative data collected sequentially. Twenty-five parents of children with autism spectrum disorder, cerebral palsy, Down syndrome, and sickle cell disease participated in a 2-step study that encompassed qualitative followed by quantitative data ascertainment. RESULTS: Parents who quantitatively experienced high stress or low stress used different behavioral themes to describe their experience qualitatively. Positive appraisals, resources, and ability to engage in problem solving and coping were associated with family resiliency. PMID: 22250965 [PubMed - indexed for MEDLINE] (Source: Issues in Comprehensive Pediatric Nurs...



Kinematic Characteristics of Speaking Rate in Individuals with Cerebral Palsy: A Preliminary Study.

Sat, 13 Feb 2016 14:04:02 +0100

Authors: Nip IS Abstract Many individuals with cerebral palsy (CP) have a slower speaking rate compared with their typically developing peers. Previous studies examining age-related changes in speaking rate in typical development suggest that (1) cognitive and linguistic processing increases account for most of these changes, and (2) changes to linguistic task demands affect the articulatory strategies used to produce the target stimuli (e.g., truncating movements for tasks with fewer linguistic demands). The purpose of this study was to determine the relations between linguistic and physiologic factors in individuals with CP to better understand how the pathophysiology of CP affects speech production in these individuals. Four participants with CP and 38 age-matched peers were ask...



Relationship Between Prosody and Intelligibility in Children with Dysarthria.

Sat, 13 Feb 2016 14:04:02 +0100

Authors: Patel R, Hustad KC, Connaghan KP, Furr W Abstract Exaggerated and redundant prosodic cue use has been noted among adults with dysarthria secondary to cerebral palsy (CP) (Patel, 2004; van Doorn & Sheard, 2001). A possible explanation may be that speakers heighten prosodic contrasts to increase intelligibility. The current work examined whether children with dysarthria due to CP also produce exaggerated prosodic contours and if so, how prosodic cue use in these speakers impacts intelligibility. Acoustic analyses were conducted on a previously collected dataset of 2-7 word utterances produced by fourteen children with CP (7 with dysarthria and 7 without) (Hustad, Gorton & Lee, 2010). The dataset also included sentence-level transcriptions obtained from five listeners...



Contributors to Intelligibility in Preschool- Aged Children with Cerebral Palsy.

Sat, 13 Feb 2016 14:04:02 +0100

CONCLUSIONS: Of children with CP who were able to talk at 30-36 months of age, 60% had clinical speech or language deficits. Production of vowels appears to make an important contribution to intelligibility; and for many children with CP, considerable deficits in intelligibility may be evident by the age of 3. Early interventions targeting both speech and language may improve intelligibility and functional communication skills. PMID: 25614727 [PubMed - as supplied by publisher] (Source: Journal of Medical Speech - Language Pathology)

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Early Feeding Abilities in Children with Cerebral Palsy: A Parental Report Study.

Sat, 13 Feb 2016 14:04:02 +0100

CONCLUSIONS: Children with and without oral-motor involvement initially presented with similar feeding difficulties. However, feeding problems appeared to resolve to a greater extent in children without oral-motor involvement. The difficulties identified early in life, for children with oral-motor involvement, appeared to persist with development. PMID: 20046974 [PubMed - as supplied by publisher] (Source: Journal of Medical Speech - Language Pathology)



Cerebral palsy in adult patients: constraint-induced movement therapy is effective to reverse the nonuse of the affected upper limb

Sat, 13 Feb 2016 07:23:41 +0100

Conclusion The constraint-induced movement therapy is effective to reverse the nonuse learn of the AUL in adult patients with CP.RESUMO Objetivo Determinar se o protocolo original da Terapia por Contensão Induzida (TCI), é adequado para reverter o não uso do membro superior afetado (MSA) em pacientes com Paralisia Cerebral (PC) na fase adulta. Método Foram incluídos no estudo 10 pacientes com diagnóstico de PC hemiparéticos que haviam realizado o protocolo adulto da TCI, no período de janeiro/2009 a agosto/2014. Resultados Média de idade 24,6 (DP 9,44); MAL média pré-tratamento Quantidade (QT) = 0,72 e Qualidade (QL) = 0,68 e no pós-tratamento QT = 3,77 e QL = 3,60 (p ≤ 0,001) e WMFT média pré-tratamento = 21,03 e média pós-tratamento = 18,91 (p = 0,350). Conclusão A ter...



