Skip to main content
SpringerLink
Log in
Book cover

Cerebral Palsy pp 1–8Cite as

Asthma in a Child with Cerebral Palsy

  • Living reference work entry
  • First Online:

  • 215 Accesses

Abstract

There are several medical challenges for a family with a child with cerebral palsy, which include the clinical management of respiratory diseases, such as asthma, aspiration pneumonia, obstructive airway, and progressive restrictive lung disease. The clinical symptoms of asthma include spastic coughing, wheezing, diminished breath sounds, and multifocal rhonchi. Diagnostic studies may include chest X-ray, nuclear imaging studies for reflux and selected laboratory studies for IgE antibodies to allergens. The clinical history should include questions from the Asthma Predictive Index to determine the children’s risk for asthma and the Asthma Control Test™ to report current respiratory symptoms exemplified by cough, dyspnea, and congestion. The final assessment of the asthma diagnosis should reference the National Asthma Education and Prevention Program to assess the impact of the asthma symptoms upon the child’s respiratory system. The diagnostic assessment of asthma in a child with cerebral palsy reflects the in-depth process of collecting clinical and historical information in order to determine the appropriate treatment to control the asthma symptoms. Proactive medical management for asthma can improve aerobic conditioning and decrease the risk of worsening respiratory disease.

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

References

  • Bazzy-Asaad A (2012) What are the most current asthma guidelines from the national institute of health and what do i need to know about them. In: Chidekel AS (ed) Curbside consultation in pediatric asthma. Slack Inc., Thorofare, pp 113–116

    Google Scholar 

  • Blackmore AM, Bear N, Blair E, Gibson N, Caris J, Langdon K, Moshovis L, Steer K, Wilson AC (2016) Factors associated with respiratory illness in children and young adults with cerebral palsy. J Pediatr 168:151–157

    Article  Google Scholar 

  • Castro-Rodriguez JA, Holberg CJ, Wright AL, Martinez FD (2000) A clinical index to define risk of asthma in young children with recurrent wheezing. Am J Resp Crit Care 2000:162:1403–6

    Article  Google Scholar 

  • Choi JY, Dong-wook R, Park ES (2016) Change in pulmonary function after incentive spirometer exercise in children with spastic cerebral palsy: a randomized control study. Yonsei Med J 5(3):769–775

    Article  Google Scholar 

  • Fanta CH (2009) Asthma. N Eng J Med 360(10):1002–1014

    Article  CAS  Google Scholar 

  • Heinle RA (2012) Who is at risk of developing asthma. In: Chidekel AS (ed) Curbside consultation in pediatric asthma. Slack Inc, Thorofare, pp 7–10

    Google Scholar 

  • Huffaker MF, Phipantanakul W (2014) Utility of asthma predictive index in predicting childhood asthma and identifying disease-modifying interventions. Ann Allergy Asthma Immunol 112(3):188–190

    Article  Google Scholar 

  • Jia CE, Zhang HP, Liang R, Jaing YQ, Powell H, Fu JJ, Wang L, Gibson PG, Wang G (2013) The asthma control test and asthma control questionnaire for assessing asthma control: systemic review and meta-analysis. J Allergy Clin Immunol 131(3):695–703

    Article  Google Scholar 

  • Marks J (2008) Pulmonary care of children and adolescents with developmental disabilities. Pediatric Clin N Am 55:1299–1314

    Article  Google Scholar 

  • National Asthma Education and Prevention Program (2007a) Expert panel report 3 (EPR-3): the guideline for the diagnosis and management of asthma. Bethesda, MD National Heart Lung and Blood Institute. NIH publication no. 084051

    Google Scholar 

  • National Asthma Education and Prevention Program (2007b) Expert panel report 3 (EPR-3) Guidelines for the Diagnosis and Management of Asthma Summary Report 2007. J Allery Clin Immunol 120(5 suppl):S94–S138

    Google Scholar 

  • Parameswaran N (2014) Anti-Interleukin-5 monoclonal antibody to treat severe eosinophilic asthma. N Engl J Med 371(13):1249–1251

    Article  Google Scholar 

  • Proesmans M (2016) Respiratory illness in children with disability: a serious problem. Breath 12(4):e97–e103. https://doi.org/10.1183/20734735.017416

    Article  Google Scholar 

  • Seddon PC, Khan Y (2003) Respiratory problems in children with neurological impairment. Arch Dis Child 88:75–78

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Sidney Kimmel School of Medicine, Thomas Jefferson University, Philadelphia, PA, USA

    Katherine A. King

  2. Pulmonary Division, Nemours Alfred I. duPont Hospital for Children, Wilmington, DE, USA

    Katherine A. King

  3. Respiratory Care Department, Nemours Alfred I. duPont Hospital for Children, Wilmington, DE, USA

    Dawn Selhorst

Authors
  1. Katherine A. King
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dawn Selhorst
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Katherine A. King .

Editor information

Editors and Affiliations

  1. Alfred I. duPont Institute, Wilmington, DE, USA

    Freeman Miller

  2. Cerebral Palsy Program, AI DuPont Hospital for Children , Wilmington, DE, USA

    Steven Bachrach

  3. AI DuPont Hospital for Children , Wilmington, DE, USA

    Nancy Lennon

  4. Drexel University, PHILADELPHIA, PA, USA

    Margaret O'Neil

Section Editor information

  1. Department of Pediatrics (Emeritus), Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA

    Steven J. Bachrach

  2. Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, USA

    Steven J. Bachrach

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

King, K.A., Selhorst, D. (2019). Asthma in a Child with Cerebral Palsy. In: Miller, F., Bachrach, S., Lennon, N., O'Neil, M. (eds) Cerebral Palsy. Springer, Cham. https://doi.org/10.1007/978-3-319-50592-3_68-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-50592-3_68-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-50592-3

  • Online ISBN: 978-3-319-50592-3

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics

Search

Navigation