The most common physical disability in childhood is cerebral palsy CP. It is difficult to assess and clarify the risk factors associated with this disorder. The aim of this article is to review the recent literature relating to etiology, epidemiology, and advances in the treatment of CP. An investigational research on CP offers an excellent opportunity in understanding the risk factors associated with this disorder as well as its incidences and prevalence. Various new techniques have evolved in the management of CP, such as traditional physiotherapy, occupational therapy, selective dorsal rhizotomy, sensory integration, botulinum toxin injection, and intrathecal baclofen.
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Purpose: To review research that examined the participation in activities of children who have cerebral palsy, in order to understand their extent of participation and the factors that influenced participation. Methods: A comprehensive search of seven databases retrieved 2, papers, 40 of which met criteria and were relevant for critique. As this paper intended to examine participation broadly, an ecological framework was used to organise the relevant papers into those studies that considered personal, environmental and occupational factors related to participation. Results: Children with cerebral palsy participated in a diverse array of activities across a range of occupational contexts. Their participation was not always a positive experience.
Melatonin use for sleep disturbance in children with cerebral palsy: a narrative review
Cerebral palsy CP is a neurodevelopmental disorder characterized by abnormalities of muscle tone, movement and motor skills, and is attributed to injury to the developing brain. The clinical features of this entity evolve over time and the specific CP syndrome may be recognizable only after y of age; although suggestive signs and symptoms may be present at an earlier age. The management involves neurological rehabilitation addressing muscle tonal abnormalities, and devising physical and occupational therapies and diagnosis and management of co-morbidities including epilepsy, impairment of cognition, vision, hearing, and disturbances of growth and gastrointestinal function. The management, therefore, is multidisciplinary involving the treating physician working with a team of rehabilitation-, orthopedic-, psychologic-, and social care- providers.
Background: Inborn errors of metabolism IEMs have been anecdotally reported in the literature as presenting with features of cerebral palsy CP or misdiagnosed as 'atypical CP'. Methods: We performed a systematic literature review to identify all reports of IEMs presenting with CP-like symptoms before 5 years of age, and selected those for which evidence for effective treatment exists. A further 13 treatable IEMs were included, which can present with CP-like symptoms according to expert opinion, but for which no reports in the literature were identified. For 26 of these IEMs, a treatment is available that targets the primary underlying pathophysiology e.