Skip to main content

Cerebral Palsy and Other Neuromuscular Conditions

  • Chapter
  • First Online:
Global Orthopedics

Abstract

The burden of cerebral palsy (CP) is large, with an annual incidence of 2–3 per 1000 live births worldwide. Most cases remain without a formal diagnosis, and survive with varying degrees of disability in environments with little access to health services or social welfare infrastructure. CP is a nonprogressive developmental disability of motion and posture arising from injury to the immature brain. It presents on a spectrum from the mildly involved hemiplegic child to one with spastic quadriplegia who has multiple contractures that interfere with ambulation, positioning, and care and may have scoliosis, mental retardation, and coexisting medical problems (Fig. 40.1). Non-orthopedic abnormalities are common and often unrecognized. Treatment strategies are aimed at improving funciton and ease of care.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Additional Resources

  1. Benfer KA, Jordan R, Bandaranayake S, Finn C, Ware RS, Boyd RN. Motor severity in children with cerebral palsy studied in a high-resource and low-resource country. Pediatrics. 2014;134:e1594–602. (Open Access).

    Article  Google Scholar 

  2. Donald KA, Samia P, Kakooza-Mwesige A, Bearden D. Pediatric cerebral palsy in Africa: a systematic review. Semin Pediatr Neurol. 2014;21:30–5. Available at https://pdfs.semanticscholar.org/d033/4e97638e23db16ae6c31a47b5a38c550130e.pdf.

    Article  Google Scholar 

  3. Gladstone M. A review of the incidence and prevalence, types and aetiology of childhood cerebral palsy in resource-poor settings. Ann Trop Paediatr. 2010;30:181–96.

    Article  CAS  Google Scholar 

  4. Jeevananthum D. Application of the international classification of functioning, disability and health-children and youth with cerebral palsy. Indian Pediatr. 2016;53:805–10. (Open Access).

    Article  Google Scholar 

  5. LeBrun DG, Banskota B, Banskota AK, Rajbhandary T, Baldwin KD, Spiegel DA. Cerebral palsy in Nepal: a prospective analysis of etiologies, limb involvement patterns, and functional status and a comparison with historical data from high-income countries. Clin Orthop Rel Res. 2019;477:10–21.

    Google Scholar 

  6. Noritz GH, Murphy NA, Neuromotor Screening Expert Panel. Motor delays: early identification and evaluation. Pediatrics. 2013;131:e2016–27. (Open Access).

    Article  Google Scholar 

  7. Rosenbaum P. The importance of context: what are our assumptions about childhood disability? Dev Med Child Neurol. 2015;57:1084. (Open Access).

    Article  Google Scholar 

  8. Schiariti V, Selb M, Cieza A, O’Donnell M. International classification of functioning, disability and health core sets for children and youth with CP: contributions to clinical practice. Dev Med Child Neurol. 2015;57:203–4. (Open Access).

    Article  Google Scholar 

  9. Berker N, Yalcon S. HELP guide to cerebral palsy. Available at https://global-help.org/products/help_guide_to_cerebral_palsy/.

  10. Humanity and Inclusion (Handicap International). http://www.hi-us.org/.

  11. Community Based Rehabilitation (World Health Organization). http://www.who.int/disabilities/cbr/en/.

  12. Children with cerebral palsy. An educational guide, Rye H and Skjorten MD (Eds). Available at http://unesdoc.unesco.org/images/0008/000850/085085eo.pdf.

  13. World health Organization’s international classification of functioning, disability and health (ICF). http://www.who.int/classifications/icf/en/.

  14. ICF Core sets for cerebral palsy, ICF research branch. https://www.icf-research-branch.org/icf-core-sets-projects2/neurological-conditions/icf-core-set-for-cp-for-cy.

  15. Werner D. Disabled village children. A guide for community health workers, rehabilitation workers, and families. Berkeley: Hesperian Foundation; 2009. http://hesperian.org/wp-content/uploads/pdf/en_dvc_2018/en_dvc_2018_fm.pdf.

    Google Scholar 

  16. Gross motor function classification system expanded and revised. https://www.canchild.ca/system/tenon/assets/attachments/000/000/058/original/GMFCS-ER_English.pdf.

  17. “Cerebral palsy update: a view from both sides” by Hank Chambers MD. https://www.vumedi.com/video/cerebral-palsey/.

  18. Online lectures from the Pediatric Orthopaedic Society of North America. http://www.posnacademy.org/category/Systemic+Disorders%3ECerebral+Palsy/19139662.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to David A. Spiegel .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Banskota, B., Foltz, M., Gosselin, R.A., Spiegel, D.A. (2020). Cerebral Palsy and Other Neuromuscular Conditions. In: Gosselin, R., Spiegel, D., Foltz, M. (eds) Global Orthopedics. Springer, Cham. https://doi.org/10.1007/978-3-030-13290-3_40

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-13290-3_40

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-13289-7

  • Online ISBN: 978-3-030-13290-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics