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Cerebral palsy adolescent

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https://www.readbyqxmd.com/read/29894977/evolution-of-gait-in-adolescents-and-young-adults-with-spastic-diplegia-after-selective-dorsal-rhizotomy-in-childhood-a-10-year-follow-up-study
#1
Marianna Romei, Laura M Oudenhoven, Petra E M van Schie, Willem J R van Ouwerkerk, Marjolein M van der Krogt, Annemieke I Buizer
BACKGROUND: Short-term benefit on gait of selective dorsal rhizotomy (SDR) surgery, which relieves spasticity of the lower extremities has been demonstrated in children with cerebral palsy (CP). However very little is known of the evolution of gait when patients become adolescents and young adults. RESEARCH QUESTION: How does the gait pattern evolve in adolescents and young adults who underwent SDR during childhood? METHODS: A longitudinal study was performed including 19 ambulant patients with spastic diplegia due to CP or other causes (mean age at SDR: 6...
June 4, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29893998/factors-associated-with-health-and-oral-health-related-quality-of-life-of-children-and-adolescents-with-cerebral-palsy
#2
Andreia Medeiros Rodrigues Cardoso, Mariana Marinho Davino de Medeiros, Lays Nóbrega Gomes, Mariana Leonel Martins, Wilton Wilney Nascimento Padilha, Alessandro Leite Cavalcanti
AIMS: To verify factors associated with impact on Health-Related Quality of Life (HRQoL) and Oral Health-Related Quality of Life (OHRQoL) of children and adolescents with cerebral palsy (CP). METHODS AND RESULTS: Sample of 149 individuals with CP aged 2 to 18 years and their caregivers, who provided information regarding HRQoL (PedsQL 4.0), OHRQoL (PedsQL 3.0 Oral Health, and socioeconomic factors. A calibrated investigator performed dental examinations, with dental caries, traumatic dental injury, periodontal, and occlusal evaluation...
June 12, 2018: Special Care in Dentistry
https://www.readbyqxmd.com/read/29858544/how-do-adolescents-with-cerebral-palsy-participate-learning-from-their-personal-experiences
#3
Sophie Catharina Wintels, Dirk-Wouter Smits, Floryt van Wesel, Johannes Verheijden, Marjolijn Ketelaar
BACKGROUND: Participation in society can be difficult for adolescents with cerebral palsy (CP). Information is often based on quantitative studies, and little is known about their personal participation experiences. OBJECTIVE: The aim of this study was to examine the participation experiences of adolescents (aged 12-17 years) with CP. METHODS: A qualitative participatory research method was used. Twenty-three semi-structured open interviews were conducted with 13 male and 10 female adolescents (mean age 15 years) with CP...
June 1, 2018: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/29852026/establishing-priorities-for-psychological-interventions-in-pediatric-settings-a-decision-tree-approach-using-the-disabkids-10-index-as-a-screening-instrument
#4
Neuza Silva, Monika Bullinger, Helena Moreira, Maria Cristina Canavarro, Carlos Carona
Most children and adolescents with chronic health conditions have impaired health-related quality of life and are at high risk of internalizing and externalizing problems. However, few patients present clinically significant symptoms. Using a decision-tree approach, this study aimed to identify risk profiles for psychological problems based on measures that can be easily scored and interpreted by healthcare professionals in pediatric settings. The participants were 736 children and adolescents between 8-18 years of age with asthma, epilepsy, cerebral palsy, type-1diabetes or obesity...
2018: PloS One
https://www.readbyqxmd.com/read/29806409/-ilizarov-technique-combined-with-limited-surgery-for-correction-of-spastic-clubfoot-in-adolescents-with-cerebral-palsy
#5
Chunzhi Gao, Han Wu, Peng Xiao, Xuejian Wu
Objective: To evaluate the effectiveness of Ilizarov technique combined with soft tissue release and muscle strength balance in the treatment of spastic clubfoot in adolescents with cerebral palsy. Methods: A retrospective analysis of clinical data of 29 cases (33 feet) of cerebral palsy spastic clubfoot deformity conformed to the selection criteria between June 2011 and September 2016. Among them, 17 were male (20 feet) and 12 were female (13 feet) with an age range from 13 to 28 years (mean, 17...
