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Cerebral Palsy: An Overview

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Abstract

Cerebral palsy (CP) is a neurodevelopmental disorder characterized by abnormalities of muscle tone, movement and motor skills, and is attributed to injury to the developing brain. The clinical features of this entity evolve over time and the specific CP syndrome may be recognizable only after 3–5 y of age; although suggestive signs and symptoms may be present at an earlier age. The management involves neurological rehabilitation (addressing muscle tonal abnormalities, and devising physical and occupational therapies) and diagnosis and management of co-morbidities (including epilepsy, impairment of cognition, vision, hearing, and disturbances of growth and gastrointestinal function). The management, therefore, is multidisciplinary involving the treating physician working with a team of rehabilitation-, orthopedic-, psychologic-, and social care- providers.

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References

  1. Aisen ML, Kerkovich D, Mast J, et al. Cerebral palsy: clinical care and neurological rehabilitation. Lancet Neurol. 2011;10:844–52.

    Article  Google Scholar 

  2. The Definition and Classification of Cerebral Palsy. Dev Med Child Neurol. 2007;49:1–44.

  3. Van Naarden BK, Doernberg N, Schieve L, Christensen D, Goodman A, Yeargin-Allsopp M. Birth prevalence of cerebral palsy: a population-based study. Pediatrics. 2016;137. https://doi.org/10.1542/peds.2015-2872.

    Article  Google Scholar 

  4. Sewell MD, Eastwood DM, Wimalasundera N. Managing common symptoms of cerebral palsy in children. BMJ. 2014;349:g5474.

    Article  Google Scholar 

  5. Noritz GH, Murphy NA, Neuromotor Screening Expert Panel. Motor delays: early identification and evaluation. Pediatrics. 2013;131:e2016–27.

    Article  Google Scholar 

  6. Cooper J, Majnemer A, Rosenblatt B, Birnbaum R. The determination of sensory deficits in children with hemiplegic cerebral palsy. J Child Neurol. 1995;10:300–9.

    Article  CAS  Google Scholar 

  7. Novak I, Hines M, Goldsmith S, Barclay R. Clinical prognostic messages from a systematic review on cerebral palsy. Pediatrics. 2012;130:e1285–312.

    Article  Google Scholar 

  8. Gorter JW, Ketelaar M, Rosenbaum P, Helders PJ, Palisano R. Use of the GMFCS in infants with CP: the need for reclassification at age 2 years or older. Dev Med Child Neurol. 2009;51:46–52.

    Article  Google Scholar 

  9. Novak I, McIntyre S, Morgan C, et al. A systematic review of interventions for children with cerebral palsy: state of the evidence. Dev Med Child Neurol. 2013;55:885–910.

    Article  Google Scholar 

  10. Tilton A. Management of spasticity in children with cerebral palsy. Semin Pediatr Neurol. 2009;16:82–9.

    Article  Google Scholar 

  11. Tickner N, Apps JR, Keady S, Sutcliffe AG. An overview of drug therapies used in the treatment of dystonia and spasticity in children. Arch Dis Child Educ Pract Ed. 2012;97:230–5.

    Article  Google Scholar 

  12. Simpson DM, Gracies JM, Graham HK, et al. Assessment: botulinum neurotoxin for the treatment of spasticity (an evidence-based review): report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology. 2008;70:1691–8.

    Article  CAS  Google Scholar 

  13. Dudley RW, Parolin M, Gagnon B, et al. Long-term functional benefits of selective dorsal rhizotomy for spastic cerebral palsy. J Neurosurg Pediatr. 2013;12:142–50.

    Article  Google Scholar 

  14. Koy A, Hellmich M, Pauls KA, et al. Effects of deep brain stimulation in dyskinetic cerebral palsy: a meta-analysis. Mov Disord. 2013;28:647–54.

    Article  Google Scholar 

  15. Autti-Ramo I, Suoranta J, Anttila H, Malmivaara A, Makela M. Effectiveness of upper and lower limb casting and orthoses in children with cerebral palsy: an overview of review articles. Am J Phys Med Rehabil. 2006;85:89–103.

    Article  Google Scholar 

  16. Sullivan PB, Lambert B, Rose M, Ford-Adams M, Johnson A, Griffiths P. Prevalence and severity of feeding and nutritional problems in children with neurological impairment: Oxford Feeding Study. Dev Med Child Neurol. 2000;42:674–80.

    Article  CAS  Google Scholar 

  17. Lespargot A, Langevin MF, Muller S, Guillemont S. Swallowing disturbances associated with drooling in cerebral-palsied children. Dev Med Child Neurol. 1993;35:298–304.

    Article  CAS  Google Scholar 

  18. Little SA, Kubba H, Hussain SS. An evidence-based approach to the child who drools saliva. Clin Otolaryngol. 2009;34:236–9.

    Article  CAS  Google Scholar 

  19. Greensmith AL, Johnstone BR, Reid SM, Hazard CJ, Johnson HM, Reddihough DS. Prospective analysis of the outcome of surgical management of drooling in the pediatric population: a 10-year experience. Plast Reconstr Surg. 2005;116:1233–42.

    Article  CAS  Google Scholar 

  20. Taylor DC. Counselling the parents of handicapped children. Br Med J (Clin Res Ed). 1982;284:1027–8.

    Article  CAS  Google Scholar 

  21. Lo AC, Guarino PD, Richards LG, et al. Robot-assisted therapy for long-term upper-limb impairment after stroke. N Engl J Med. 2010;362:1772–83.

    Article  CAS  Google Scholar 

  22. Garvey MA, Mall V. Transcranial magnetic stimulation in children. Clin Neurophysiol. 2008;119:973–84.

    Article  Google Scholar 

  23. Hemming K, Hutton JL, Colver A, Platt MJ. Regional variation in survival of people with cerebral palsy in the United Kingdom. Pediatrics. 2005;116:1383–90.

    Article  Google Scholar 

  24. da Paz Junior AC, Burnett SM, Braga LW. Walking prognosis in cerebral palsy: a 22-year retrospective analysis. Dev Med Child Neurol. 1994;36:130–4.

    PubMed  Google Scholar 

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Both the authors were involved in literature review and preparing of manuscript. SG will act as guarantor for this paper.

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Correspondence to Sheffali Gulati.

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Gulati, S., Sondhi, V. Cerebral Palsy: An Overview. Indian J Pediatr 85, 1006–1016 (2018). https://doi.org/10.1007/s12098-017-2475-1

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  • DOI: https://doi.org/10.1007/s12098-017-2475-1

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