Surgery for Cerebral Palsy Part 3: Classification and Operative Procedures for Thumb Deformity

2001 ◽  
Vol 26 (5) ◽  
pp. 465-470 ◽  
Author(s):  
M. A. TONKIN ◽  
N. C. HATRICK ◽  
J. R. T. ECKERSLEY ◽  
G. COUZENS
Keyword(s):  
Cerebral Palsy ◽  
Functional Assessment ◽  
Assessment System ◽  
Operative Procedures ◽  
Accurate Assessment ◽  
Thumb Reconstruction ◽  
Deforming Forces

Spastic thumb deformity is the result of imbalance between intrinsic and extrinsic forces acting across unstable joints. This paper presents a classification of spastic thumb deformity based on the accurate assessment of the deforming forces, outlines methods for their correction and reviews the results of our surgery. Thumb reconstruction procedures were performed in 32 patients with 33 spastic thumb deformities. All patients were assessed pre- and postoperatively using the same functional assessment system which was performed by the same team. The thumb was maintained out of the palm in 29 patients and lateral pinch was established in 26 patients.

An acoustic myography functional assessment of cerebral palsy subjects compared to healthy controls during physical exercise

2019 ◽  
Vol 40 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Jessica Pingel ◽  
Ida Torp Andersen ◽  
Rikke Broholm ◽  
Anja Harder ◽  
Else Marie Bartels ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Physical Exercise ◽  
Functional Assessment ◽  
Healthy Controls ◽  
Acoustic Myography

scholarly journals Reliability of classification of cerebral palsy in low-birthweight children in four countries

2007 ◽  
Vol 45 (9) ◽  
pp. 628-633 ◽  
Author(s):  
Nigel Paneth ◽  
Hong Qiu ◽  
Saroj Saigal ◽  
Sharif Bishai ◽  
James Jetton BS ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Low Birthweight

Limb distribution, motor impairment, and functional classification of cerebral palsy

2004 ◽  
Vol 46 (07) ◽  
Author(s):  
Jan Willem Gorter ◽  
Peter L Rosenbaum ◽  
Steven E Hanna ◽  
Robert J Palisano ◽  
Doreen J Bartlett ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Impairment ◽  
Functional Classification

Description and classification of the effect of hamstrings lengthening in cerebral palsy children multi-site surgery

2012 ◽  
Vol 15 (sup1) ◽  
pp. 177-179 ◽  
Author(s):  
A. Sebsadji ◽  
N. Khouri ◽  
K. Djemal ◽  
D. Yepremian ◽  
F. Hareb ◽  
...  
Keyword(s):  
Cerebral Palsy

scholarly journals LASER PUNCTURE IN DYSARTHRIA IN CHILDREN WITH CHILDHOOD CEREBRAL PALSY AT THE STAGE OF SANATORIUM TREATMENT

2020 ◽  
Vol 26 (3) ◽  
pp. 38-41
Author(s):  
N. A. Yulov
Keyword(s):  
Cerebral Palsy ◽  
Recovery Time ◽  
Statistical Data ◽  
Acupuncture Points ◽  
Qualitative And Quantitative ◽  
Results Of Treatment ◽  
Children With Cerebral Palsy ◽  
Speed Up ◽  
Childhood Cerebral Palsy

The article describes the experience of using laser puncturing methods for dysarthria in children with all forms of cerebral palsy. Statistical data of treated children with dysarthria by age, types of dysarthria and the results of course treatment with laser punctures on the s calp zones and acupuncture points of the corporeal meridians were analyzed and points of the auricle depending on the form of cerebral palsy and the type of dysarthria according to the pathogenetic criterion in 334 children for the period from 2017 to 2019. Based on the visual study of the volume of active movements of articulatory muscles, qualitative and quantitative dynamics of speech activity, a conclusion was made about the positive effectiveness in 200 (63 %) children. The greatest effectiveness was observed among children over 7 years of age – 60 % (200 children) and in pseudobulbar 79 % (197 children), cerebellar 77 % (31 children), subcortical 52 % (13 children) dysarthria. The lowest effectiveness was observed in children with severe forms of dysarthria by the degree of intelligibility to others (classification of J. Tardieu) 40 % (134 children) and in children under 7 years of age (32 %), with mixed dysarthria 45 % (9 children). The results of treatment allow us to conclude that the laser puncturing it is effective and should be systematically (1 time in 3 months if possible) included in the complex of sanatorium-resort rehabilitation for dysarthria in children with cerebral palsy, which will speed up the recovery time of articulation.

