Visual Impairment and Functional Classification in Children with Cerebral Palsy

Rauchenzauner, Markus; Schiller, Katharina; Honold, M.; Baldissera, I.; Biedermann, R.; Tschiderer, B; Albrecht, U.; Arnold, C.; Rostásy, Kevin

doi:10.1055/s-0040-1722679

Cited by 13 publications

(7 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this context, multisensory stimulation interventions may improve sensory and motor function ( 2 ). A systematic literature review found that visual-perceptual impairment ranged from 40% to 50% in children with CP ( 3 ), as also confirmed by Rauchenzauner et al ( 4 ), who found visual-perceptual impairment in 59.5% of them. Novak also reports that 4% of children with CP have severe hearing problems or are deaf ( 5 ).…”

Section: Introductionsupporting

confidence: 63%

Euterpe music therapy method for children with cerebral palsy

Liuzzi,

Bompard,

Raponi

et al. 2024

Front. Neurol.

View full text Add to dashboard Cite

IntroductionThe main purpose of our study was to evaluate whether involvement in a personalized music therapy program (Euterpe method), could improve the condition of children with cerebral palsy and their parents, compared to a control group. It investigated whether it could positively affect children’s sleep quality, temperament and quality of life, quality of family life, and parental stress.MethodsA prospective single-center experimental study was conducted at “Bambino Gesù” Children’s Hospital (Rome, Italy). All subjects involved attended an intensive rehabilitation program in the Neurorehabilitation Unit. In a group of patients (n = 25), a music therapy treatment was applied to evaluate the effect before and after the intervention. This group was also compared with a control group (n = 10) undergoing a standard protocol without music therapy.ResultsIn the experimental group, the analysis shows statistically significant effects in the Disorders of initiating and maintaining sleep (p = 0.050) and the Sleep wake transition disorders (p = 0.026) factors, and the total score (p = 0.031) of Sleep Disturbances Scale for Children; the Positive emotionality scale (p = 0.013) of Italian Questionnaires of Temperament (QUIT); the Emotional Functioning (p = 0.029), Social Functioning (p = 0.012), Worry (p = 0.032), Daily Activities (p = 0.032), Total Score (p = 0.039) and Parent HRQL Summary Score (p = 0.035) dimensions of Pediatric Quality of Life for family. While in the control group, only the Attention scale of QUIT (p = 0.003) reaches statistical significance.DiscussionOur study suggests that music therapy with the Euterpe Method has beneficial effects on fundamental aspects of the child’s and his parents’ lives, such as sleep, emotion control, and quality of family life.

show abstract

Section: Introductionsupporting

confidence: 63%

Euterpe music therapy method for children with cerebral palsy

Liuzzi,

Bompard,

Raponi

et al. 2024

Front. Neurol.

View full text Add to dashboard Cite

show abstract

“…In addition, cases with moderate mental retardation had higher index of surface variance, index of vertical asymmetry, index of height asymmetry, and index of height decentration than those with mild mental retardation. Other ocular problems such as vision disorders, strabismus and retinal problems have already received attention in these children 6 , 21 , 22 . Our finding indicates the necessity of more attention to CP children and children with more severe mental retardation in terms of keratoconus indicators 23 .…”

