Posted on January 31st 2010
Purpose: The heterogeneity of cerebral palsy makes interpretation and prediction of outcome after upper extremity surgery difficult. We hypothesized that the outcome of upper extremity surgery for cerebral palsy is related to the Manual Ability Classification System (MACS) level.Methods: We reviewed 27 patients with a mean age of 22 years, who underwent upper extremity surgery for spastic cerebral palsy at a mean follow-up of 29 months. Patients were classified into 5 MACS levels using a standardized questionnaire completed by their primary caregivers. Preoperatively and at most recent follow-up visits, patients were assessed using the House scale and patient-reported functional outcomes on a 5-point scale. We compared the outcomes of patients with high (IâII, independence in daily activ...
Posted on January 30th 2010
CONCLUSION: cervical auscultation can be used as an inference to risk of aspiration, therefore a sign to early intervention in this population. Furthermore, it is a non-invasive method. (Source: Revista CEFAC)
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Posted on January 29th 2010
The new Practice Parameter endorses use of botulinum toxin A for localized and segmented spasticity and diazepam and, to a lesser degree, tizanidine for short-term treatment of generalized spasticity but finds insufficient data for other agents. Medscape Medical News (Source: Medscape Today Headlines)
Posted on January 29th 2010
Content Type Journal ArticleCategory CommentDOI 10.1007/BF03180937Authors
James G. Jarvis, Childrenâs Hospital of Eastern Ontario Divison of Pediatric Orthopaedics Ottawa Canada
Journal Orthopedics and TraumatologyOnline ISSN 1617-3838Print ISSN 0941-2530
Journal Volume Volume 7
Journal Issue Volume 7, Number 3 / September, 1999 (Source: Orthopedics and Traumatology)
Posted on January 29th 2010
Summary
Objectives Correction of flexion contracture of hip allowing an erect position while standing and walking. The gain in function helps
to prevent a neurogenic dislocation of the coxofemoral joint.
Indications In infants with cerebral palsy unable to straighten the body before they can stand or walk. In ambulatory spastic children
and adolescents with bothersome hip flexion contracture.
Contraindications Severe retardation of motor development in patients with cerebral palsy in whom walking and standing cannot be anticipated.
Marked spastic-dystonic muscle weakness.
Surgical Technique In general, soft tissue releases at hip and knee are performed at the same sitting. Anterior approach to the hip. Detachment
o...
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