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Unilateral spastic cerebral palsy

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https://www.readbyqxmd.com/read/28509356/assessments-of-pain-in-children-and-adolescents-with-cerebral-palsy-a-retrospective-population-based-registry-study
#1
Lena Westbom, Amanda Rimstedt, Eva Nordmark
AIM: To explore pain screening in CPUP, a follow-up surveillance programme for people with cerebral palsy (CP), specifically to describe reported pain prevalence, localizations, patterns of distribution; to compare with studies using psychometrically sound assessment instruments; and to assess agreement between pain documented in CPUP and medical records. METHOD: Registry study of a population with CP, born 1993 to 2008, living in Skåne, Sweden in 2013. Descriptive data, cross-tabulations, and chi-square tests to characterize and compare the study groups...
May 16, 2017: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/28505986/combined-transcranial-direct-current-stimulation-and-robotic-upper-limb-therapy-improves-upper-limb-function-in-an-adult-with-cerebral-palsy
#2
Kathleen M Friel, Peter Lee, Lindsey V Soles, Ana R P Smorenburg, Hsing-Ching Kuo, Dylan J Edwards
BACKGROUND: Robotic therapy can improve upper limb function in hemiparesis. Excitatory transcranial direct current stimulation (tDCS) can prime brain motor circuits before therapy. OBJECTIVE: We tested safety and efficacy of tDCS plus robotic therapy in an adult with unilateral spastic cerebral palsy (USCP). METHODS: In each of 36 sessions, anodal tDCS (2 mA, 20 min) was applied over the motor map of the affected hand. Immediately after tDCS, the participant completed robotic therapy, using the shoulder, elbow, and wrist (MIT Manus)...
May 10, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28428665/brain-lesions-in-children-with-unilateral-spastic-cerebral-palsy
#3
Feriha Hadzagic-Catibusic, Edin Avdagic, Smail Zubcevic, Sajra Uzicanin
INTRODUCTION: Unilateral spastic cerebral palsy (US CP) is the second most common subtype of cerebral palsy. AIM: The aim of the study was to analyze neuroimaging findings in children with unilateral spastic cerebral palsy. MATERIAL AND METHODS: The study was hospital based, which has included 106 patients with US CP (boys 72/girls 34, term 82/preterm 24). Neuroimaging findings were classified into 5 groups: Brain maldevelopment, predominant white matter injury, predominant gray matter injury, non specific findings and normal neuroimaging findings...
February 2017: Medical Archives
https://www.readbyqxmd.com/read/28322177/prevalence-estimate-of-cerebral-palsy-in-northern-alberta-births-2008-2010
#4
Charlene M T Robertson, M Florencia Ricci, Kathleen O'Grady, Maryam Oskoui, Helly Goez, Jerome Y Yager, John C Andersen
OBJECTIVES: The objectives of this study were to determine prevalence estimates of cerebral palsy (CP) among 5-year-old children in northern Alberta; to provide congenital, gestational age- and birth weight-specific, and postneonatal CP rates; and to describe motor subtypes and function. METHODS: This population-based prevalence estimate study, part of the Canadian Cerebral Palsy Registry, reports confirmed CP diagnoses at age 5 years made by pediatric rehabilitation and child neurology specialists...
March 21, 2017: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/28231063/bone-age-in-unilateral-spastic-cerebral-palsy-is-there-a-correlation-with-hand-function-and-limb-length
#5
Je-Sang Lee, Im Jeong Choi, Myung Jun Shin, Jin-A Yoon, Sung Hwa Ko, Yong Beom Shin
BACKGROUND: The purpose of this study was to analyze the bone age and the upper extremity segmental lengths between the affected and the unaffected side and to reveal the correlation between the difference of bone age and the upper limb length discrepancy in the unilateral spastic cerebral palsy (CP). We also evaluated the relationship between difference of bone age and hand function. METHODS: Seventy-eight patients participated in this study. The bone ages of hand-wrists of the patients were determined by the Greulich and Pyle atlas...
