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Published on: January 7, 2020
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Neonatal tone management
Roshirl Francisco1, Stacey Hall2, Geetanjali Rathore3
1Division of Child Neurology, Department of Pediatrics, The University of Texas Health Science Center at Houston McGovern Medical School, USA.
Seminars in Fetal & Neonatal Medicine
|November 13, 2024
Summary
Neonatal tone abnormalities may signal cerebral palsy (CP). Early diagnosis and multidisciplinary care are vital for optimal outcomes in infants with CP, despite limited current guidelines.
Area of Science:
- Neurology
- Developmental Pediatrics
- Physical Medicine & Rehabilitation
Background:
- Neonatal tone abnormalities are early indicators of cerebral palsy (CP).
- Early diagnosis and intervention during peak neural plasticity are critical for managing CP.
- Current clinical guidelines and evidence for treating neonatal tone abnormalities are insufficient.
Purpose of the Study:
- To review the physiology of neonatal tone abnormalities.
- To provide a guideline for assessing neonates with suspected tone abnormalities.
- To outline multidisciplinary care and treatment options for neonatal tone abnormalities.
Main Methods:
- Review of the physiology of motor control and injury etiology.
- Guideline development for neonatal tone assessment, including diagnostic and rating scales.
- Description of non-pharmacological, pharmacological, and surgical interventions.
Main Results:
- Physiology of tone abnormalities and their structural-functional components are discussed.
- A structured approach to neonatal tone assessment is provided.
- Multidisciplinary care and various treatment modalities are detailed.
Conclusions:
- Regular, serial examinations are essential for monitoring tone abnormalities in neonates.
- Early and comprehensive management involving a multidisciplinary team improves outcomes for infants with CP.
- Addressing tone abnormalities requires a coordinated approach encompassing assessment, diagnosis, and tailored interventions.
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