Wheelchair Turns Boy With Cerebral Palsy Into Skate Park Superstar

Fri, 12 Feb 2016 21:19:47 +0100

One boy won’t let his chair put a spoke in his wheels. A video of a boy shredding the bowl at a Sacramento, California, skate park with a little help from Dad is going viral. After just one viewing, you can totally understand why. The look of pure joy on 8-year-old Atticus Edmunds’ face is enough to make anyone smile. "That was great!" he gleefully cried as his dad, Jared Edmunds, pushes him up and down ramps. "That was fantastic! That was crazy!" Tresa Edmunds, Atticus’ mom, who blogs about her family, their health issues and creative solutions at ReeseDixon.com, is the one who recorded and uploaded the video to her YouTube channel. She says she is absolutely delighted that the video has gone viral. “It's so exciting for me, because as his mom -- as his advocate -...



Walking-induced muscle fatigue impairs postural control in adolescents with unilateral spastic cerebral palsy

Fri, 12 Feb 2016 00:00:00 +0100

Conclusions Unlike TD adolescents, treadmill walking for 15min at their preferred speed lead to significant knee extensor strength losses and impairments in postural control in adolescents with unilateral spastic CP. (Source: Research in Developmental Disabilities)



Family quality of life among families with a child who has a severe neurodevelopmental disability: Impact of family and child socio-demographic factors

Fri, 12 Feb 2016 00:00:00 +0100

Publication date: June–July 2016 Source:Research in Developmental Disabilities, Volumes 53–54 Author(s): Mitchell Schertz, Yael Karni-Visel, Ada Tamir, Jacob Genizi, Dana Roth We aimed to examine family quality of life (FQOL) of Northern Israeli families having a child with a severe neurodevelopmental disability and its relation to socio-demographics. The cohort included caregivers of 70 children ages (mean±standard deviation) 5.36±3.53 years. Families were two-parent (85.7%), lived in the periphery (67.1%) and included Jews (60%), Muslims (18.6%), Druze (14.3%) and Christians (7.1%). Religiosity included: secular (38.6%), traditional (31.4%), religious (30%). Children's diagnosis included autistic spectrum disorder (41.4%), intellectual disability (21.4%), cerebral palsy (17....

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Dynamic modulation of rTMS on functional connectivity and functional network connectivity to children with cerebral palsy: a case report

Thu, 11 Feb 2016 18:21:13 +0100

This report describes the modulation effect of rTMS to functional connectivity, functional network connectivity, motor, and cognitive ability following treatment in a child with mild ataxia CP. After receiving 8 months of 0.5 Hz rTMS treatment over the right dorsolateral prefrontal cortex, the child showed a gradual improvement in motor and cognitive-related functional connectivity and functional network connectivity following treatment as well as improved motor, cognitive functions. These pilot results provide the first evidence of the efficiency of 0.5 Hz of rTMS on a child with CP. Further large sample studies are needed to verify and expand the present findings. (Source: NeuroReport)



Lateralization differences in hand and leg motor representations in patients with cerebral palsy

Thu, 11 Feb 2016 06:19:59 +0100

To localize and compare paretic hand and leg motor representations in CP patients with hemiparesis. (Source: Clinical Neurophysiology)



Botulinum Toxin Treatment of Autonomic Disorders: Focal Hyperhidrosis and Sialorrhea

Thu, 11 Feb 2016 00:00:00 +0100

Semin Neurol 2016; 36: 020-028DOI: 10.1055/s-0035-1571214Primary focal hyperhidrosis is a common autonomic disorder that significantly impacts quality of life. It is characterized by excessive sweating confined to circumscribed areas, such as the axillae, palms, soles, and face. Less frequent types of focal hyperhidrosis secondary to underlying causes include gustatory sweating in Frey's syndrome and compensatory sweating in Ross' syndrome and after sympathectomy. Approval of onabotulinumtoxinA for severe primary axillary hyperhidrosis in 2004 has revolutionized the treatment of this indication. Meanwhile further type A botulinum neurotoxins like abobotulinumtoxinA and incobotulinumtoxinA, as well as the type B botulinum neurotoxin rimabotulinumtoxinB are successfully used off-label for ax...