March 1, 2017: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://www.readbyqxmd.com/read/28133691/impairments-activity-limitations-and-participation-restrictions-of-the-international-classification-of-functioning-disability-and-health-model-in-children-with-ambulatory-cerebral-palsy
#6
Akmer Mutlu, Sema Büğüşan, Özgün K Kara
To examine the impairments, activity limitations, and participation restrictions in children with spastic unilateral and bilateral cerebral palsy (CP). We investigated the relationship between these factors according to the international classification of functioning, disability, and health (ICF) model. Methods: This prospective cross sectional study included 60 children aged between 4-18 years with spastic CP (30 unilateral, 30 bilateral involvement) classified as Levels I and II on the gross motor function classification system...
February 2017: Saudi Medical Journal
https://www.readbyqxmd.com/read/27912104/structured-skill-practice-during-intensive-bimanual-training-leads-to-better-trunk-and-arm-control-than-unstructured-practice-in-children-with-unilateral-spastic-cerebral-palsy
#7
Ya-Ching Hung, Marina B Brandão, Andrew M Gordon
BACKGROUND: Recently, intensive practice showed good efficacy in improving upper extremity function for children with unilateral spastic cerebral palsy (USCP). However, little is known about the significance of skill progression frequently used during intensive practice. AIMS: We evaluate the importance of skill progression during intensive bimanual practice on movement coordination. METHODS AND PROCEDURES: Twenty children with USCP (average age: 8...
January 2017: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/27907872/does-unilateral-single-event-multilevel-surgery-improve-gait-in-children-with-spastic-hemiplegia-a-retrospective-analysis-of-a-long-term-follow-up
#8
Christian Schranz, Annika Kruse, Tanja Kraus, Gerhardt Steinwender, Martin Svehlik
Single event multilevel surgery (SEMLS) has become a standard intervention for children with cerebral palsy (CP). SEMLS proved to improve the gait in bilateral spastic cerebral palsy and those improvements can be maintained in the long term. However there is no evidence on the long-term outcome of unilateral SEMLS in children with unilateral spastic cerebral palsy. The gait analyses and clinical data of 14 children (9 male/5 female, mean age 12.1) with unilateral CP (6 children Gross Motor Function Classification System Scale level I and 8 children level II) were retrospectively reviewed at four time-points: preoperatively, 1year, 3-5 years and approximately 10 years after unilateral SEMLS...
November 15, 2016: Gait & Posture
https://www.readbyqxmd.com/read/27866118/pathological-and-physiological-muscle-co-activation-during-active-elbow-extension-in-children-with-unilateral-cerebral-palsy
#9
A Sarcher, M Raison, F Leboeuf, B Perrouin-Verbe, S Brochard, R Gross
OBJECTIVE: To address the roles and mechanisms of co-activation in two flexor/extensor pairs during elbow extension in children with cerebral palsy (CP). METHODS: 13 Typically Developing (TD) and 13 children with unilateral spastic CP performed elbow extension/flexion at different speeds. Elbow angle and velocity were recorded using a 3D motion analysis system. The acceleration and deceleration phases of extension were analyzed. Co-activation of the brachioradialis/triceps and biceps/triceps pairs was computed for each phase from surface electromyographic signals...
January 2017: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/27864822/caregiver-directed-home-based-intensive-bimanual-training-in-young-children-with-unilateral-spastic-cerebral-palsy-a-randomized-trial
#10
RANDOMIZED CONTROLLED TRIAL
Claudio L Ferre, Marina Brandão, Bhavini Surana, Ashley P Dew, Noelle G Moreau, Andrew M Gordon
AIM: To examine the efficacy of caregiver-directed, home-based intensive bimanual training in children with unilateral spastic cerebral palsy (USCP) using a randomized control trial. METHOD: Twenty-four children (ages 2y 6mo-10y 1mo; 10 males, 14 females) performed home-based activities directed by a caregiver for 2 hours per day, 5 days per week, for 9 weeks (total=90h). Cohorts of children were age-matched into groups and randomized to receive home-based hand-arm bimanual intensive therapy (H-HABIT; n=12) or lower-limb functional intensive training (LIFT-control; n=12)...
