Cerebral palsy

Russman, Barry S.

doi:10.1007/s11940-000-0011-4

Cited by 9 publications

(4 citation statements)

References 41 publications

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“…No passado, o atendimento das crianças com PC estava baseado principalmente na experiência pessoal; atualmente, têm sido realizados estudos com escalas de desenvolvimento capazes de quantificar respostas, e de reproduzir resultados 20,21 .…”

Section: Cerebral Palsy New Therapeutic Possibilitiesunclassified

Cerebral palsy, new therapeutic possibilities

Rotta¹

2002

J Pediatr (Rio J)

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ResumoObjetivo: a revisão da paralisia cerebral tem como objetivo oferecer ao pediatra informações atualizadas sobre o diagnóstico e tratamento.Fontes dos dados: foram utilizados dados de revisão bibliográ-fica não sistematizada e da experiência no atendimento dos pacientes da Unidade de Neurologia do Serviço de Pediatria do HCPA-UFRGS. Síntese dos dados:o diagnóstico e tratamento da paralisia cerebral é multidisciplinar. Ao lado do sintoma principal motor, estão os sintomas associados que requerem igual atenção. Os exames de neuroimagem são importantes para melhor localizar a lesão, e mostrar sua extensão e características. O EEG auxilia no diagnóstico das epilepsias associadas. O tratamento principal é fisioterápico, auxiliado pelo tratamento da espasticidade, com antiespásticos orais, ou com toxina botulínica injetável. O tratamento de epilepsia secundária varia de acordo com o tipo de crise.Conclusões: o pediatra é o primeiro médico a entrar em contato com a criança com paralisia cerebral, e deve estar apto para reconhecer precocemente os desvios do desenvolvimento, orientar o manejo e, dentro das possibilidades e necessidades, encaminhar ao especialista. J Pediatr (Rio J) 2002; 78 (Supl.1):S48-S54: lesão cerebral, neurologia pediátrica, espasticidade. AbstractObjective: to provide pediatrician with updated information about diagnoses and treatment of cerebral palsy. This articles aims at supplying pediatricians with tools that will help them diagnose and treat cerebral palsy. Conclusions: pediatricians are the first physician that see the patient with cerebral palsy. Thus, they should be able to diagnose an treat it.J Pediatr (Rio J) 2002; 78 (Supl.1): S48-S54: cerebral palsy, neurology, pediatrics, spasticity.

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Section: Cerebral Palsy New Therapeutic Possibilitiesunclassified

Cerebral palsy, new therapeutic possibilities

Rotta¹

2002

J Pediatr (Rio J)

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“…Patients with CP often need a variety of orthopedic surgical interventions to improve their function, provide pain relief, or prevent deterioration of the musculoskeletal system that could negatively impact their future quality of life (QoL) [11][12][13]. Frequently, patients with CP, especially those with GMFCS levels IV and V, have progressive neuromuscular hip dysplasia, requiring them to undergo hip reconstruction (femoral osteotomy, pelvic osteotomy, and/or both).…”

Section: Introductionmentioning

confidence: 99%

Hip reconstruction is more painful than spine fusion in children with cerebral palsy

Shrader

Jones

Falk

et al. 2015

Journal of Children's Orthopaedics

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PurposeConcerns about pain control in patients with cerebral palsy (CP) are especially anxiety provoking for parents, given the fact that spasticity, communication issues, and postoperative muscle spasms are significant problems that make pain control difficult in these patients. A better understanding of the magnitude and quality of the pain these patients experience after our surgical procedures would better prepare the patients and their families. The purpose of this study is to quantify the amount of postoperative pain in children with CP undergoing hip reconstruction and spinal fusion. Specifically, the study will compare pain scores and the amount of narcotics used between the two groups.Materials and methodsThis is a retrospective chart review of a consecutive series of children with CP (GMFCS levels IV and V) over a 5-year period undergoing hip reconstruction (femoral osteotomy, pelvic osteotomy, or both) and posterior spinal fusion (PSF) at a tertiary-care pediatric hospital. The primary end point was the total opioid used by the patient during the hospitalization, by converting all forms of narcotics to morphine equivalents. The secondary end point was the documentation of pain with standard pain scores at standard time points postoperatively. Adverse effects related to pain management were documented for both groups. Student’s t-tests were utilized to statistically compare differences between the groups, with significance determined at p < 0.05.ResultsForty-two patients with CP who underwent hip reconstruction (mean age 8.8 years) were compared to 26 patients who underwent PSF (mean age 15.4 years). The total opioid used, normalized by body weight and by days length of stay (DLOS), in the hip group was 0.49 mg morphine/kg/DLOS, compared to 0.24 for the spine group (p = 0.014). The mean pain score for the hip group was 1.52, compared to 0.72 for the spine group (p = 0.013). There were no significant differences in the occurrence of adverse effects related to pain management between the two groups.ConclusionPatients with CP undergoing hip reconstruction surgery had significantly more pain, as exhibited by requiring more narcotics and having higher pain scores, than those patients undergoing PSF. The knowledge that hip reconstruction is more painful than PSF for patients with CP will better prepare families about what to expect in the postoperative period and will alert providers to supply better postoperative pain control in these patients.Level of evidenceIII (case control series).

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“…Dystonia, another common feature of SMID, is known to affect motor function. Therefore, therapeutic exercises need to focus on the control of muscle tone [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of the Sway Bed on Autonomic Response, Emotional Responses, and Muscle Hardness in Children with Severe Motor and Intellectual Disabilities: A Pilot Study

et al. 2022

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This cross-sectional study aimed to examine the effects of being swayed in a sway bed on children with severe motor and intellectual difficulties by examining potential differences in their autonomic and emotional responses, as well as their muscle hardness, and by comparing them with “a control condition without any stimulation”. Children’s heart rate variability, rectus femoris hardness, and passive hip abduction range of motion (ROM) were measured in two experimental conditions, differentiated by the presence of a 5-min sway stimulus. In each condition, the children’s faces were video-recorded and retrospectively rated subjectively by their homeroom teacher concerning the visible expression of eight emotions. Significant intervention-related effects were observed on the heart rate variability and the “Relax” item of the emotional response indicators but not on muscle hardness or hip ROM. Our findings provide evidence that using a motorized sway bed can promote relaxation in children with severe motor and intellectual disabilities by influencing their autonomic response.

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Cerebral palsy

Cited by 9 publications

References 41 publications

Cerebral palsy, new therapeutic possibilities

Cerebral palsy, new therapeutic possibilities

Hip reconstruction is more painful than spine fusion in children with cerebral palsy

Effect of the Sway Bed on Autonomic Response, Emotional Responses, and Muscle Hardness in Children with Severe Motor and Intellectual Disabilities: A Pilot Study

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