Related Experiment Video
Updated: Jul 28, 2026

Event-related Potentials During Target-response Tasks to Study Cognitive Processes of Upper Limb Use in Children with Unilateral Cerebral Palsy
Published on: January 11, 2016
Cerebral palsy
L Andrew Koman1, Beth Paterson Smith, Jeffrey S Shilt
1Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1070, USA. lakoman@wfubmc.edu
Insights
Cerebral palsy management focuses on musculoskeletal issues, utilizing physiotherapy, orthotics, and surgery. While alternative therapies are used, traditional medical approaches remain the primary treatment for this common childhood disability.
Area of Science:
- Neurology
- Pediatrics
- Rehabilitation Medicine
Background:
- Cerebral palsy is a common childhood disability causing motor impairment.
- It stems from diverse insults to the developing nervous system, leading to varied clinical presentations.
- Management is multifaceted, including therapy, orthotics, and surgical interventions.
Purpose of the Study:
- To review the musculoskeletal issues in cerebral palsy.
- To discuss current and evolving management strategies for spasticity and motor impairment.
- To highlight the role of traditional medical techniques in cerebral palsy care.
Main Methods:
- Literature review focusing on musculoskeletal aspects of cerebral palsy.
- Analysis of management options including pharmacological, surgical, and therapeutic interventions.
- Discussion of historical trends and current practices in cerebral palsy treatment.
Main Results:
- Spasticity management has evolved with pharmacological and surgical options since 1980.
- Traditional medical techniques like physiotherapy and orthopaedic surgery are the mainstay of treatment.
- Complementary and alternative therapies are increasingly adopted but their prevalence and cost are unknown.
Conclusions:
- Musculoskeletal issues are central to cerebral palsy management.
- A combination of traditional and evolving therapies offers comprehensive care.
- Further research is needed on the impact and cost of alternative therapies.
Abstract:
Cerebral palsy, a range of non-progressive syndromes of posture and motor impairment, is a common cause of disability in childhood. The disorder results from various insults to different areas within the developing nervous system, which partly explains the variability of clinical findings. Management options include physiotherapy, occupational and speech therapy, orthotics, device-assisted modalities, pharmacological intervention, and orthopaedic and neurosurgical procedures. Since 1980, modification of spasticity by means of orally administered drugs, intramuscular chemodenervation agents (alcohol, phenol, botulinum toxin A), intrathecally administered drugs (baclofen), and surgery (neurectomy, rhizotomy) has become more frequent. Family-directed use of holistic approaches for their children with cerebral palsy includes the widespread adoption of complementary and alternative therapies; however, the prevalence of their use and the cost of these options are unknown. Traditional medical techniques (physiotherapy, bracing, and orthopaedic musculoskeletal surgery) remain the mainstay of treatment strategies at this time. This seminar addresses only the musculoskeletal issues associated with cerebral palsy and only indirectly discusses the cognitive, medical, and social issues associated with this diagnosis.
Related Concept Videos
Disorders of the Nervous Tissue
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
Brainstem
The Midbrain
The midbrain is located beneath the diencephalon and connects the cerebrum with the lower parts of the brain. The cerebral peduncles are prominent midbrain structures that house the...
Major Somatic Sensory Pathways
Role of Cerebellum and Prefrontal Cortex in Memory
Traumatic Brain Injury l: Introduction
Alterations in Muscle Tone ll