scholarly journals The Move & PLAY Study: An Example of Comprehensive Rehabilitation Outcomes Research

2010 ◽  
Vol 90 (11) ◽  
pp. 1660-1672 ◽  
Author(s):  
Doreen J. Bartlett ◽  
Lisa A. Chiarello ◽  
Sarah Westcott McCoy ◽  
Robert J. Palisano ◽  
Peter L. Rosenbaum ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Data Collection ◽  
Outcomes Research ◽  
Service Providers ◽  
World Health ◽  
International Classification Of Functioning ◽  
Rehabilitation Outcomes ◽  
Children With Cerebral Palsy ◽  
Comprehensive Rehabilitation

This perspective article provides an example of a study planned using guidelines for comprehensive rehabilitation outcomes research, an approach that is believed to give service providers meaningful evidence to support practice. This line of investigation has been guided by the World Health Organization's International Classification of Functioning, Disability and Health. The short title of a study under way is Move & PLAY (Movement and Participation in Life Activities of Young Children). The article briefly describes the conceptual model, provides guidelines on how indicators and measures are selected, alludes to the details of selected measures, and describes processes of preparing for data collection, including obtaining ethics approval, preparing data collection booklets, training assessors and interviewers, and sampling. The aim of this investigation is to gain a better understanding of the multiple child, family, and service factors associated with changes in mobility, self-care, and play of preschool children with cerebral palsy as a result of using this research method. Comprehensive rehabilitation outcomes research holds promise in providing evidence that supports the complexities of planning rehabilitation services with clients with chronic conditions, such as children with cerebral palsy.

Detecting Cutleaf Teasel (Dipsacus laciniatus) along a Missouri Highway with Hyperspectral Imagery

2012 ◽  
Vol 5 (2) ◽  
pp. 155-163 ◽  
Author(s):  
Diego J. Bentivegna ◽  
Reid J. Smeda ◽  
Cuizhen Wang
Keyword(s):  
Spatial Resolution ◽  
Native Species ◽  
Near Infrared ◽  
Bare Soil ◽  
Flowering Plants ◽  
Hyperspectral Images ◽  
Accurate Assessment ◽  
Water Classification ◽  
Management Techniques

AbstractCutleaf teasel is an invasive, biennial plant that poses a significant threat to native species along roadsides in Missouri. Flowering plants, together with understory rosettes, often grow in dense patches. Detection of cutleaf teasel patches and accurate assessment of the infested area can enable targeted management along highways. Few studies have been conducted to identify specific species among a complex of vegetation composition along roadsides. In this study, hyperspectral images (63 bands in visible to near-infrared spectral region) with high spatial resolution (1 m) were analyzed to detect cutleaf teasel in two areas along a 6.44-km (4-mi) section of Interstate I-70 in mid Missouri. The identified classes included cutleaf teasel, bare soil, tree/shrub, grass/other broadleaf plants, and water. Classification of cutleaf teasel reached a user's accuracy of 82 to 84% and a producer's accuracy of 89% in the two sites. The conditional κ value was around 0.9 in both sites. The image-classified cutleaf teasel map provides a practical mechanism for identifying locations and extents of cutleaf teasel infestation so that specific cutleaf teasel management techniques can be implemented.Cutleaf teasel is an exotic weed that infests roadside environments in Missouri. As a growing biennial, the plant develops as a rosette during the first year and bolts during the second. Dense patches contain flowering plants with understory rosettes. The objective of this work was to develop approaches for detecting cutleaf teasel patches with accurate assessment in a complex of species along a roadside. Thus, management of cutleaf teasel could be located at specific sites. Two hyperspectral images (63 bands with 1-m spatial resolution) were analyzed to detect cutleaf teasel along the Interstate Highway I-70 in mid Missouri. Classification of cutleaf teasel reached a user's accuracy of 82 to 84% and a producer's accuracy of 89% at the two sites. The image-classified teasel map provides a practical mechanism for identifying the locations and extents of cutleaf teasel infestation so that specific management techniques can be implemented.

