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[Clinical practice guidelines for the treatment of spasticity with botulinum toxin.]

Posted on May 31st 2010

CONCLUSIONS. These CPG have been in use at the Hospital Universitari Mutua de Terrassa for 15 years, and are updated on a regular basis. This has enabled us to carry out a standardised selection of spastic patients and to establish a clear-cut set of treatment goals. It has also allowed us to implement a suitable plan regarding follow-up, the adjuvant therapies needed for each of the patients and an evaluation of results that is as objective as possible.
PMID: 20514641 [PubMed - in process] (Source: Revista de Neurologia)



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Developmental Disabilities Across the Lifespan

Posted on May 31st 2010

Developmental disabilities (DD) or neurodevelopmental disabilities (includes intellectual disability (ID)) are a diverse group of chronic disorders () that begin at any time during the development process (including conception, birth, and growth) up to 22 years of age and last throughout an individual’s lifetime. The underlying basis for these disorders lies in fundamental deficits in the developing brain due to genetic, prenatal, perinatal, metabolic, and other factors. DD affect 17% of individuals younger than 18 years of age in the USA. Prevention along with early recognition and intervention are critically important to mitigate the enormous personal and socioeconomic impact of these disorders. It is estimated that the lifetime cost for those born in 2000 with ID will be $50 billion, $1…



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Assessing comprehension of spoken language in nonspeaking children with cerebral palsy: application of a newly developed computer-based instrument.

Posted on May 28th 2010

Authors: Geytenbeek JJ, Heim MM, Vermeulen RJ, Oostrom KJ
This paper describes the development of an instrument to assess comprehension of spoken language in children with severe cerebral palsy (CP) who cannot speak, and for whom standard language assessment measures are not appropriate due to severe motor impairment. This instrument, the Computer-Based instrument for Low motor Language Testing (C-BiLLT), was administered to 42 children without disabilities (aged 14 months to 60 months) and to 18 children with severe CP (age 19 months to 71 months). Preliminary data showed that the instrument was acceptable to the children. Convergent validity was investigated by correlating C-BiLLT scores with test results on the well-established Reynell Developmental Language Scales (RDLS). Clinical …



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Implementing augmentative and alternative communication in inclusive educational settings: a case study.

Posted on May 28th 2010

Authors: Stoner JB, Angell ME, Bailey RL
The purpose of this study was to describe a single case of augmentative and alternative communication (AAC) implementation. Case study methodology was used to describe the perspectives of educational team members regarding AAC implementation for Joey, a high school junior with athetoid cerebral palsy. Benefits included greater intelligibility for Joey and subsequent comfort of the staff. Facilitators of Joey’s AAC system use included the team’s student-focused disposition and willingness to implement use of the device, Joey’s increased intelligibility, peers’ acceptance of the technology, and the resulting increase in Joey’s socialization. Limited team cohesiveness, problem solving, and communication were the true barriers in this case. Implicat…



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MR imaging of term infants with hypoxic-ischaemic encephalopathy as a predictor of neurodevelopmental outcome and late MRI appearances

Posted on May 28th 2010

Conclusion  While early MRI performed better than cranial US, the sonography findings were useful. The pattern of ischaemia on early MRI
was a good predictor of prognosis. All infants with watershed or atypical patterns had a favourable outcome. The majority
of infants with central patterns of ischaemia had an unfavourable outcome and all infants with a diffuse pattern had an unfavourable
outcome. DWI was predictive of outcome group, as were early T1- and T2-W sequences and cranial US.

Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00247-010-1692-9Authors
Eilish Twomey, Children’s University Hospital Department of Radiology Temple Street, Dublin 1 Dublin IrelandAnne Twomey, National Maternity Hospital Department of Neonatology Dublin IrelandStep…



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