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Complementary and Alternative Medicine in Cerebral Palsy

  • Rachel M. Thompson
  • William Lawrence Oppenheim
Living reference work entry

Abstract

Many parents of children with cerebral palsy turn to complementary and alternative medicine (CAM) when traditional medical care does not “deliver” either for symptom management or in providing a cure. For cerebral palsy, CAM practitioners frequently utilize acupuncture, spinal manipulation, Reiki, reflexology, healing touch, yoga, craniosacral therapy, and hyperbaric oxygen.

In North America, the use of CAM has been reported to be between 35–56% for children with CP and 27% for adolescents with CP. A typical course of alternative treatment, regardless of modality, costs between $3500 and $4500 in the United States, and most spending on CAM is out-of-pocket. Despite cost, many patients and their families are willing to pay regardless of the lack of scientific evidence supporting the treatment’s efficacy.

Currently there is limited evidence to support some narrow benefits associated with the use of acupuncture, myofascial structural integration, and the Adeli/TheraSuit. There is no evidence to support the use of hyperbaric oxygen or threshold electrical stimulation. And while there is theoretical evidence supporting the use of cannabinoids and stem-cell therapy, there is currently no evidence to support usage specifically in cerebral palsy.

Keywords

Complementary medicine Alternative medicine Alternative treatments Eastern medicine Osteopathic medicine 