February 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29779817/resting-energy-expenditure-in-children-with-cerebral-palsy-accuracy-of-available-prediction-formulae-and-development-of-a-population-specific-formula
#6
Francesca Penagini, Barbara Borsani, Alessandra Bosetti, Chiara Mameli, Dario Dilillo, Giulia Ramponi, Francesco Motta, Giorgio Bedogni, Gian Vincenzo Zuccotti
BACKGROUND AND AIMS: Energy requirements are difficult to estimate in children with cerebral palsy (CP). Resting energy expenditure (REE), necessary for personalized nutritional intervention, is most commonly estimated using prediction formulae because the reference method, i.e. indirect calorimetry (IC), is not available in all Nutrition Units. The main aim of the present study was to evaluate the accuracy of the most commonly used REE prediction formulae in children with CP. The secondary aim was to develop a new population-specific formula for the estimation of REE in children with CP...
June 2018: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29775910/hip-and-patellofemoral-joint-loading-during-gait-are-increased-in-children-with-idiopathic-torsional-deformities
#7
Elyse Passmore, H Kerr Graham, Marcus G Pandy, Morgan Sangeux
BACKGROUND: Torsional deformities of the femur and tibia are associated with gait impairments and joint pain. Several studies have investigated these gait deviations in children with cerebral palsy. However, relatively little is known about gait deviations in children with idiopathic torsion and debate ensues about the management of these patients. RESEARCH QUESTION: What are the effects of idiopathic increased femoral neck anteversion and external tibial torsion on lower-limb kinematics, kinetics and joint loading during gait in children and adolescents...
May 9, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29743109/muscle-and-tendon-morphology-alterations-in-children-and-adolescents-with-mild-forms-of-spastic-cerebral-palsy
#8
Annika Kruse, Christian Schranz, Markus Tilp, Martin Svehlik
BACKGROUND: Early detection of changes at the muscular level before a contracture develops is important to gain knowledge about the development of deformities in individuals with spasticity. However, little information is available about muscle morphology in children with spastic diplegic cerebral palsy (CP) without contracture or equinus gait. Therefore, the aim of this study was to compare the gastrocnemius medialis (GM) and Achilles tendon architecture of children and adolescents with spastic CP without contracture or equinus gait to that of typically developing (TD) children...
May 9, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29739652/prolonged-length-of-stay-for-acute-hospital-admissions-as-the-increasing-of-age-a-nationwide-population-study-for-taiwan-s-patients-with-cerebral-palsy
#9
Kuo-Liang Chiang, Chin-Yin Huang, Hueng-Chuen Fan, Fang-Chuan Kuo
BACKGROUND: Studies investigating reasons for the admission and the associated lengths of stay (LOSs) among cerebral palsy (CP) patients are limited. This study determined common reasons for acute hospitalizations and the LOSs among children, adolescents, and young adults with CP. METHODS: We performed a secondary analysis of data. CP patients aged 4-32.9 years were identified by CP registry in the catastrophic illness patient registry of the 2010 Taiwan National Health Insurance Research Database...
April 12, 2018: Pediatrics and Neonatology
https://www.readbyqxmd.com/read/29683017/retrospective-evaluation-of-changes-in-gait-patterns-in-children-and-adolescents-with-cerebral-palsy-after-multilevel-surgery
#10
Ramona Steppacher, David North, Christoph Künzle, Harald Lengnick, Harry Klima, Annegret Mündermann, Regina Wegener
The purpose of this study was to retrospectively investigate changes in gait patterns after single-event multilevel surgery in children and adolescents with bilateral cerebral palsy. Three-dimensional instrumented pre- and postoperative gait data of 12 patients were compared to data of 12 healthy control subjects using principal component analysis to reduce the dimensionality of kinematic and kinetic gait data and detect gait differences. The differences between pre- and postoperative data and between postoperative data and data of control subjects were calculated using a linear mixed model...
