Evidence-Based Diagnosis, Health Care, and Rehabilitation for Children With Cerebral Palsy

@article{Novak2014EvidenceBasedDH,
  title={Evidence-Based Diagnosis, Health Care, and Rehabilitation for Children With Cerebral Palsy},
  author={Iona Novak},
  journal={Journal of Child Neurology},
  year={2014},
  volume={29},
  pages={1141 - 1156}
}
  • I. Novak
  • Published 22 June 2014
  • Medicine, Psychology
  • Journal of Child Neurology
Safer and more effective interventions have been invented for children with cerebral palsy, but the rapid expansion of the evidence base has made keeping up-to-date difficult. Unfortunately, outdated care is being provided. The aims were to survey the questions parents asked neurologists and provide evidence-based answers, using knowledge translation techniques. Parents asked the following questions: (1) what’s wrong with my baby? An algorithm for early diagnosis was proposed. (2) What is… 
View on SAGE
aacpdm.org
153 Citations
Highly Influential Citations
14
Background Citations
53
Methods Citations
9
Results Citations
3

153 Citations

Citation Type

Citation Type

Physical therapy in children with cerebral palsy in Brazil: a scoping review.
AIM To identify and assess published studies concerning physical therapy in Brazilian children and adolescents with cerebral palsy (CP) using the International Classification of Functioning,…
Recent advances in cerebral palsy
TLDR
The author reviews the current evidence of the management of CP and provides a comprehensive evaluation and multidisciplinary management and finds evidence to suggest that following interventions are effective.
Use of consensus methods to determine the early clinical signs of cerebral palsy.
Objectives To develop expert-informed content regarding the early motor attributes of cerebral palsy (CP) that should prompt physician referral for diagnostic assessment of CP, as well as concurrent…
How pain management for children with cerebral palsy in South African schools complies with up-to-date knowledge
TLDR
Suggestions for improved early intervention to identify children’s hips at risk through surveillance programmes; and orthopaedic management are proposed to prevent deformities and unnecessary suffering in South African children with CP.
Vision Assessments and Interventions for Infants 0-2 Years at High Risk for Cerebral Palsy: A Systematic Review.
Motor Learning Feeding Interventions for Infants at Risk of Cerebral Palsy: A Systematic Review
TLDR
The best available evidence collectively demonstrated a very weak positive effect for motor learning-based interventions for feeding difficulties in infants with, or at risk of, CP.
Early intervention at home in infants with congenital brain lesion with CareToy revised: a RCT protocol
TLDR
This study describes the protocol of a randomised controlled trial aimed to evaluate, in a sample of infants at high-risk for CP, the efficacy of CT-R intervention compared to the Infant Massage (IM) intervention.
Multidisciplinary rehabilitation for patients with cerebral palsy: improving long-term care
TLDR
This contribution is a narrative review of the current literature on long-term care for children with CP, aiming at suggesting reflections to improve these children’s care.
Early diagnosis of cerebral palsy
TLDR
Based on research evidence, the best three tools to detect high risk of CP before the corrected age of 5 months old are neonatal magnetic resonance imaging (MRI), the Prechtl Qualitative Assessment of General Movements (GMs), and the Hammersmith Infant Neurological Examination (HINE).
Is the search for cerebral palsy ‘cures’ a reasonable and appropriate goal in the 2020s?
TLDR
Through this exploration of the literature and perspectives, a definition of ‘cures for CP’ is arrived at that is pluralized and focuses on functional improvement and/or symptom reduction whilst still acknowledging the potential for neural repair/regeneration strategies.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 54 REFERENCES
Clinical Prognostic Messages From a Systematic Review on Cerebral Palsy
OBJECTIVE: To summarize evidence on the rates of co-occurring impairments, diseases, and functional limitations with cerebral palsy into succinct clinical messages. METHODS: A search was conducted of…
Practice Parameter: Diagnostic assessment of the child with cerebral palsy
TLDR
Neuroimaging results in children with CP are commonly abnormal and may help determine the etiology, and screening for associated conditions is warranted as part of the initial evaluation.
Enriched Environments and Motor Outcomes in Cerebral Palsy: Systematic Review and Meta-analysis
TLDR
High-quality studies with well-defined EE strategies are urgently required for improving the motor outcomes of infants at high risk of cerebral palsy, and therefore EE looks promising for CP.
A report: the definition and classification of cerebral palsy April 2006
TLDR
Suggestions were made about the content of a revised definition and classification of CP that would meet the needs of clinicians, investigators, health officials, families and the public and would provide a common language for improved communication.
Population-based study of neuroimaging findings in children with cerebral palsy.
  • K. Towsley, M. Shevell, L. Dagenais
  • Medicine, Psychology
    European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society
  • 2011
Cerebral palsy--don't delay.
TLDR
The most promising predictive tool for CP is the general movements assessment, which assesses the quality of spontaneous movements of infants in the first 4 months of life, and a shift away from referral for intervention following a formal description of CP is recommended.
Parents' perceptions of disclosure of the diagnosis of cerebral palsy
The aim of the paper is to propose guidelines for good practice in disclosing the diagnosis of cerebral palsy to parents. The guidelines draw on an interview study with parents of 107 children,…
Early prediction of cerebral palsy after neonatal intensive care using motor development trajectories in infancy.
Efficacy of Upper Limb Therapies for Unilateral Cerebral Palsy: A Meta-analysis
TLDR
There is modest evidence that intensive activity-based, goal-directed interventions (eg, constraint-induced movement therapy, bimanual training) are more effective than standard care in improving UL and individualized outcomes.
Actual vs. best practices for young children with cerebral palsy: A survey of paediatric occupational therapists and physical therapists in Quebec, Canada
TLDR
Wide variations and gaps were identified in clinicians’ responses suggesting the need for a basic standard of OT and PT management as well as strategies to encourage knowledge dissemination regarding current best practice.
...
1
2
3
4
5
...