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Most research into cerebral palsy covers children and adolescents. [104] Stem cell therapy, [120] and other cell-based therapies are being studied as a treatment. [4] A potential treatment for some forms of cerebral palsy may be deep brain stimulation. [121]
The Bobath concept is an approach to neurological rehabilitation that is applied in patient assessment and treatment (such as with adults after stroke [1] or children with cerebral palsy [2]). The goal of applying the Bobath concept is to promote motor learning for efficient motor control in various environments, thereby improving participation ...
Cerebral palsy (CP) is a group of movement disorders that appear in early childhood. [1] Signs and symptoms vary among people and over time, [1] [3] but include poor coordination, stiff muscles, weak muscles, and tremors. [1] There may be problems with sensation, vision, hearing, and speech. [1]
The Gross Motor Function Classification System or GMFCS is a 5 level clinical classification system that describes the gross motor function of people with cerebral palsy on the basis of self-initiated movement abilities. Particular emphasis in creating and maintaining the GMFCS scale rests on evaluating sitting, walking, and wheeled mobility.
The applications of FES for children with cerebral palsy are similar to those for adults. Some common applications of FES devices include stimulation of muscles whilst mobilizing to strengthen muscle activity, to reduce muscle spasticity, to facilitate initiation of muscle activity, or to provide a memory of movement.
The incidence of cerebral palsy has increased in the past 40 years. It has been estimated that, in the United States, cerebral palsy occurs in four out of every 1000 births. [11] Of those births, about 20–30% have spastic hemiplegia. Overall, spasticity is the more common type of cerebral palsy and non-spastic cerebral palsy is less common.
In spastic cerebral palsy children the main treatment modality of spasticity is conservative in the form of botulinum toxin A injection and various physical therapy modalities such as serial casting, sustained stretching and medical pharmacologic treatment.
The team of caregivers can consist of physiotherapists, occupational therapists and speech/communication therapists. The therapy mainly focusses on the motor problems by using principles of neuroplasticity, patterning, postural balance, muscle strengthening and stretching. [34] Non-motor impairments such as epilepsy require specific treatment.