Professional Roles in Mental Health and Cerebral Palsy: Difference between revisions

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# To address the physical aspects of care
# To address the physical aspects of care
# To promote mental health and emotional well-being
# To promote mental health and emotional well-being
# To address musculoskeletal pain
# To identify ways to help the children and their families to cope in daily life
# To identify ways to help the children and their families to cope in daily life


* A daily dose of at least '''sixty minutes''' of moderate-to-vigorous intensity, mostly aerobic, physical activity, across the week physical activity is recommended for children aged 5 to 17, regardless of disability.  
=== Physical Aspects of Care ===
** Children and adolescents should do at least an average of 60 min/day of moderate-to-vigorous intensity, mostly aerobic, physical activity, across the week;
* A daily dose of at least '''sixty minutes''' of moderate-to-vigorous intensity, mostly aerobic, physical activity, across the week physical activity is recommended for '''children aged 5 to 17''', regardless of disability.
** Vigorous-intensity aerobic activities, as well as those that strengthen muscle and bone should be incorporated at least 3 days a week.
* '''Adults aged 18–64''' years including those living with chronic conditions and disability should complete "at least '''150–300 min''' of moderate-intensity aerobic physical activity, or at least 75–150 min of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate-intensity and vigorous-intensity activity throughout the week for substantial health benefits."<ref>Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, Carty C, Chaput JP, Chastin S, Chou R, Dempsey PC, DiPietro L, Ekelund U, Firth J, Friedenreich CM, Garcia L, Gichu M, Jago R, Katzmarzyk PT, Lambert E, Leitzmann M, Milton K, Ortega FB, Ranasinghe C, Stamatakis E, Tiedemann A, Troiano RP, van der Ploeg HP, Wari V, Willumsen JF. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7719906/pdf/bjsports-2020-102955.pdf World Health Organization 2020 guidelines on physical activity and sedentary behaviour.] Br J Sports Med. 2020 Dec;54(24):1451-1462. </ref>
You can learn more about physiotherapy management from this [[Physiotherapy Treatment Approaches for Individuals with Cerebral Palsy]] article.
 
=== Mental Health and Emotional Well-Being ===
 
* Pain can lead to depression and anxiety. Physiotherapy intervention can positively affect mental health by helping individuals with CP manage pain. <ref name=":0">Grande A. Relationship between Physiotherapy and Mental Health. Available from https://www.focusphysiotherapy.com/relationship-between-physiotherapy-and-mental-health/ [last access 29.12.2023]</ref>
* Regular physical activity can help to reduce symptoms of depression and anxiety. Physiotherapy intervention promotes physical activity through development of an exercise program tailored to the abilities and goals of a child and a caregiver. <ref name=":0" />
* Physiotherapy should address an individuals' physical abilities and regain their sense of control over their bodies. This can help improve self-esteem and body image.<ref name=":0" />
 
=== Coping in Daily Life ===
 
* The Coping with and Caring for Infants with Special Needs (COPCA) Program is designed to offer family autonomy to choose activity and participation for living quality for a child with CP
* Family decides about child care  and the interaction of health professionals. This family‐specific parenthood focuses on child training which gives the child responsibility and become independent.
*


== Occupational Therapists ==
== Occupational Therapists ==

Revision as of 18:10, 29 December 2023

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Introduction[edit | edit source]

Association of motor impairment, sleep disorders, pain and fatigue with mental health disorders in children, adolescents and adults with cerebral palsy is well documented.[1][2] The number and the complexity of factors affecting mental health requires the team of professionals to address all of them to achieve the best possible outcome. Both high- and low-income countries have only few mental health services that provide adequate support for mental health care within rehabilitation systems to address the unique mental health needs of individuals with cerebral palsy.[3] This article highlights the roles of different healthcare professionals to help understand their role within the rehabilitation team. 

Physiotherapists[edit | edit source]

Goals:

  1. To address the physical aspects of care
  2. To promote mental health and emotional well-being
  3. To identify ways to help the children and their families to cope in daily life

Physical Aspects of Care[edit | edit source]

  • A daily dose of at least sixty minutes of moderate-to-vigorous intensity, mostly aerobic, physical activity, across the week physical activity is recommended for children aged 5 to 17, regardless of disability.
  • Adults aged 18–64 years including those living with chronic conditions and disability should complete "at least 150–300 min of moderate-intensity aerobic physical activity, or at least 75–150 min of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate-intensity and vigorous-intensity activity throughout the week for substantial health benefits."[4]

You can learn more about physiotherapy management from this Physiotherapy Treatment Approaches for Individuals with Cerebral Palsy article.

Mental Health and Emotional Well-Being[edit | edit source]

  • Pain can lead to depression and anxiety. Physiotherapy intervention can positively affect mental health by helping individuals with CP manage pain. [5]
  • Regular physical activity can help to reduce symptoms of depression and anxiety. Physiotherapy intervention promotes physical activity through development of an exercise program tailored to the abilities and goals of a child and a caregiver. [5]
  • Physiotherapy should address an individuals' physical abilities and regain their sense of control over their bodies. This can help improve self-esteem and body image.[5]

Coping in Daily Life[edit | edit source]

  • The Coping with and Caring for Infants with Special Needs (COPCA) Program is designed to offer family autonomy to choose activity and participation for living quality for a child with CP
  • Family decides about child care and the interaction of health professionals. This family‐specific parenthood focuses on child training which gives the child responsibility and become independent.

Occupational Therapists[edit | edit source]

Speech Language Pathologists[edit | edit source]

Nursing[edit | edit source]

Psychologists, Counsellors, and Social Workers[edit | edit source]

Resources[edit | edit source]

  • bulleted list
  • x

or

  1. numbered list
  2. x

References[edit | edit source]

  1. ↑ 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 Sep;54(9):836-42.
  2. ↑ Whitney DG, Warschausky SA, Whibley D, Kratz A, Murphy SL, Hurvitz EA, Peterson MD. Clinical factors associated with mood affective disorders among adults with cerebral palsy. Neurol Clin Pract. 2020 Jun;10(3):206-213.
  3. ↑ Eres R, Reddihough D, Coghill D. Addressing mental health problems in Australians with cerebral palsy: a need for specialist mental health services. Advances in Mental Health, 2022;20(3): 281-284.
  4. ↑ Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, Carty C, Chaput JP, Chastin S, Chou R, Dempsey PC, DiPietro L, Ekelund U, Firth J, Friedenreich CM, Garcia L, Gichu M, Jago R, Katzmarzyk PT, Lambert E, Leitzmann M, Milton K, Ortega FB, Ranasinghe C, Stamatakis E, Tiedemann A, Troiano RP, van der Ploeg HP, Wari V, Willumsen JF. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020 Dec;54(24):1451-1462.
  5. ↑ 5.0 5.1 5.2 Grande A. Relationship between Physiotherapy and Mental Health. Available from https://www.focusphysiotherapy.com/relationship-between-physiotherapy-and-mental-health/ [last access 29.12.2023]
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