Section: Discussionmentioning

confidence: 99%

Anterior segment indices in mentally retarded children

Hashemi,

Mohayeji,

Farzaneh

et al. 2023

Sci Rep

View full text Add to dashboard Cite

To compare the anterior segment indices between mentally retarded and normal children. The current study was conducted as a cohort. In this study, 73 mentally retarded and 76 normal children were selected from normal school and special schools for mentally retarded children using random cluster sampling method. Mental retardation in children was confirmed by a psychologist. Optometry examinations including visual acuity and refraction were performed for all participants, and ultimately, corneal imaging measurements were taken by Pentacam. The mean age of mentally retarded and normal children was of 13.30 ± 1.83 and 13.05 ± 1.82 years, respectively (P = 0.180). A multiple generalized estimating equations model demonstrated that there is a significant association between central corneal thickness (CCT) (coef = 1.011, P < 0.001), corneal diameter (CD) (coef = 0.444, P = 0.046), anterior chamber depth (ACD) (coef = 0.23), P < 0.001) and index of vertical asymmetry (IVA) (coef = 0.12, P < 0.001) and mental retardation. Cerebral palsy children had higher keratoconus index (KI), central keratoconus index (CKI), index of height asymmetry(IHA), and index of height decentration (IHD) compared to those without cerebral palsy (P < 0.05). Children with moderate mental retardation had higher index of surface variance (ISV), IVA, IHA, and IHD than those with mild mental retardation (P < 0.05). The mean and standard deviation of CCT, CD, ACD and IVA index in mentally retarded children were 535.3 ± 46.68 micron, 11.87 ± 0.42 mm, 3.29 ± 0.24 mm and 0.25 ± 0.18 mm, respectively. These indices in the normal group were 525.53 ± 47.52 micron, 11.84 ± 0.38 mm, 3.15 ± 0.28 mm and 0.17 ± 0.05 mm, respectively. The findings of this study showed that some anterior segment indices were different in mentally retarded compared to normal children. Moreover, some keratoconus indicators were worse in cerebral palsy children and children with higher grade mental retardation. So, it is important to consider keratoconus screening in these children.

show abstract

“…We also excluded reviews only, case studies, abstracts at meetings when later published as a peer-reviewed paper, and papers focused on surgical outcomes. We included 54 studies on Caucasians (most of them in Europe, North America and Australia), 9,10,14,36–42,44,48–53,64–101 11 studies from the Middle East, 5,16,23,102–109 9 on Hispanics (most of them from Latin America), 15,110–117 41 from East Asia, 12,13,43,46,56,58,118–152 23 from South Asia, 33,35,45,47,54,57,153–169 and 5 from Africa 11,170–174 (Supplemental Table 1).…”

Section: Methodsmentioning

confidence: 99%

“…3,5,37,38,45,46,48,58,70,115,153,159,[198][199][200][201][202] Relatively few authors disagree with this conclusion. 39,74,101 Some authors noted that strabismus is most frequent in spastic tetraplegia (or triplegia) and somewhat less in diplegia, still less in hemiplegia, and rare in athetoid or ataxic CP, 5,11,36,39,40,45,47,64,70,101,105,149,163 while others disagree with this notion. 15,[41][42][43]52,56,67,78,100,111,203 Authors concur that there is no association between the type of strabismus (esotropia, exotropia, hypertropia) and the type of CP.…”

Section: Is Strabismus Prevalence Associated With Cp Types?mentioning

confidence: 99%

Prevalence and types of strabismus in cerebral palsy: A global and historical perspective based on a systematic review and meta-analysis

Herron,

Wang,

von Bartheld

2024

Preprint

View full text Add to dashboard Cite

Purpose. Strabismus is more frequent in cerebral palsy (CP) than in the normal population, but reports differ how much it is increased. We here examined the global prevalence and types of strabismus in CP, whether esotropia or exotropia is more frequent, and whether the prevalence differs between ethnicities and/or country income levels, and between generations. Methods. We compiled in a systematic review and meta-analysis the results of 147 CP studies that report the prevalence of strabismus or the ratio of esotropia to exotropia, and we conducted subgroup analyses for region (income level) and ethnicity. We performed a pooled analysis for the CP strabismus prevalence, and estimated the global number of CP cases with strabismus. Results. The pooled prevalence of strabismus in CP is 49.8% in high-income countries and 39.8% in lower-income countries. We estimate the global number of strabismus cases in CP as 12.2 million, with 7.6 million males and 4.6 million females, based on current estimates of 29.6 million global CP cases. Esotropia is more frequent than exotropia in Caucasians, while exotropia is more frequent than esotropia in Hispanic and in some Asian and African populations. The strabismus prevalence in CP increases with increasing country income levels. Conclusion. Generational changes in strabismus prevalence appear to reflect a transition of CP types and an increase in prevalence as countries attain higher income and more effective maternal health care. The distribution of esotropia and exotropia in CP patients largely reflects the horizontal strabismus type that is predominant in the subject's ethnicity.

show abstract

Visual Impairment and Functional Classification in Children with Cerebral Palsy

Cited by 13 publications

References 30 publications

Euterpe music therapy method for children with cerebral palsy

Euterpe music therapy method for children with cerebral palsy

Anterior segment indices in mentally retarded children

Prevalence and types of strabismus in cerebral palsy: A global and historical perspective based on a systematic review and meta-analysis

Contact Info

Product

Resources

About