SPECIAL ARTICLE

PEDIATRICS ◽  
1956 ◽  
Vol 18 (5) ◽  
pp. 841-852
Author(s):  
W. L. Minear
Keyword(s):  
Cerebral Palsy ◽  
American Academy ◽  
Medical Record ◽  
Muscle Tone ◽  
Brain Lesion ◽  
Good Deal ◽  
The Other ◽  
Anatomical Site ◽  
First Choice

The majority of the members of the American Academy for Cerebral Palsy voted to exclude progressive neurological diseases and neoplastic diseases of the brain from the classification of cerebral palsy. The lesion left by the removal of a brain tumor, however, is still considered one of the etiological factors of cerebral palsy. Cerebral palsy comprises the motor and other symptom complexes caused by a non-progressive brain lesion (or lesions). The nomenclature and classification questionnaires indicate that the members of the American Academy for Cerebral Palsy wish to accept a motor classification, listing each type of cerebral palsy separately: Spastic, Athetoid, Tremor, Rigidity, Ataxic, Atonic, and Mixed. The following choices as a basis for classification of cerebral palsy were made by the American Academy for Cerebral Palsy: First choice: Motor Symptoms Second choice: Topographic Involvement Third choice: Etiology Fourth choice: Anatomical Site (of lesion) Fifth choice: Severity of Involvement Sixth choice: Degree of Muscle Tone Seventh choice: Supplemental Data The first 3 choices above should be used by the medical record librarian and by doctors discharging patients with cerebral palsy from hospitals or institutions so as to establish a common understanding and uniformity to hospital records. It is understood that the neuroanatomical classification (Fourth choice) is to be used when it can be proven, but not by presumption. The majority of the members approve of tension, non-tension, dystonic, and tremor-like types of athetosis. The other types were rejected for various reasons. Probably, some of the other types would have been accepted if understood by the members. Each type is described and defined herein. There is a general lack of agreement on the various terms used in cerebral palsy. Definitions of these terms are now being made by a committee for a meeting in 1955. There is a good deal of evidence that neurological signs and symptoms change in the child with cerebral palsy as the nervous system matures and that one must be cautious in making a final descriptive or symptomatic diagnosis in infancy. The pattern of changing neurological symptoms from infancy through childhood should be studied. The high cervical syndrome described by Fay is being confused with cerebral palsy. This syndrome needs further study. It should be determined whether the term cerebrospinal palsy would not be more appropriate for the entire neurological group. The American Medical Association's Standard Nomenclature of Diseases and Operations (Fourth Edition), commonly used by medical record librarians, is not suitable for the classification of cerebral palsy. In this edition, all cerebral palsy is coded "Cerebral spastic infantile paralysis" with supplementary terms added to denote various types. A complete classification for cerebral palsy is presented, using the majority opinion from questionnaires sent to the members of the American Academy for Cerebral Palsy during 1953 as a basis.

Functional Assessment of Persons with Motor Limitations

2014 ◽  
pp. 43-74
Author(s):  
Kaliopi Lappas
Keyword(s):  
Functional Assessment ◽  
World Health ◽  
International Classification Of Functioning ◽  
Common Language ◽  
Reference Guide ◽  
The World ◽  
Examination Methods ◽  
Health Organization ◽  
And Function

In this chapter a referral is made to the most known examination methods and tools for evaluating persons with motor limitations. Since there are many methods and tools, standardized or not, describing each of them by the area of evaluation and forming a quick reference guide seem to be helpful. Furthermore referrals are made to some special evaluation forms regarding special conditions, like stoke, which appear to have multiple problems influencing function. Finally, in the last section of this chapter a referral is made to the International Classification of Functioning, Disability and Health scale (ICF), which has been developed the past few years by the World Health Organization (WHO), in an effort to have and apply a universal way of assessing people with disabilities. This scale aims to give to all the health professional and researchers a “common language” when “measuring” disability and function.

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