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Published on: November 3, 2016
Cerebral palsy: an overview
1Department of Family and Community Medicine, University of Louisville School of Medicine, Louisville, Kentucky 40202, USA. kwkrig01@gwise.louisville.edu
Insights
Cerebral palsy (CP) is the most common childhood physical disability, presenting diverse symptoms and complications. Current research challenges historical treatments, focusing on multidisciplinary care to enhance patient independence and quality of life.
Area of Science:
- Neurology
- Pediatrics
- Rehabilitation Medicine
Background:
- Cerebral palsy (CP) is the leading cause of childhood physical disability, affecting 2-2.5 per 1,000 births in the US.
- Its presentation ranges from global dysfunction to isolated impairments in gait, cognition, growth, or sensation.
- Differential diagnosis includes metabolic and genetic disorders.
Purpose of the Study:
- To review the current understanding of cerebral palsy presentation, diagnosis, and management.
- To highlight the importance of multidisciplinary teams and evidence-based care.
- To discuss evolving treatment modalities and long-term health considerations.
Main Methods:
- Review of current literature on cerebral palsy.
- Analysis of diagnostic criteria and treatment approaches.
- Examination of complications and long-term outcomes.
Main Results:
- CP management requires a multispecialty team approach focused on patient independence.
- Valid assessment tools are crucial for monitoring progress and developing evidence-based recommendations.
- New treatment modalities are emerging, challenging historical approaches.
Conclusions:
- Multispecialty care plans are essential for optimizing functionality and independence in individuals with CP.
- Ongoing research and evolving treatments are improving the outlook for cerebral palsy patients.
- Adults with CP face increased risks for certain chronic diseases and mortality.
Abstract:
The presentation of cerebral palsy can be global mental and physical dysfunction or isolated disturbances in gait, cognition, growth, or sensation. It is the most common childhood physical disability and affects 2 to 2.5 children per 1,000 born in the United States. The differential diagnosis of cerebral palsy includes metabolic and genetic disorders. The goals of treatment are to improve functionality and capabilities toward independence. Multispecialty treatment teams should be developed around the needs of each patient to provide continuously updated global treatment care plans. Complications of cerebral palsy include spasticity and contractures; feeding difficulties; drooling; communication difficulties; osteopenia; osteoporosis; fractures; pain; and functional gastrointestinal abnormalities contributing to bowel obstruction, vomiting, and constipation. Valid and reliable assessment tools to establish baseline functions and monitor developmental gains have contributed to an increasing body of evidenced-based recommendations for cerebral palsy. Many of the historical treatments for this ailment are being challenged, and several new treatment modalities are available. Adult morbidity and mortality from ischemic heart disease, cerebrovascular disease, cancer, and trauma are higher in patients with cerebral palsy than in the general population.
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