May 2017: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/27856938/does-corticospinal-tract-connectivity-influence-the-response-to-intensive-bimanual-therapy-in-children-with-unilateral-cerebral-palsy
#11
Ana R P Smorenburg, Andrew M Gordon, Hsing-Ching Kuo, Claudio L Ferre, Marina Brandao, Yannick Bleyenheuft, Jason B Carmel, Kathleen M Friel
BACKGROUND: Reorganization of the corticospinal tract (CST) can occur in unilateral spastic cerebral palsy (USCP). The affected hand can be controlled via (1) typical contralateral projections from the lesioned hemisphere, (2) ipsilateral projections from the nonlesioned hemisphere, and (3) a combination of contralateral and ipsilateral projections (ie, bilateral). Intensive bimanual therapy and constraint-induced movement therapy (CIMT) improve hand function of children with USCP. Earlier it was suggested that the CST connectivity pattern may influence the efficacy of CIMT...
March 2017: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/27766077/no-decrease-in-muscle-strength-after-botulinum-neurotoxin-a-injection-in-children-with-cerebral-palsy
#12
Meta N Eek, Kate Himmelmann
Spasticity and muscle weakness is common in children with cerebral palsy (CP). Spasticity can be treated with botulinum neurotoxin-A (BoNT-A), but this drug has also been reported to induce muscle weakness. Our purpose was to describe the effect on muscle strength in the lower extremities after BoNT-A injections in children with CP. A secondary aim was to relate the effect of BoNT-A to gait pattern and range of motion. Twenty children with spastic CP were included in the study, 8 girls and 12 boys (mean age 7...
2016: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/27676756/distinction-between-pathological-and-functional-co-activation-during-active-upper-limb-movements-in-hemiparetic-children
#13
Aurélie Sarcher, Maxime Raison, Fabien Leboeuf, Brigitte Perrouin-Verbe, Sylvain Brochard, Raphael Gross
OBJECTIVE: Children with spastic unilateral cerebral palsy (SUCP) have an involved upper limb (IUL) restricted in active range of motion and in velocity when performing elbow extension, due to a combination of muscle impairments. One of them is excessive muscle co-activation (CA). CA usually has a functional role, particularly in joint stabilization. The aim of this study is to identify when pathological CA occurs during active elbow extension of the IUL to highlight its impact on movement restriction and to discriminate impaired muscles...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27545082/gastrocnemius-muscle-tendon-interaction-during-walking-in-typically-developing-adults-and-children-and-in-children-with-spastic-cerebral-palsy
#14
Gursharan Kalsi, Nicola R Fry, Adam P Shortland
BACKGROUND: Our understanding of the interaction of muscle bellies and their tendons in individuals with muscle pathology is limited. Knowledge of these interactions may inform us of the effects of musculoskeletal pathologies on muscle-tendon dynamics and the subsequent neurological control strategies used in gait. Here, we investigate gastrocnemius muscle-tendon interaction in typically-developing (TD) adults and children, and in children with spastic cerebral palsy (SCP). METHODS: We recruited six TD adults (4 female; mean age: 34 yrs...
October 3, 2016: Journal of Biomechanics
https://www.readbyqxmd.com/read/27521274/should-mirror-movements-modify-therapeutic-strategies-for-unilateral-spastic-cerebral-palsy
#15
Martin Staudt
No abstract text is available yet for this article.