References

  1. Bailes AF, Greve K, Burch CK, Reder R, Lin L, Huth MM (2011) The effect of suit wear during an intensive therapy program in children with cerebral palsy. Pediatr Phys Ther 23(2):136–142CrossRefPubMedGoogle Scholar
  2. Bar-Haim S, Harries N, Belokopytov M, Frank A, Copeliovitch L, Kaplanski J, Lahat E (2006) Comparison of efficacy of Adeli suit and neurodevelopmental treatments in children with cerebral palsy. Dev Med Child Neurol 48(5):325–330CrossRefPubMedGoogle Scholar
  3. BCTA/NA (2017) The biodynamic craniosacral therapy. Association of North America. from http://craniosacraltherapy.org/
  4. Collet JP, Vanasse M, Marois P, Amar M, Goldberg J, Lambert J, Lassonde M, Hardy P, Fortin J, Tremblay SD, Montgomery D, Lacroix J, Robinson A, Majnemer A (2001) Hyperbaric oxygen for children with cerebral palsy: a randomised multicentre trial. HBO-CP research group. Lancet 357(9256):582–586CrossRefPubMedGoogle Scholar
  5. Dabbous OA, Mostafa YM, El Noamany HA, El Shennawy SA, El Bagoury MA (2016) Laser acupuncture as an adjunctive therapy for spastic cerebral palsy in children. Lasers Med Sci 31(6):1061–1067CrossRefPubMedGoogle Scholar
  6. Dali C, Hansen FJ, Pedersen SA, Skov L, Hilden J, Bjornskov I, Strandberg C, Christensen J, Haugsted U, Herbst G, Lyskjaer U (2002) Threshold electrical stimulation (TES) in ambulant children with CP: a randomized double-blind placebo-controlled clinical trial. Dev Med Child Neurol 44(6):364–369CrossRefGoogle Scholar
  7. Hansen AB, Price KS, Loi EC, Buysse CA, Jaramillo TM, Pico EL, Feldman HM (2014) Gait changes following myofascial structural integration (Rolfing) observed in 2 children with cerebral palsy. J Evid Based Complementary Altern Med 19(4):297–300CrossRefPubMedGoogle Scholar
  8. Hirsh AT, Kratz AL, Engel JM, Jensen MP (2011) Survey results of pain treatments in adults with cerebral palsy. Am J Phys Med Rehabil 90(3):207–216CrossRefPubMedPubMedCentralGoogle Scholar
  9. Hurvitz EA, Leonard C, Ayyangar R, Nelson VS (2003) Complementary and alternative medicine use in families of children with cerebral palsy. Dev Med Child Neurol 45(6):364–370CrossRefPubMedGoogle Scholar
  10. Kaptchuk TJ (2002) Acupuncture: theory, efficacy, and practice. Ann Intern Med 136(5):374–383CrossRefPubMedGoogle Scholar
  11. Keating GM (2017) Delta-9-tetrahydrocannabinol/Cannabidiol Oromucosal spray (Sativex(R)): a review in multiple sclerosis-related spasticity. Drugs 77(5):563–574CrossRefPubMedGoogle Scholar
  12. Kerr C, McDowell B, Cosgrove A, Walsh D, Bradbury I, McDonough S (2006) Electrical stimulation in cerebral palsy: a randomized controlled trial. Dev Med Child Neurol 48(11):870–876CrossRefPubMedGoogle Scholar
  13. Liao HH, Yen HR, Muo CH, Lee YC, Wu MY, Chou LW, Sun MF, Chang TT (2017) Complementary traditional Chinese medicine use in children with cerebral palsy: a nationwide retrospective cohort study in Taiwan. BMC Complement Altern Med 17(1):155CrossRefPubMedPubMedCentralGoogle Scholar
  14. Liptak GS (2005) Complementary and alternative therapies for cerebral palsy. Ment Retard Dev Disabil Res Rev 11(2):156–163CrossRefPubMedGoogle Scholar
  15. Loi EC, Buysse CA, Price KS, Jaramillo TM, Pico EL, Hansen AB, Feldman HM (2015) Myofascial structural integration therapy on gross motor function and gait of young children with spastic cerebral palsy: a randomized controlled trial. Front Pediatr 3:74CrossRefPubMedPubMedCentralGoogle Scholar
  16. Majnemer A, Shikako-Thomas K, Shevell MI, Poulin C, Lach L, Schmitz N, Law M, Q. Group the (2013) Pursuit of complementary and alternative medicine treatments in adolescents with cerebral palsy. J Child Neurol 28(11):1443–1447CrossRefPubMedGoogle Scholar
  17. Malfitano AM, Proto MC, Bifulco M (2008) Cannabinoids in the management of spasticity associated with multiple sclerosis. Neuropsychiatr Dis Treat 4(5):847–853PubMedPubMedCentralGoogle Scholar
  18. Master Z, Resnik DB (2011) Stem-cell tourism and scientific responsibility. Stem-cell researchers are in a unique position to curb the problem of stem-cell tourism. EMBO Rep 12(10):992–995CrossRefPubMedPubMedCentralGoogle Scholar
  19. McDonagh MS, Morgan D, Carson S, Russman BS (2007) Systematic review of hyperbaric oxygen therapy for cerebral palsy: the state of the evidence. Dev Med Child Neurol 49(12):942–947CrossRefPubMedGoogle Scholar
  20. Mechoulam R, Hanus LO, Pertwee R, Howlett AC (2014) Early phytocannabinoid chemistry to endocannabinoids and beyond. Nat Rev Neurosci 15(11):757–764CrossRefPubMedGoogle Scholar
  21. NCCIH (2016) 2016 Strategic Plan. Retrieved 17 July 2017, from https://nccih.nih.gov/about/strategic-plans/2016/introduction
  22. Novak I, McIntyre S, Morgan C, Campbell L, Dark L, Morton N, Stumbles E, Wilson SA, Goldsmith S (2013) A systematic review of interventions for children with cerebral palsy: state of the evidence. Dev Med Child Neurol 55(10):885–910CrossRefPubMedGoogle Scholar
  23. Novak I, Walker K, Hunt RW, Wallace EM, Fahey M, Badawi N (2016) Concise review: stem cell interventions for people with cerebral palsy: systematic review with meta-analysis. Stem Cells Transl Med 5(8):1014–1025CrossRefPubMedPubMedCentralGoogle Scholar
  24. Oppenheim WL (2009) Complementary and alternative methods in cerebral palsy. Dev Med Child Neurol 51(Suppl 4):122–129CrossRefPubMedGoogle Scholar
  25. Perry J, Jones MH, Thomas L (1981) Functional evaluation of Rolfing in cerebral palsy. Dev Med Child Neurol 23(6):717–729PubMedGoogle Scholar
  26. Rolf IP (1977) Rolfing : the integration of human structures. Dennis-Landman, Santa Monica, CalifGoogle Scholar
  27. Rosenbaum P (2003) Controversial treatment of spasticity: exploring alternative therapies for motor function in children with cerebral palsy. J Child Neurol 18(Suppl 1):S89–S94CrossRefPubMedGoogle Scholar
  28. Samdup DZ, Smith RG, Il Song S (2006) The use of complementary and alternative medicine in children with chronic medical conditions. Am J Phys Med Rehabil 85(10):842–846CrossRefPubMedGoogle Scholar
  29. Sanner C, Sundequist U (1981) Acupuncture for the relief of painful muscle spasms in dystonic cerebral palsy. Dev Med Child Neurol 23(4):544–545PubMedGoogle Scholar
  30. Semenova KA (1997) Basis for a method of dynamic proprioceptive correction in the restorative treatment of patients with residual-stage infantile cerebral palsy. Neurosci Behav Physiol 27(6):639–643CrossRefPubMedGoogle Scholar
  31. Sun JG, Ko CH, Wong V, Sun XR (2004) Randomised control trial of tongue acupuncture versus sham acupuncture in improving functional outcome in cerebral palsy. J Neurol Neurosurg Psychiatry 75(7):1054–1057CrossRefPubMedPubMedCentralGoogle Scholar
  32. Svedberg L, Nordahl G, Lundeberg T (2001) Effects of acupuncture on skin temperature in children with neurological disorders and cold feet. Dev Med Child Neurol 43(5):358–360CrossRefPubMedGoogle Scholar
  33. Titomanlio L, Kavelaars A, Dalous J, Mani S, El Ghouzzi V, Heijnen C, Baud O, Gressens P (2011) Stem cell therapy for neonatal brain injury: perspectives and challenges. Ann Neurol 70(5):698–712CrossRefPubMedGoogle Scholar
  34. Verina T, Fatemi A, Johnston MV, Comi AM (2013) Pluripotent possibilities: human umbilical cord blood cell treatment after neonatal brain injury. Pediatr Neurol 48(5):346–354CrossRefPubMedGoogle Scholar
  35. Weisleder P (2010) Unethical prescriptions: alternative therapies for children with cerebral palsy. Clin Pediatr (Phila) 49(1):7–11CrossRefGoogle Scholar
  36. Wong V, Sun JG, Wong W (2001) Traditional Chinese medicine (tongue acupuncture) in children with drooling problems. Pediatr Neurol 25(1):47–54CrossRefPubMedGoogle Scholar
  37. Wyatt K, Edwards V, Franck L, Britten N, Creanor S, Maddick A, Logan S (2011) Cranial osteopathy for children with cerebral palsy: a randomised controlled trial. Arch Dis Child 96(6):505–512CrossRefPubMedGoogle Scholar
  38. Zhang Y, Liu J, Wang J, He Q (2010) Traditional Chinese medicine for treatment of cerebral palsy in children: a systematic review of randomized clinical trials. J Altern Complement Med 16(4):375–395CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Rachel M. Thompson
    • 1
    • 2
  • William Lawrence Oppenheim
    • 2
  1. 1.Department of OrthopaedicsOrthopaedic Institute for Children/UCLALos AngelesUSA
  2. 2.Ronald Reagan UCLA Medical CenterSanta MonicaUSA

Section editors and affiliations

  • Freeman Miller
    • 1
  1. 1.AI DuPont Hospital for ChildrenWilmingtonUSA

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