The changing face of intervention in infants with cerebral palsy

Shepherd, Roberta B.

doi:10.1016/b978-0-7020-5099-2.00001-7

Cited by 6 publications

(10 citation statements)

References 113 publications

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“…2 Definitive diagnosis and classification of CP stabilizes after 2 years of age 3 with the average age of CP diagnosis occurring at approximately 19 months. 5,6 Spontaneous infant movement has been reported to have prognostic value for CP since the early works of Amiel-Tison et al 7 and Prechtl. 5,6 Spontaneous infant movement has been reported to have prognostic value for CP since the early works of Amiel-Tison et al 7 and Prechtl.…”

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confidence: 99%

“…4 However, delaying intervention until the time of diagnosis may result in missed opportunities to implement intervention during a period of brain 'plasticity', and maximize functional outcomes from the earliest possible age. 5,6 Spontaneous infant movement has been reported to have prognostic value for CP since the early works of Amiel-Tison et al 7 and Prechtl. 8 With recent advances in smartphone technology, capturing spontaneous movements using video has improved accessibility, 9,10 which has the potential to provide remote professional assessments for isolated and vulnerable families.…”

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confidence: 99%

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Predictive validity of spontaneous early infant movement for later cerebral palsy: a systematic review

Kwong

FitzGerald

Doyle

et al. 2018

Develop Med Child Neuro

163

134

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confidence: 99%

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confidence: 99%

Predictive validity of spontaneous early infant movement for later cerebral palsy: a systematic review

Kwong

FitzGerald

Doyle

et al. 2018

Develop Med Child Neuro

163

134

View full text Add to dashboard Cite

show abstract

“…Early identification of developmental disabilities is widely supported by the American and Canadian pediatric professional societies, and is endorsed at a policy level . There is evidence to suggest that delayed referral can limit a child's ability to reach their full potential in developmental skills . Delayed referral for diagnosis can also be detrimental to the child's family from a psychosocial perspective.…”

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confidence: 99%

“…8,9 There is evidence to suggest that delayed referral can limit a child's ability to reach their full potential in developmental skills. 10 Delayed referral for diagnosis can also be detrimental to the child's family from a psychosocial perspective. Diagnosis in and of itself is a period of crisis analogous to bereavement, 11,12 and parental dissatisfaction with the disclosure process has been linked to later maternal depression, poor adaptive coping, and increased parental stress.…”

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confidence: 99%

Age at referral for diagnosis and rehabilitation services for cerebral palsy: a scoping review

Boychuck

Bussières

Goldschleger

et al. 2018

Develop Med Child Neuro

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Aim This study sought to: (1) determine what is known about age at referral for diagnosis and rehabilitation services for children suspected of having cerebral palsy (CP); and (2) identify factors associated with earlier referral. Method A scoping review was conducted to summarize existing literature. We systematically searched Allied and Complementary Medicine, CINAHL, Cochrane Library, Embase, and PsycINFO for evidence published between 1979 and 2017 on age at referral for diagnosis or age at referral to rehabilitation services for children suspected of having CP. Quantitative and thematic analyses of the literature were performed. Results Our search yielded 777 articles, of which 15 met the inclusion criteria. Only one study focused on age at referral for diagnosis of CP (mean 16.6mo±19.2mo), with two on age at referral to rehabilitation services (means 13.9mo±15.8mo and 12.4mo). Potential predictors of earlier referral identified include referral source, type of CP, and a complicated birth history. Interpretation Evidence is sparse; however, available studies suggest high variation in the age at which children are being referred for diagnosis, typically ranging from 10 months to 21 months. Evidence indicates that subgroups of children with CP might be experiencing prolonged delays. Findings highlight the need to better understand what contributes to delays in referral for diagnosis and rehabilitation. What this paper adds Evidence on age at referral for diagnosis of cerebral palsy is sparse. Potential predictors of delayed referral represent targets to minimize delays in diagnosis. A subset of children may be experiencing unnecessary delays in referral.

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“…18 We are not aware of other published research on children with PBI aimed at facilitating leg movements during a functional activity in early infancy, but similar tasks are under investigation in children born term or preterm. For example, Heathcock and colleagues 19 have shown that foot reaching can be learned by preterm infants.…”

Section: Discussionmentioning

confidence: 99%

Behavior During Tethered Kicking in Infants With Periventricular Brain Injury

Campbell¹,

Cole²,

Boynewicz³

et al. 2015

Pediatric Physical Therapy

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Purpose Describe behavior of children with periventricular brain injury (PBI) in a tethered-kicking intervention. Methods Sixteen infants with PBI were randomly assigned to exercise or no-training in a longitudinal pilot study. Frequency of leg movements and inter-limb coordination were described from videos at 2 and 4 months corrected age (CA). Results Eight of 13 children (62%) with longitudinal data increased the frequency of leg movements while tethered to a mobile between 2 and 4 months CA. Movement frequency was correlated with scores on the Test of Infant Motor Performance, but there were no differences between experimental groups. Children with typical development at 12 months CA increased the proportion of leg movements that were synchronous between 2 and 4 months as did a child with cerebral palsy in the experimental group. Conclusion The tethered-kicking intervention facilitates movement in infants with PBI but effects on development remain to be demonstrated.

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The changing face of intervention in infants with cerebral palsy

Cited by 6 publications

References 113 publications

Predictive validity of spontaneous early infant movement for later cerebral palsy: a systematic review

Predictive validity of spontaneous early infant movement for later cerebral palsy: a systematic review

Age at referral for diagnosis and rehabilitation services for cerebral palsy: a scoping review

Behavior During Tethered Kicking in Infants With Periventricular Brain Injury

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