Cerebral Palsy Effects through Lifespan: Difference between revisions
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However, the majority of individuals with CP will have a similar life expectancy to non-CP people. | However, the majority of individuals with CP will have a similar life expectancy to non-CP people. | ||
The main factors for life expectancy in CP are gross motor function and feeding difficulties. Individuals who are independently ambulant and able to feed independently have life expectancies in the normal range<ref>Strauss DJ, Shavelle RM, Rosenbloom L, Brooks JC (2008). Life expectancy in cerebral palsy: An update. Developmental Medicine &amp;amp;amp;amp;amp;amp; Child Neurology, 50:487-493</ref>. | The main factors for life expectancy in CP are gross motor function and feeding difficulties. Individuals who are independently ambulant and able to feed independently have life expectancies in the normal range<ref>Strauss DJ, Shavelle RM, Rosenbloom L, Brooks JC (2008). Life expectancy in cerebral palsy: An update. Developmental Medicine &amp;amp;amp;amp;amp;amp;amp; Child Neurology, 50:487-493</ref>. | ||
=== Post-Impairment Syndrome === | === Post-Impairment Syndrome === | ||
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=== Reduced Ambulation === | === Reduced Ambulation === | ||
Independent walking, both with and without use of walking aids, is known to reduce significantly in adulthood, with a number of individuals losing the ability to walk independently and an increase in the wheelchair use<ref name="Functional status">Michele Bottos, Alessandra Feliciangeli, Lucia Sciuto, Christina Gericke and Andrea Vianello (2001). Functional status of adults with cerebral palsy and implications for treatment of children. Developmental Medicine &amp;amp; Child Neurology, , pp 516-528. doi:10.1017/S0012162201000950.</ref>. | Independent walking, both with and without use of walking aids, is known to reduce significantly in adulthood, with a number of individuals losing the ability to walk independently and an increase in the wheelchair use<ref name="Functional status">Michele Bottos, Alessandra Feliciangeli, Lucia Sciuto, Christina Gericke and Andrea Vianello (2001). Functional status of adults with cerebral palsy and implications for treatment of children. Developmental Medicine &amp;amp;amp; Child Neurology, , pp 516-528. doi:10.1017/S0012162201000950.</ref>. | ||
=== Fatigue === | |||
Studies have demonstrated that in adults (even young adults) with CP the prevalence of fatigue is much higher than in the general population. One study looking at bilateral CP reports fatigue in 61% of patients, with 40% complaining of severe fatigue<ref>Van Der Slot WM, Nieuwenhuijsen C, Van Den Berg-Emons RJ, Bergen MP, Hilberink SR, Stam HJ, Roebroeck ME. Chronic pain, fatigue, and depressive symptoms in adults with spastic bilateral cerebral palsy. Dev Med Child Neurol. 2012;54:836–842</ref>; another (from Norway) looked at both unilateral and bilateral CP and found that 30% experienced fatigue, compared to just 18% in the general population<ref>Van Der Slot WM, Nieuwenhuijsen C, Van Den Berg-Emons RJ, Bergen MP, Hilberink SR, Stam HJ, Roebroeck ME. Chronic pain, fatigue, and depressive symptoms in adults with spastic bilateral cerebral palsy. Dev Med Child Neurol. 2012;54:836–842</ref>. | |||
== <span style="font-size: 19.92px; line-height: 1.5em; background-color: initial;">Outcome Measures</span> == | == <span style="font-size: 19.92px; line-height: 1.5em; background-color: initial;">Outcome Measures</span> == | ||
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Introduction[edit | edit source]
Cerebral Palsy [CP] is defined as "a disorder of movement and posture that appears during infancy or early childhood resulting from damage to the brain". The brain injury is permanent, although interventions, particularly physiotherapy, in infancy and childhood can improve the physical performance and function in individuals with CP.
Effects of CP in Adulthood[edit | edit source]
Life Expectancy[edit | edit source]
Individuals with very profound CP (ie. complete dependence for all activities of daily living) who have severe reduction in postural control may experience compression of internal organs due to soft tissue contractures and asymmetrical posture, eg. severe scoliosis, and in these cases life expectancy may be reduced[1].
However, the majority of individuals with CP will have a similar life expectancy to non-CP people.
The main factors for life expectancy in CP are gross motor function and feeding difficulties. Individuals who are independently ambulant and able to feed independently have life expectancies in the normal range[2].
Post-Impairment Syndrome[edit | edit source]
This syndrome occurs in adulthood and comprises a combination of several or all of the following:
increase in muscle weakness, fatigue, pain, bone deformities, over-use syndrome or repetitive strain injuries, degenerative arthritis.
Muskuloskeletal abnormalities which do not result in discomfort during childhood frequently start to cause pain in adulthood. Abnormal approximation of joint surfaces can lead to early development of osteoarthritis (degenerative arthritis). Limitation in muscle strength and alterations of movement patterns mean that people with CP are at risk of developing overuse syndromes.
Reduced Ambulation[edit | edit source]
Independent walking, both with and without use of walking aids, is known to reduce significantly in adulthood, with a number of individuals losing the ability to walk independently and an increase in the wheelchair use[3].
Fatigue[edit | edit source]
Studies have demonstrated that in adults (even young adults) with CP the prevalence of fatigue is much higher than in the general population. One study looking at bilateral CP reports fatigue in 61% of patients, with 40% complaining of severe fatigue[4]; another (from Norway) looked at both unilateral and bilateral CP and found that 30% experienced fatigue, compared to just 18% in the general population[5].
Outcome Measures[edit | edit source]
Reduction in mobility/walking:
Management / Interventions
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add text here relating to management approaches to the condition
Key Evidence[edit | edit source]
add text here relating to key evidence with regards to any of the above headings
Resources
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add appropriate resources here
Case Studies[edit | edit source]
add links to case studies here (case studies should be added on new pages using the case study template)
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ Hutton JL, Pharoah POD (2006). Life expectancy in severe cerebral palsy. Archives of Disease in Childhood, 91:254-258
- ↑ Strauss DJ, Shavelle RM, Rosenbloom L, Brooks JC (2008). Life expectancy in cerebral palsy: An update. Developmental Medicine &amp;amp;amp;amp;amp;amp; Child Neurology, 50:487-493
- ↑ Michele Bottos, Alessandra Feliciangeli, Lucia Sciuto, Christina Gericke and Andrea Vianello (2001). Functional status of adults with cerebral palsy and implications for treatment of children. Developmental Medicine &amp;amp; Child Neurology, , pp 516-528. doi:10.1017/S0012162201000950.
- ↑ Van Der Slot WM, Nieuwenhuijsen C, Van Den Berg-Emons RJ, Bergen MP, Hilberink SR, Stam HJ, Roebroeck ME. Chronic pain, fatigue, and depressive symptoms in adults with spastic bilateral cerebral palsy. Dev Med Child Neurol. 2012;54:836–842
- ↑ Van Der Slot WM, Nieuwenhuijsen C, Van Den Berg-Emons RJ, Bergen MP, Hilberink SR, Stam HJ, Roebroeck ME. Chronic pain, fatigue, and depressive symptoms in adults with spastic bilateral cerebral palsy. Dev Med Child Neurol. 2012;54:836–842