June 2018: Journal of Child Neurology
https://www.readbyqxmd.com/read/29656386/the-eating-and-drinking-ability-classification-system-concurrent-validity-and-reliability-in-children-with-cerebral-palsy
#11
Lea Tschirren, Susanne Bauer, Chiara Hanser, Petra Marsico, Diane Sellers, Hubertus J A van Hedel
AIM: As there is little evidence for concurrent validity of the Eating and Drinking Ability Classification System (EDACS), this study aimed to determine its concurrent validity and reliability in children and adolescents with cerebral palsy (CP). METHOD: After an extensive translation procedure, we applied the German language version to 52 participants with CP (30 males, 22 females, mean age 9y 7mo [SD 4y 2mo]). We correlated (Kendall's tau or Kτ ) the EDACS levels with the Bogenhausener Dysphagiescore (BODS), and the EDACS level of assistance with the Manual Ability Classification System (MACS) and the item 'eating' of the Functional Independence Measure for Children (WeeFIM)...
June 2018: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/29642556/reliability-and-validity-of-the-european-child-environment-questionnaire-eceq-in-children-and-adolescents-with-cerebral-palsy-persian-version
#12
Mahyar Salavati, Roshanak Vameghi, Seyed Ali Hosseini, Ahmad Saeedi, Masoud Gharib
The aim of this study was to assess the reliability and validity of the Persian version of the European Child Environment Questionnaire (ECEQ) in the Iranian context. In total, 332 parents (20.2% fathers and 79.8% mothers) of children and adolescents with cerebral palsy (CP) with an average age of 12.33 years (min 7.08 to max 18.08) from three provinces in Iran participated in the study. The original version of the questionnaire was translated and back-translated. Confirmatory construct validity was assessed by factor analysis and reliability was evaluated by Cronbach's alpha ( N = 332) and after two weeks' test-retest reliability ( n = 51) using an intraclass correlation coefficient (ICC)...
April 9, 2018: Children
https://www.readbyqxmd.com/read/29629589/flexed-knee-gait-in-children-with-cerebral-palsy
#13
C Church, J Ge, S Hager, T Haumont, N Lennon, T Niiler, R Hulbert, F Miller
Aims The purpose of this study was to evaluate the long-term outcome of adolescents with cerebral palsy who have undergone single-event multilevel surgery for a flexed-knee gait, followed into young adulthood using 3D motion analysis. Patients and Methods A total of 59 young adults with spastic cerebral palsy, with a mean age of 26 years (sd 3), were enrolled into the study in which their gait was compared with an evaluation that had taken place a mean of 12 years (sd 2) previously. At their visits during adolescence, the children walked with excessive flexion of the knee at initial contact and surgical or therapeutic interventions were not controlled between visits...
April 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29594463/traumatic-brain-injury-in-indian-children
#14
REVIEW
Krishna Chaitanya, Archana Addanki, Rajendra Karambelkar, Rakesh Ranjan
INTRODUCTION: Traumatic brain injury (TBI) in children and adolescents is a community-based medical and educational challenge world-over due to increasing urbanization and motorization. In India, children between 1 to 15 years constitute significant proportion of the total population, who are vulnerable for TBI. In developed countries, pediatric trauma mortality still represents more than half of all childhood fatalities, which is 18 times more common than brain tumors. In this study, we attempted to analyze epidemiological factors, management, and outcome of TBI in children at a tertiary care center in Pune, Maharashtra...
June 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/29579008/functional-mobility-improved-after-intensive-progressive-resistance-exercise-in-an-adolescent-with-spina-bifida
#15
Carol L Baym, James B Hedgecock, Mary Jane K Rapport
PURPOSE: To describe the use and effectiveness of a novel intensive progressive resistance exercise (PRE) approach to address the functional goals of a 14-year-old adolescent with a myelomeningocele. SUMMARY OF KEY POINTS: The child had lower extremity weakness, knee and hip flexion contractures, impaired somatosensation, and cardiopulmonary deconditioning, affecting gait mechanics and functional ambulation. An 8-week intensive PRE-based intervention was designed to improve walking in the home by targeting both power-generating and stabilizing lower extremity musculature...
