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Asthma in a Child with Cerebral Palsy

  • Katherine A. KingEmail author
  • Dawn Selhorst
Living reference work entry

Abstract

There are several medical challenges for a family with a child with cerebral palsy, which include the clinical management of respiratory diseases, such as asthma, aspiration pneumonia, obstructive airway, and progressive restrictive lung disease. The clinical symptoms of asthma include spastic coughing, wheezing, diminished breath sounds, and multifocal rhonchi. Diagnostic studies may include chest X-ray, nuclear imaging studies for reflux and selected laboratory studies for IgE antibodies to allergens. The clinical history should include questions from the Asthma Predictive Index to determine the children’s risk for asthma and the Asthma Control Test™ to report current respiratory symptoms exemplified by cough, dyspnea, and congestion. The final assessment of the asthma diagnosis should reference the National Asthma Education and Prevention Program to assess the impact of the asthma symptoms upon the child’s respiratory system. The diagnostic assessment of asthma in a child with cerebral palsy reflects the in-depth process of collecting clinical and historical information in order to determine the appropriate treatment to control the asthma symptoms. Proactive medical management for asthma can improve aerobic conditioning and decrease the risk of worsening respiratory disease.

Keywords

Asthma Cerebral palsy Asthma predictive index test (API) Asthma control test (ACT™) National asthma education for prevention program (NAEPP) 

References

  1. Bazzy-Asaad A (2012) What are the most current asthma guidelines from the national institute of health and what do i need to know about them. In: Chidekel AS (ed) Curbside consultation in pediatric asthma. Slack Inc., Thorofare, pp 113–116Google Scholar
  2. Blackmore AM, Bear N, Blair E, Gibson N, Caris J, Langdon K, Moshovis L, Steer K, Wilson AC (2016) Factors associated with respiratory illness in children and young adults with cerebral palsy. J Pediatr 168:151–157CrossRefGoogle Scholar
  3. Castro-Rodriguez JA, Holberg CJ, Wright AL, Martinez FD (2000) A clinical index to define risk of asthma in young children with recurrent wheezing. Am J Resp Crit Care 2000:162:1403–6CrossRefGoogle Scholar
  4. Choi JY, Dong-wook R, Park ES (2016) Change in pulmonary function after incentive spirometer exercise in children with spastic cerebral palsy: a randomized control study. Yonsei Med J 5(3):769–775CrossRefGoogle Scholar
  5. Fanta CH (2009) Asthma. N Eng J Med 360(10):1002–1014CrossRefGoogle Scholar
  6. Heinle RA (2012) Who is at risk of developing asthma. In: Chidekel AS (ed) Curbside consultation in pediatric asthma. Slack Inc, Thorofare, pp 7–10Google Scholar
  7. Huffaker MF, Phipantanakul W (2014) Utility of asthma predictive index in predicting childhood asthma and identifying disease-modifying interventions. Ann Allergy Asthma Immunol 112(3):188–190CrossRefGoogle Scholar
  8. Jia CE, Zhang HP, Liang R, Jaing YQ, Powell H, Fu JJ, Wang L, Gibson PG, Wang G (2013) The asthma control test and asthma control questionnaire for assessing asthma control: systemic review and meta-analysis. J Allergy Clin Immunol 131(3):695–703CrossRefGoogle Scholar
  9. Marks J (2008) Pulmonary care of children and adolescents with developmental disabilities. Pediatric Clin N Am 55:1299–1314CrossRefGoogle Scholar
  10. National Asthma Education and Prevention Program (2007a) Expert panel report 3 (EPR-3): the guideline for the diagnosis and management of asthma. Bethesda, MD National Heart Lung and Blood Institute. NIH publication no. 084051Google Scholar
  11. National Asthma Education and Prevention Program (2007b) Expert panel report 3 (EPR-3) Guidelines for the Diagnosis and Management of Asthma Summary Report 2007. J Allery Clin Immunol 120(5 suppl):S94–S138Google Scholar
  12. Parameswaran N (2014) Anti-Interleukin-5 monoclonal antibody to treat severe eosinophilic asthma. N Engl J Med 371(13):1249–1251CrossRefGoogle Scholar
  13. Proesmans M (2016) Respiratory illness in children with disability: a serious problem. Breath 12(4):e97–e103.  https://doi.org/10.1183/20734735.017416CrossRefGoogle Scholar
  14. Seddon PC, Khan Y (2003) Respiratory problems in children with neurological impairment. Arch Dis Child 88:75–78CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Sidney Kimmel School of MedicineThomas Jefferson UniversityPhiladelphiaUSA
  2. 2.Pulmonary DivisionNemours Alfred I. duPont Hospital for ChildrenWilmingtonUSA
  3. 3.Respiratory Care DepartmentNemours Alfred I. duPont Hospital for ChildrenWilmingtonUSA

Section editors and affiliations

  • Steven J. Bachrach
    • 1
    • 2
  1. 1.Department of Pediatrics (Emeritus)Nemours/Alfred I. duPont Hospital for ChildrenWilmingtonUSA
  2. 2.Sidney Kimmel Medical College of Thomas Jefferson UniversityPhiladelphiaUSA

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