February 2017: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/27465858/using-diffusion-tensor-imaging-to-identify-corticospinal-tract-projection-patterns-in-children-with-unilateral-spastic-cerebral-palsy
#16
Hsing-Ching Kuo, Claudio L Ferre, Jason B Carmel, Jaimie L Gowatsky, Arielle D Stanford, Stefan B Rowny, Sarah H Lisanby, Andrew M Gordon, Kathleen M Friel
AIM: To determine whether diffusion tensor imaging (DTI) can be an independent assessment for identifying the corticospinal tract (CST) projecting from the more-affected motor cortex in children with unilateral spastic cerebral palsy (CP). METHOD: Twenty children with unilateral spastic CP participated in this study (16 males, four females; mean age 9y 2mo [standard deviation (SD) 3y 2mo], Manual Ability Classification System [MACS] level I-III). We used DTI tractography to reconstruct the CST projecting from the more-affected motor cortex...
January 2017: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/27274487/hip-dislocation-in-cerebral-palsy-evolution-of-the-contralateral-side-after-reconstructive-surgery
#17
João Caetano Munhoz Abdo, Edilson Forlin
OBJECTIVE: To evaluate the progression of the contralateral hip after unilateral reconstruction of hip dislocation in patients classified as GMFCS IV-V; and to identify potential prognostic factors for their evolution. METHODS: This was a retrospective study on 17 patients with spastic cerebral palsy, who were classified on the GMFCS scale (Gross Motor Functional Classification System) as degrees IV and V, and who underwent unilateral reconstruction surgery to treat hip dislocation (adductor release, femoral varus osteotomy and acetabuloplasty)...
May 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27199883/rodent-hypoxia-ischemia-models-for-cerebral-palsy-research-a-systematic-review
#18
REVIEW
Prakasham Rumajogee, Tatiana Bregman, Steven P Miller, Jerome Y Yager, Michael G Fehlings
Cerebral palsy (CP) is a complex multifactorial disorder, affecting approximately 2.5-3/1000 live term births, and up to 22/1000 prematurely born babies. CP results from injury to the developing brain incurred before, during, or after birth. The most common form of this condition, spastic CP, is primarily associated with injury to the cerebral cortex and subcortical white matter as well as the deep gray matter. The major etiological factors of spastic CP are hypoxia/ischemia (HI), occurring during the last third of pregnancy and around birth age...
2016: Frontiers in Neurology
https://www.readbyqxmd.com/read/27177476/correlation-between-the-gait-deviation-index-and-gross-motor-function-gmfcs-level-in-children-with-cerebral-palsy
#19
Merete A Malt, Ånen Aarli, Bård Bogen, Jonas M Fevang
AIM: The Gait Deviation Index (GDI) is a score derived from three-dimensional gait analysis (3DGA). The GDI provides a numerical value that expresses overall gait pathology (ranging from 0 to 100, where 100 indicates the absence of gait pathology). The aim of this study was to investigate the association between the GDI and different levels of gross motor function [defined as the Gross Motor Function Classification System (GMFCS)] and to explore if age, height, weight, gender and cerebral palsy (CP) subclass (bilateral and unilateral CP) exert any influence on the GDI in children with unilateral and bilateral spastic CP...
June 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/27058177/effects-of-botulinum-toxin-a-and-goal-directed-physiotherapy-in-children-with-cerebral-palsy-gmfcs-levels-i-ii
#20
Kristina Löwing, Karin Thews, Yvonne Haglund-Åkerlind, Elena M Gutierrez-Farewik
AIMS: To evaluate short and long-term effects of botulinum toxin-A combined with goal-directed physiotherapy in children with cerebral palsy (CP). METHOD: A consecutive selection of 40 children, ages 4-12 years, diagnosed with unilateral or bilateral CP, and classified in GMFCS levels I-II. During the 24 months, 9 children received one BoNT-A injection, 10 children two injections, 11 children three injections, and 10 children received four injections. 3D gait analysis, goal-attainment scaling, and body function assessments were performed before and at 3, 12, and 24 months after initial injections...
April 8, 2016: Physical & Occupational Therapy in Pediatrics
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