Clinical prognostic messages from a systematic review on cerebral palsy.
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TL;DR: To summarize evidence on the rates of co-occurring impairments, diseases, and functional limitations with cerebral palsy into succinct clinical messages, a search was conducted of the databases PubMed, Medline, CINAHL, and PsycINFO.
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Abstract: OBJECTIVE: To summarize evidence on the rates of co-occurring impairments, diseases, and functional limitations with cerebral palsy into succinct clinical messages. METHODS: A search was conducted of the databases PubMed, Medline, CINAHL, and PsycINFO, and the results were supplemented with hand searches. Two independent reviewers determined whether retrieved abstracts met the following inclusion criteria: human subjects; >90% were children or adults with cerebral palsy; published after 1999; and population-based data. Articles were appraised, analyzing design, participants, level of evidence, rates of impairments, and functional implications. Methodologic quality was rated by using a standardized checklist. RESULTS: A total of 1366 papers were identified in the search; 82 were appraised and 30 were included in the meta-analyses. High-level evidence existed, as rated on the Oxford 2011 Levels of Evidence: 97% of prevalence studies were level 1. The data were of a moderate to high quality grade (with the exception of sleep disorders), allowing plain English clinical messages to be developed. CONCLUSIONS: Among children with cerebral palsy, 3 in 4 were in pain; 1 in 2 had an intellectual disability; 1 in 3 could not walk; 1 in 3 had a hip displacement; 1 in 4 could not talk; 1 in 4 had epilepsy; 1 in 4 had a behavior disorder; 1 in 4 had bladder control problems; 1 in 5 had a sleep disorder; 1 in 5 dribbled; 1 in 10 were blind; 1 in 15 were tube-fed; and 1 in 25 were deaf.
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Citations
A systematic review of interventions for children with cerebral palsy: state of the evidence.
Iona Novak,Sarah McIntyre,Catherine Morgan,Catherine Morgan,Lanie Campbell,Leigha Dark,Natalie Morton,Elise Stumbles,Salli-Ann Wilson,Shona Goldsmith,Shona Goldsmith +10 more
TL;DR: The aim of this study was to describe systematically the best available intervention evidence for children with cerebral palsy (CP) and to propose a treatment strategy based on this evidence.
Early, accurate diagnosis and early intervention in cerebral palsy: Advances in diagnosis and treatment
Iona Novak,Catherine Morgan,Lars Adde,James A Blackman,Roslyn N. Boyd,Janice E. Brunstrom-Hernandez,Giovanni Cioni,Diane L. Damiano,Johanna Darrah,Ann-Christin Eliasson,Linda S. de Vries,Christa Einspieler,Michael T. Fahey,Darcy Fehlings,Donna M. Ferriero,Linda Fetters,Simona Fiori,Hans Forssberg,Andrew M. Gordon,Susan Greaves,Andrea Guzzetta,Mijna Hadders-Algra,Regina T. Harbourne,Angelina Kakooza-Mwesige,Petra Karlsson,Lena Krumlinde-Sundholm,Beatrice Latal,Alison Loughran-Fowlds,Nathalie L. Maitre,Sarah McIntyre,Garey Noritz,Lindsay Pennington,Domenico M. Romeo,Roberta B. Shepherd,Alicia J Spittle,Marelle Thornton,Jane Valentine,Karen Walker,Robert White,Nadia Badawi +39 more
TL;DR: Best available evidence about cerebral palsy–specific early intervention that should follow early diagnosis to optimize neuroplasticity and function is summarized.
State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy.
Iona Novak,Catherine Morgan,Michael C Fahey,Megan Finch-Edmondson,Claire Galea,Claire Galea,Ashleigh Hines,Katherine Langdon,Maria Mc Namara,Madison C. B. Paton,Himanshu Popat,Himanshu Popat,Benjamin J. Shore,Amanda Khamis,Emma Stanton,Olivia P. Finemore,Alice Tricks,Anna te Velde,Leigha Dark,Natalie Morton,Natalie Morton,Nadia Badawi,Nadia Badawi +22 more
TL;DR: The best available evidence interventions for preventing and managing cerebral palsy in 2019 is summarized, providing guidance about what works and what does not to inform decision-making, and highlighted areas for more research.
Cerebral Palsy: An Overview.
Sheffali Gulati,Vishal Sondhi +1 more
TL;DR: The management of cerebral palsy is multidisciplinary involving the treating physician working with a team of rehabilitation-, orthopedic-, psychologic-, and social care- providers.
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Early Intervention for Children Aged 0 to 2 Years With or at High Risk of Cerebral Palsy: International Clinical Practice Guideline Based on Systematic Reviews.
Catherine Morgan,Linda Fetters,Lars Adde,Nadia Badawi,Nadia Badawi,Ada Bancale,Roslyn N. Boyd,Olena Chorna,Giovanni Cioni,Diane L. Damiano,Johanna Darrah,Linda S. de Vries,Stacey C. Dusing,Christa Einspieler,Ann-Christin Eliasson,Donna M. Ferriero,Darcy Fehlings,Hans Forssberg,Andrew M. Gordon,Susan Greaves,Andrea Guzzetta,Mijna Hadders-Algra,Regina T. Harbourne,Petra Karlsson,Lena Krumlinde-Sundholm,Beatrice Latal,Alison Loughran-Fowlds,Catherine Mak,Nathalie L. Maitre,Sarah McIntyre,Cristina Mei,Angela T Morgan,Angela T Morgan,Angelina Kakooza-Mwesige,Domenico M. Romeo,Katherine Sanchez,Alicia J Spittle,Roberta B. Shepherd,Marelle Thornton,Jane Valentine,Roslyn Ward,Koa Whittingham,Alieh Zamany,Iona Novak +43 more
TL;DR: In this paper, the best available evidence about CP-specific early interventions across 9 domains promoting motor function, cognitive skills, communication, eating and drinking, vision, sleep, managing muscle tone, musculoskeletal health, and parent support are presented.
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