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.
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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).
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.
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.
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).
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.
Noritz GH, Murphy NA, Neuromotor Screening Expert Panel. Motor delays: early identification and evaluation. Pediatrics. 2013;131:e2016–27. (Open Access).
Rosenbaum P. The importance of context: what are our assumptions about childhood disability? Dev Med Child Neurol. 2015;57:1084. (Open Access).
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).
Berker N, Yalcon S. HELP guide to cerebral palsy. Available at https://global-help.org/products/help_guide_to_cerebral_palsy/.
Humanity and Inclusion (Handicap International). http://www.hi-us.org/.
Community Based Rehabilitation (World Health Organization). http://www.who.int/disabilities/cbr/en/.
Children with cerebral palsy. An educational guide, Rye H and Skjorten MD (Eds). Available at http://unesdoc.unesco.org/images/0008/000850/085085eo.pdf.
World health Organization’s international classification of functioning, disability and health (ICF). http://www.who.int/classifications/icf/en/.
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.
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.
Gross motor function classification system expanded and revised. https://www.canchild.ca/system/tenon/assets/attachments/000/000/058/original/GMFCS-ER_English.pdf.
“Cerebral palsy update: a view from both sides” by Hank Chambers MD. https://www.vumedi.com/video/cerebral-palsey/.
Online lectures from the Pediatric Orthopaedic Society of North America. http://www.posnacademy.org/category/Systemic+Disorders%3ECerebral+Palsy/19139662.
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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
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