Cerebral Palsy

Michael-Asalu, Abimbola; Taylor, Genevieve; Campbell, Heather; Lelea, Latashia-Lika; Kirby, Russell S.

doi:10.1016/j.yapd.2019.04.002

Cited by 79 publications

(21 citation statements)

References 73 publications

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“…Based on clinical findings, CP is generally classified as spastic, dyskinetic, ataxic, or mixed such as ataxic-spastic. Thirty-five percent of children with CP have spastic diplegia, which is the most common clinical phenotype of CP [2,8], which is due to damage to the immature oligodendroglia between 20 and 34 weeks of gestation. In this type of CP, the risk is inversely proportional to gestational age and is mainly associated with premature birth and can be detected with a brain magnetic resonance imaging (MRI), which shows severe periventricular leukomalacia and multicystic cortical encephalomalacia [9].…”

Section: Introductionmentioning

confidence: 99%

“…In this group, infants born at term are the most affected, and hypoxic-ischemic encephalopathy, kernicterus, neurometabolic, or neurogenetic disorders are the most reported etiologic events [11]. The diagnosis of CP is primarily based on clinical findings and is generally more reliable after two years of age, because early signs and symptoms suggestive of CP may, in fact, be a normal variation or developmental lag, which tend to resolve in many infants [8]. The persistence of primitive reflexes or primary motor patterns beyond the expected age is a key clinical characteristic of CP and a diagnosis of CP is first suspected when there is a failure to attain certain key milestones at the expected age.…”

Section: Introductionmentioning

confidence: 99%

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Cerebral Palsy and Epilepsy in Children: Clinical Perspectives on a Common Comorbidity

et al. 2020

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Cerebral palsy (CP) is a frequent cause of childhood disability often associated with a complex group of disorders, including epilepsy, which is reported to impact approximately 40% of affected individuals. This retrospective study involved a group of children affected by CP, some of whom also had comorbid epilepsy. The aim of this study was to report our experience of analyzing, in particular, (a) some of the clinical aspects of the different type of CP, and (b) the relationship between the clinical data of children affected by CP plus epilepsy and each type of CP. Methods: This retrospective single-center study was performed with 93 children admitted to the Pediatric Department of the University of Catania, Italy, affected by CP and distinguished according to the type of motor clinical presentation, with 46 showing epileptic seizures, compared to a control group of 136 children affected by epilepsy without other neurologic disorders. Results: Among the 93 CP children, 25 (27%) had spastic quadriplegia (plus one patient with dystonic quadriplegia), 39 (42%) had spastic hemiplegia, 11 (12%) had spastic diplegia (plus two with ataxia and one with dyskinetic CP), and 14 (15%) did not have a well-defined type of CP. The frequency of epilepsy was higher in affected CP children who showed major motor dysfunction (GMFCS IV–V types). As regards the 46 children with CP plus epilepsy, compared to the group of the control, the age of epilepsy onset was found to be statistically significant: 21 ± 35.1 months vs. 67 ± 39.7. Conclusions: Epilepsy represents one of the most frequent comorbidities of cerebral palsy. In children with CP, particular attention should be paid to the early identification and treatment of comorbid epilepsy.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cerebral Palsy and Epilepsy in Children: Clinical Perspectives on a Common Comorbidity

et al. 2020

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“…Thirty-five percent of children with CP have spastic diplegia; it is considered to be the most common clinical phenotype of CP. This type of CP is mainly associated with premature birth and can be detected with a brain magnetic resonance imaging, which shows severe periventricular leukomalacia and multicystic cortical encephalomalacia [3][4][5]. Children with spastic diplegia show more impairment in the lower extremities than upper extremities.…”

Section: Introductionmentioning

confidence: 99%

Pinch grip strength and fine manual control in children with diplegic cerebral palsy: a cross-sectional study

et al. 2021

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Background In children with spastic diplegia, efficient use of the upper extremity especially the hands play an important role in participation in daily living. Hands can perform heavy activities and also enable to perform extremely gentle, skillful, and precise activities. Inadequate hand strength and fine motor skills may lead to functional limitations. This study was planned to investigate the pinch grip strength and fine manual control in children with spastic diplegic cerebral palsy and to determine if there is a relation between them. Thirty children with diplegic cerebral palsy and 30 normal developed children from both sexes between 5 and 10 years old were included in this study as diplegic and control groups. For all children, pinch grip strength measured by Baseline Mechanical Pinch Gauge and Bruininks-Oseretsky Test of Motor Proficiency, Second Edition used to evaluate fine manual control. Results Children with diplegic cerebral palsy have significant impairment in the pinch grip strength (tip, tripod, and key) and the fine manual control (fine motor precision and integration) compared to their healthy peers of the same age. There was large positive significant correlation (r > 0.5, p < 0.05) between tip and tripod pinch strength, and fine motor precision and medium positive significant correlation (r = 0.47, p < 0.05) between key pinch and fine motor precision in children with spastic diplegia. Also, there was large positive significant correlation between tip pinch and fine motor integration (r = 0.54, p < 0.05). The correlations are small and medium positive between tripod and key pinch strength, and fine motor integration respectively but they are not statistically significant. Conclusions Pinch grip strength and fine manual skills are affected in children with spastic diplegia. Also, there is a significant correlation between the pinch strength and activities require precise control of the hand.

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“…Feeding children with CP may include the breast, bottle, tube, and/or oral routes. Cerebral palsy (CP) is the most common cause of motor disability among children in early childhood (Michael-Asalu et al, 2019;Oskoui et al, 2013). CP is an umbrella term for a condition that affects movement and posture, however, the extent of impairment varies between children, and musculoskeletal function may deteriorate over time (Motion et al, 2002;Rosenbaum, 2014).…”

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confidence: 99%

Caregivers’ Feeding Experiences and Support of Their Child with Cerebral Palsy

et al. 2021

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Feeding difficulties are often reported in children with cerebral palsy (CP) and are associated with caregiver stress. This study explored the feeding experiences and support of caregivers with children who have CP. A qualitative approach was used where semi-structured telephone interviews were conducted and audio recorded. Thematic analysis was used to code and analyse the transcribed interview data from the eleven mothers that participated. Four major themes were identified from the data: Child-centred world, Making decisions, Knowing their child, and Seeking and receiving support. Caregivers knew their child’s unique needs and made daily decisions around feeding based upon the child’s feedback and changing condition. Family support was viewed as important, although the caregivers still reported feeling stressed. Health professional support varied from “amazing” to “frustrating”, which contributed to the caregivers’ stress. However, no single support strategy was appropriate as their needs or preferences varied. It is recommended that health professionals take an individualised partnership approach with caregivers and their child, with particular attention to those caregivers who lack a friend or family support and those who are physically isolated.

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Cerebral Palsy

Cited by 79 publications

References 73 publications

Cerebral Palsy and Epilepsy in Children: Clinical Perspectives on a Common Comorbidity

Cerebral Palsy and Epilepsy in Children: Clinical Perspectives on a Common Comorbidity

Pinch grip strength and fine manual control in children with diplegic cerebral palsy: a cross-sectional study

Caregivers’ Feeding Experiences and Support of Their Child with Cerebral Palsy

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