Botulinum Toxin Treatment of Spasticity in Adults and Children

Thu, 11 Feb 2016 00:00:00 +0100

Semin Neurol 2016; 36: 064-072DOI: 10.1055/s-0036-1571847Spasticity is a frequent symptom in stroke, multiple sclerosis, cerebral or spinal trauma, and cerebral palsy that affects and disables a large number of adults and children. In this review, we discuss the pathophysiology and nonpharmacologic and pharmacologic treatments of spasticity with emphasis on the role of botulinum neurotoxins (BoNTs). The world literature is reviewed on double-blind and placebo-controlled clinical trials reporting safety and efficacy of BoNT treatment in adult spasticity and spasticity of children with cerebral palsy. The evidence for efficacy is presented from recommendations of the Assessment and Therapeutics subcommittee of the American Academy of Neurology. A technical section describes the techniques an...



Benefits and Enjoyment of a Swimming Intervention for Youth With Cerebral Palsy: An RCT Study.

Thu, 11 Feb 2016 00:00:00 +0100

CONCLUSION: We recommend a swimming program for youth with CP to complement a physical therapy program. PMID: 26871379 [PubMed - as supplied by publisher] (Source: Physical Therapy)

MedWorm Sponsor Message: Directory of the best January Sales in the UK. Find the best Christmas presents too.




Current Rehabilitation Practices for Children with Cerebral Palsy: Focus and Gaps.

Thu, 11 Feb 2016 00:00:00 +0100

CONCLUSIONS: While body functions and structure are well-addressed, other ICF elements, specifically participation, are poorly integrated into practice. The emerging focus on the environment in therapy intervention, by modifying the context rather than changing aspects of the child, is consistent with current approaches and evidence. Knowledge translation implementation initiatives are recommended to bridge identified gaps. PMID: 26865220 [PubMed - as supplied by publisher] (Source: Physical Therapy)



Consensus Planning Toward a Community-Based Approach to Promote Physical Activity in Youth with Cerebral Palsy.

Thu, 11 Feb 2016 00:00:00 +0100

CONCLUSIONS: The 24 elements established characterize the key concepts that families and community stakeholders value when developing physical activity programs for youth with CP. When incorporated into clinical practice, each of the elements may be used to evaluate key aspects of outcome for individuals with CP. PMID: 26865106 [PubMed - as supplied by publisher] (Source: Physical Therapy)



Prognostic factors for cerebral palsy and motor impairment in children born very preterm or very low birthweight: a systematic review

Wed, 10 Feb 2016 00:00:00 +0100

AimThere is a large literature reporting risk factor analyses for poor neurodevelopment in children born very preterm (VPT: ≤32wks) or very low birthweight (VLBW: ≤1250g), which to date has not been formally summarized. The aim of this paper was to identify prognostic factors for cerebral palsy (CP) and motor impairment in children born VPT/VLBW. MethodA systematic review was conducted using Medline, Embase, and Pyscinfo databases to identify studies published between 1 January 1990 and 1 June 2014 reporting multivariable prediction models for poor neurodevelopment in VPT/VLBW children (registration number CRD42014006943). Twenty‐eight studies for motor outcomes were identified. ResultsThere was strong evidence that intraventricular haemorrhage and periventricular leukomalacia, and s...



Review of Therapeutic Interventions for the Upper Limb Classified by Manual Ability in Children with Cerebral Palsy

Wed, 10 Feb 2016 00:00:00 +0100

Seminars in Plastic Surgery 2016; 30: 014-023DOI: 10.1055/s-0035-1571256The aim of this literature review was to assemble an inventory of intervention strategies utilized for children diagnosed with cerebral palsy (CP) based on the Manual Ability Classification System (MACS). The purpose of the inventory is to guide physicians and therapists in intervention selection aimed at improving upper limb function in children with CP. The following databases were searched: CINAHL (Cumulative Index to Nursing and Allied Health Literature), Cochrane Database of Systematic Reviews, ERIC (Educational Research Information Center), Google Scholar, OTSeeker (Occupational Therapy Systematic Evaluation of Evidence), OVID (Ovid Technologies, Inc.), and PubMed. Inclusion criteria were whether the study (1) id...