April 2018: Pediatric Physical Therapy
https://www.readbyqxmd.com/read/29579002/descriptive-report-of-the-impact-of-fatigue-and-current-management-strategies-in-cerebral-palsy
#16
Laura K Brunton
PURPOSE: To describe the effect of fatigue and self-management practices for adolescents and young adults with cerebral palsy. METHODS: A survey of 124 people with cerebral palsy with the Fatigue Impact and Severity Self-Assessment. RESULTS: Participants in Gross Motor Function Classification System (GMFCS) level I experienced little effect of fatigue, with high proportions of this group disagreeing to statements about fatigue impacting their general activities, mobility, and social activities...
April 2018: Pediatric Physical Therapy
https://www.readbyqxmd.com/read/29572878/muscle-contractures-in-patients-with-cerebral-palsy-and-acquired-brain-injury-are-associated-with-extracellular-matrix-expansion-pro-inflammatory-gene-expression-and-reduced-rrna-synthesis
#17
Ferdinand Von Walden, Stefan Gantelius, Chang Liu, Hanna Borgström, Lars Björk, Ola Gremark, Per Stål, Gustavo A Nader, Eva PontéN
INTRODUCTION: Children with cerebral palsy (CP) and acquired brain injury (ABI) commonly develop muscle contractures with advancing age. An underlying growth defect contributing to skeletal muscle contracture formation in CP/ABI has been suggested. METHODS: The biceps muscles of children and adolescents with CP/ABI (n = 20) and typically developing controls (n = 10) were investigated. We used immunohistochemistry, quantitative real-time polymerase chain reaction, and Western blotting to assess gene expression relevant to growth and size homeostasis...
March 23, 2018: Muscle & Nerve
https://www.readbyqxmd.com/read/29569017/a-review-of-preference-based-measures-for-the-assessment-of-quality-of-life-in-children-and-adolescents-with-cerebral-palsy
#18
REVIEW
Christine Mpundu-Kaambwa, Gang Chen, Elisabeth Huynh, Remo Russo, Julie Ratcliffe
PURPOSE: To examine the psychometric properties and suitability for use within the context of cerebral palsy research in children and adolescents of generic preference-based outcome measures (PROMs). METHODS: Nine electronic databases were searched in this systematic review. The consensus-based standards for the selection of health measurement instruments (COSMIN) checklist were used to measure the psychometric properties of the PROMs. A meta-analysis was used to pool correlation coefficients for convergent validity using the Schmidt-Hunter method...
March 22, 2018: Quality of Life Research
https://www.readbyqxmd.com/read/29565694/application-of-commercial-games-for-home-based-rehabilitation-for-people-with-hemiparesis-challenges-and-lessons-learned
#19
Bulmaro A Valdés, Stephanie M N Glegg, Navid Lambert-Shirzad, Andrea N Schneider, Jonathan Marr, Renee Bernard, Keith Lohse, Alison M Hoens, H F Machiel Van der Loos
OBJECTIVE: To identify the factors that influence the use of an at-home virtual rehabilitation gaming system from the perspective of therapists, engineers, and adults and adolescents with hemiparesis secondary to stroke, brain injury, and cerebral palsy. MATERIALS AND METHODS: This study reports on qualitative findings from a study, involving seven adults (two female; mean age: 65 ± 8 years) and three adolescents (one female; mean age: 15 ± 2 years) with hemiparesis, evaluating the feasibility and clinical effectiveness of a home-based custom-designed virtual rehabilitation system over 2 months...
March 22, 2018: Games for Health
https://www.readbyqxmd.com/read/29564711/documenting-an-epidemic-of-suffering-low-health-related-quality-of-life-among-transgender-youth
#20
Yuanshu Zou, Rhonda Szczesniak, Alexis Teeters, Lee Ann E Conard, Daniel H Grossoehme
PURPOSE: To quantify HRQOL of TGN patients using the PedsQL 4.0 generic core scales, and to compare reported HRQOL of TGN adolescents with published data from comparison populations. METHODS: Transgender children and adolescents (N = 142; 68% natal females) ages 6-23 years (M = 15.9, SD = 3.7) attending an outpatient clinic for TGN care at an academic pediatric hospital and caregivers of children and adolescents (N = 95) completed the PedsQL 4.0 generic core scales...
March 21, 2018: Quality of Life Research
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