Classification of functional abilities of children and adolescents with cerebral palsy

Author(s):  
Robert J Palisano
2018 ◽  
Vol 33 (11) ◽  
pp. 724-733 ◽  
Author(s):  
Linda Nguyen ◽  
Briano Di Rezze ◽  
Ronit Mesterman ◽  
Peter Rosenbaum ◽  
Jan Willem Gorter

Children and adolescents with cerebral palsy often receive botulinum toxin A (BoNT-A) to manage hypertonia. This qualitative study aimed to describe and categorize BoNT-A effects that parents observed using the WHO’s International Classification of Functioning, Disability and Health (ICF) framework. An interpretive description methodology was used; semi-structured interviews were conducted with 15 parents of nonambulatory young people with cerebral palsy (mean age 10.2 years, SD 3.9, 7 males) who received BoNT-A. Parents reported BoNT-A effects on each ICF category. Through interpretive description, an overall theme emerged: “finding the right path to do what is best.” Five subthemes included (1) Parents’ hopes, (2) Parents’ goals for their child, (3) Parents’ learning what works, (4) Parents’ reflections, and (5) Parents’ destination. This study provides insights into parents’ journeys of how they learned about BoNT-A effects in their child, which helped them to identify goals for future treatment.


2015 ◽  
Vol 14 (1) ◽  
pp. 46-51
Author(s):  
Michele Baffi Diniz ◽  
Renata Oliveira Guaré ◽  
Maria Cristina Duarte Ferreira ◽  
Maria Teresa Botti Rodrigues Santos

2018 ◽  
Vol 33 (9) ◽  
pp. 593-600 ◽  
Author(s):  
Susan M. Reid ◽  
Elaine M. Meehan ◽  
Dinah S. Reddihough ◽  
Adrienne R. Harvey

The authors aimed to describe the distribution of predominant and secondary motor types and compare functional profiles, comorbidities, and brain imaging patterns between dyskinetic and spastic cerebral palsy. Children recruited from a cerebral palsy register were assessed at age 5, 10, or 15. Motor types, topography, functional classifications, and comorbidities were recorded. Univariable logistic regression was used to compare dyskinesia with spasticity, with and without adjustment for topography. Neuroimaging classifications were extracted from the register. Of 243 children with spasticity or dyskinesia, the predominant motor type was spastic in 183 and dyskinetic in 56. Dyskinesia was associated with comparatively poorer function, total body involvement, and gray matter injury. After adjustment for topography, dyskinesia was associated with similar or better function. The study suggests that practical tools routinely incorporated into clinical practice would facilitate accurate and reliable classification of predominant and secondary motor types, topography, and functional abilities.


Author(s):  
Ricardo Rodrigues Sousa Junior ◽  
Ana Paula Bensemann Gontijo ◽  
Thiago Ribeiro Teles Santos ◽  
F. Virginia Wright ◽  
Marisa C. Mancini

2017 ◽  
Vol 29 (1) ◽  
pp. 8-14 ◽  
Author(s):  
Piyapa Keawutan ◽  
Kristie L. Bell ◽  
Stina Oftedal ◽  
Peter S. W. Davies ◽  
Robert S. Ware ◽  
...  

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

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