Low Functioning Cerebral Palsy Physiotherapy Assessment and Intervention: Difference between revisions

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Types of cerebral palsy:<ref name=":1" /> <ref>Paul S, Nahar A, Bhagawati M, Kunwar AJ. [https://www.hindawi.com/journals/omcl/2022/2622310/ A review on recent advances of cerebral palsy]. Oxidative Medicine and Cellular Longevity. 2022 Jul 30;2022.</ref>
Types of cerebral palsy:<ref name=":1" /> <ref>Paul S, Nahar A, Bhagawati M, Kunwar AJ. [https://www.hindawi.com/journals/omcl/2022/2622310/ A review on recent advances of cerebral palsy]. Oxidative Medicine and Cellular Longevity. 2022 Jul 30;2022.</ref>


* Spastic cerebral palsy
* '''Spastic cerebral palsy'''
** most common type and most amenable to treatment<ref>Papavasiliou A, Ben-Pazi H, Mastroyianni S, Ortibus E. [https://www.frontiersin.org/articles/10.3389/fneur.2021.738921/full Cerebral palsy: new developments]. Frontiers in Neurology. 2021;12.</ref>
** most common type and most amenable to treatment<ref>Papavasiliou A, Ben-Pazi H, Mastroyianni S, Ortibus E. [https://www.frontiersin.org/articles/10.3389/fneur.2021.738921/full Cerebral palsy: new developments]. Frontiers in Neurology. 2021;12.</ref>
** there are five types of spastic cerebral palsy:<ref name=":1" />
** there are five types of spastic cerebral palsy:<ref name=":1" />
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*** monoplegia - only one limb is affected (extremely rare)  
*** monoplegia - only one limb is affected (extremely rare)  
*** triplegia - three limbs are affected
*** triplegia - three limbs are affected
*'''Dyskinetic cerebral palsy'''<ref>Eskay K. Cerebral Palsy Aetiology and Pathology Course. Plus, 2023.</ref><ref>Li X, Arya K. [https://www.ncbi.nlm.nih.gov/books/NBK563160/ Athetoid Cerebral Palsy]. InStatPearls [Internet] 2021 Sep 28. StatPearls Publishing.</ref>
**involves injury to the basal ganglia
**children have impaired movement control, muscle tone and coordination
*'''Ataxic cerebral palsy'''<ref>Levy JP, Oskoui M, Ng P, Andersen J, Buckley D, Fehlings D, et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7156190/ Ataxic-hypotonic cerebral palsy in a cerebral palsy registry: Insights into a distinct subtype]. Neurology: Clinical Practice. 2020 Apr 1;10(2):131-9.</ref><ref>Eggink HE, Kremer DA, Brouwer OF, Contarino MF, van Egmond ME, Elema AG, et al. Spasticity, dyskinesia and ataxia in cerebral palsy: are we sure we can differentiate them?. European Journal of Paediatric Neurology. 2017 Sep 1;21(5):703-6.</ref>
**least common form of cerebral palsy
**children present with incoordination of goal-directed movements


== References ==
== References ==

Revision as of 03:13, 8 November 2023

Original Editor - Jess Bell based on the course by Dana Mather
Top Contributors - Jess Bell and Kim Jackson
This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (8/11/2023)

Introduction[edit | edit source]

Cerebral palsy (CP) is a heterogeneous non-progressive neuromotor disorder in an immature brain that affects movement and posture.[1] Primary impairments associated with cerebral palsy include spasticity, weakness, decreased motor control and movement dysfunction.[2] Cerebral palsy can also lead to a number of secondary musculoskeletal conditions, which can also affect functional ability.[2]

Children with cerebral palsy all present differently. Their mobility varies from walking without aids to using a wheelchair at all times.[3] There are various diagnostic sub-types, based on motor type and the distribution of cerebral palsy.

Types of cerebral palsy:[3] [4]

  • Spastic cerebral palsy
    • most common type and most amenable to treatment[5]
    • there are five types of spastic cerebral palsy:[3]
      • diplegia - either both arms or both legs are affected (most commonly both legs are affected)
      • hemiplegia or hemiparesis - affects the limbs on only one side of the body
      • quadriplegia or quadriparesis - all four limbs are affected
      • monoplegia - only one limb is affected (extremely rare)
      • triplegia - three limbs are affected
  • Dyskinetic cerebral palsy[6][7]
    • involves injury to the basal ganglia
    • children have impaired movement control, muscle tone and coordination
  • Ataxic cerebral palsy[8][9]
    • least common form of cerebral palsy
    • children present with incoordination of goal-directed movements

References[edit | edit source]

  1. Peterson N, Walton R. Ambulant cerebral palsy. Orthopaedics and Trauma. 2016;30(6):525-38.
  2. 2.0 2.1 Sarathy K, Doshi C, Aroojis A. Clinical examination of children with cerebral palsy. Indian J Orthop. 2019 Jan-Feb;53(1):35-44.
  3. 3.0 3.1 3.2 Mather D. Low Functioning Cerebral Palsy Physiotherapy Assessment and Intervention Course. Plus, 2023.
  4. Paul S, Nahar A, Bhagawati M, Kunwar AJ. A review on recent advances of cerebral palsy. Oxidative Medicine and Cellular Longevity. 2022 Jul 30;2022.
  5. Papavasiliou A, Ben-Pazi H, Mastroyianni S, Ortibus E. Cerebral palsy: new developments. Frontiers in Neurology. 2021;12.
  6. Eskay K. Cerebral Palsy Aetiology and Pathology Course. Plus, 2023.
  7. Li X, Arya K. Athetoid Cerebral Palsy. InStatPearls [Internet] 2021 Sep 28. StatPearls Publishing.
  8. Levy JP, Oskoui M, Ng P, Andersen J, Buckley D, Fehlings D, et al. Ataxic-hypotonic cerebral palsy in a cerebral palsy registry: Insights into a distinct subtype. Neurology: Clinical Practice. 2020 Apr 1;10(2):131-9.
  9. Eggink HE, Kremer DA, Brouwer OF, Contarino MF, van Egmond ME, Elema AG, et al. Spasticity, dyskinesia and ataxia in cerebral palsy: are we sure we can differentiate them?. European Journal of Paediatric Neurology. 2017 Sep 1;21(5):703-6.