Presentation
In a review of the literature and his personal observations, the author presents an outline of treatment options and the criteria for using each. [thejns.org]
Therefore, the presentation of spasticity in every patient, even those who have similar injuries, varies. Some forms of spasticity will be hardly-noticeable, while others will require a cane or wheelchair. [hiehelpcenter.org]
Results for this patient according to the 8 domains are presented here, and are common in patients with this presentation [12]. [physio-pedia.com]
Spastic cerebral palsy Spastic hand( hemiplegia ) Specialty Neurology Spastic cerebral palsy is the type of cerebral palsy wherein spasticity is the exclusive impairment present. [en.wikipedia.org]
Differences in symptoms depend on the severity of the child’s brain injury and any co-occurring disorders that may be present. [cerebralpalsyguide.com]
Musculoskeletal
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Anterior Knee Pain
This results in anterior knee pain. [ijoonline.com]
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Knee Pain
This results in anterior knee pain. [ijoonline.com]
Neurologic
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Spastic Gait
Inclusion criteria were (a) diagnosis of CP verified by a physiatrist who was a specialist in pediatric rehabilitation medicine, (b) ability to ambulate independently with or without assistive devices, (c) spastic gait with equinus of the ankle, and [pubs.rsna.org]
Botulinum toxin A in hamstring spasticity. Gait Posture 1999;10:206-10. 28. Papadonikolakis AS, Vekris MD, Korompilias AV, Kostas JP, Ristanis SE, Soucacos PN. [ijoonline.com]
Treatment
There are factors that help guide the optimal treatment modalities for the child with spastic CP. The treatment of these children is optimized in the setting of a multidisciplinary team. [thejns.org]
However, when baclofen treatment is stopped, spasticity returns. Risks associated with baclofen include overdose, meningitis, and other complications, and since it is a relatively new treatment, long-term affects are currently not known. [cerebralpalsysource.com]
Treatment for Spastic Cerebral Palsy Treatment for spastic CP varies with each case. The severity of symptoms, the location of movement problems and any secondary conditions are the biggest factors in outlining treatment. [cerebralpalsyguide.com]
These differing etiologies may have different implications for treatment of gait disorders. [onlinelibrary.wiley.com]
Treatment of Spasticity Spasticity is debilitating. [uspharmacist.com]
Prognosis
Spastic Cerebral Palsy Prognosis Again, there is no cure for spastic cerebral palsy, but with the proper treatment, children can grow up and thrive as adults. [cerebralpalsyguidance.com]
Further studies are needed to address the true extent of this complex complication of CP to improve the quality of life and ensure better prognosis among children with CP and their families. [bmcmusculoskeletdisord.biomedcentral.com]
Outlook (Prognosis) Cerebral palsy is a life-long disorder. Long-term care may be required. The disorder does not affect expected length of life. The amount of disability varies. [pennstatehershey.adam.com]
It is not intended to provide instruction and you should not rely on this information to determine diagnosis, prognosis or a course of treatment. It should not be used in place of a professional consultation with a doctor. [dystonia.org.uk]
The prognosis usually depends on the type of cerebral palsy and on its severity. Most children with cerebral palsy survive into adulthood. [merckmanuals.com]
Etiology
These differing etiologies may have different implications for treatment of gait disorders. [onlinelibrary.wiley.com]
The vast majority of these cases fall into the following etiologic categories: (1) developmental anomalies, which in a small number may be genetically determined; (2) cerebral trauma during the birth process; (3) cerebral degenerations, and (4) acquired [jamanetwork.com]
[…] lumbar puncture if movement disorders or refractory seizures are present Administer an electroencephalogram (EEG) if seizures are present Administer metabolic and genetic testing if certain aspects of the clinical examination or history are atypical, no etiology [hiehelpcenter.org]
Liesner R 30866113 2019 40 A Critical Evaluation of Current Concepts in Cerebral Palsy. 38 Brandenburg JE...Sieck GC 30968751 2019 41 The Cole Midfoot Osteotomy: Clinical and Radiographic Retrospective Review of Five Patients (Six Feet) with Different Etiologies [malacards.org]
Etiology Idiopathic (most cases) Risk factors: Preterm birth and low birth weight (most important risk factors) TORCH infection Perinatal asphyxia Intracranial hemorrhage Structural abnormality of the brain Neonatal seizures Kernicterus Postnatal infection [amboss.com]
Epidemiology
Cerebral palsy epidemiology: where are we now and where are we going?. Dev Med Child Neurol. 1992 Jun. 34(6):547-51. [Medline]. Bax M, Goldstein M, Rosenbaum P, Leviton A, Paneth N, Dan B, et al. [medscape.com]
Epidemiology References: [1] [2] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]
Epidemiology and risk factors for kidney cancer. Nat Rev Urol 210;7:245-257 3 Levi F, Ferlay J, Galeone C, et al. The changing pattern of kidney cancer incidence and mortality in Europe. [ipsen.com]
Literature Review: There are epidemiological, clinical and review studies about management of spasticity in children with cerebral palsy. [ncbi.nlm.nih.gov]
The epidemiology and causes of cerebral palsy. Australian Journal of Physiotherapy. 2003 Jan 1;49(1):7-12. PMID: 12600249 6.0 6.1 6.2 6.3 Odding E, Roebroeck ME, Stam HJ. The epidemiology of cerebral palsy: incidence, impairments and risk factors. [physio-pedia.com]
Pathophysiology
Neonatal Encephalopathy and Cerebral Palsy: Defining the Pathogenesis and Pathophysiology. Washington, DC: American College of Obstetricians and Gynecologists; 2003. [Full Text]. Capute AJ, Accardo PJ, eds. [medscape.com]
The pathophysiology of traumatic brain injury involves a complex combination of forces that has been a subject of substantial debate ( Drew LB. and Drew WE, 2004 ). [intechopen.com]
Pathophysiology of impairment in patients with spasticity and the use of stretch as a treatment of spastic hypertonia. Phys Med Rehabil Clin N Am. 2001; 12 (4):747–68. [ PubMed ] [ Google Scholar ] 49. David A, Alan L. [ncbi.nlm.nih.gov]
DS can also be used as an imaging method to provide insight into the biomechanics and pathophysiology of spastic muscles in children with CP. [pubs.rsna.org]
Clarification of these mechanisms is necessary both from the point of view of a fundamental understanding of pathophysiological processes and for making a reasonable choice of effective methods to prevent secondary deformities in cerebral palsy. [journals.eco-vector.com]
Prevention
The toxin prevents acetylcholine from being released into the synaptic cleft, preventing muscle contraction. Within the nerve cell, vesicles containing acetylcholine fuse with the neuronal cell membrane in order for acetylcholine to be released. [uspharmacist.com]
Specifically, high intensity physical therapy and possibly early surgery to prevent more significant problems in the future, and hopefully improve overall function and quality of life." M. [eurekalert.org]
The analysis of the factors that could influence muscle contractions will allow a better planification of medical resources and will help to educate families about the importance of preventive treatment strategies. [thieme-connect.com]
[…] participation in the study, Refusing to participate in the study, Having an orthopedic disorder or systemic illness which prevents movement in the lower extremities, Having a Botulinum toxin application in the last 3 months Information from the National [clinicaltrials.gov]
This condition prevents the normal development of motor function. Spastic CP is characterized by jerky movements, muscle tightness and joint stiffness. [cerebralpalsyguide.com]