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Predictability of cerebral palsy in a high-risk NICU population

This study aims to create a predictive model for the assessment of the individual risk of developing cerebral palsy in a large cohort of selected high-risk infants.Patients and methods: 1099 NICU-admitted high-risk infants were assessed up to the corrected age of at least 12months. CP was categorized relative to subtype, distribution and severity. Several perinatal characteristics (gender, gestational age, multiple gestation, small for gestational age, perinatal asphyxia and duration of mechanical ventilation), besides neonatal cerebral ultrasound data were used in the logistic regression model for the risk of CP.Results: Perinatal asphyxia, mechanical ventilation>7days, white matter disease except for transient echodensities (Source: Early Human Development)

Adult Onset Tethered Cord Syndrome Presenting With Unilateral Calf Atrophy

Although tethered cord syndrome is a disease process that is well established in childhood, adult onset tethered cord syndrome (ATCS) is a less common disorder that is slowly gaining recognition. ATCS is caused by excessive tension of the spinal cord. The majority of reported cases of ATCS have been attributed to various forms of spinal dysraphism []. Spina bifida, which occurs in a minor subset of the population with cerebral palsy (CP), can lead to childhood tethered cord syndrome []. However, patients with occult spinal dysraphism may reach adulthood before they are diagnosed. The most common symptoms in adults, in order of prevalence, are pain, weakness, sensory deficits, and urinary or bowel dysfunctions []. To date there are only a few case reports of ATCS accompanied by muscle atrop...

Visual guidance of interceptive actions in children with spastic unilateral cerebral palsy is influenced by the side of the lesion.

Conclusions. The side of the lesion influences the visual information used to initiate interceptive actions. PMID: 20594115 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)

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The perception of involved professionals towards research feasibility and usefulness: lessons from the Multi-Site Trial on Efficacy of Constraint Induced Movement Therapy in Children with Hemiplegia.

CONCLUSION AND CLINICAL REHABILITATION IMPACT: This survey highlights the importance of conducting research in local rehabilitation services, not only in terms of generation of new evidences, but also in terms of building networks, sharing experiences and knowledge, connecting with centers of excellence and providing a specific training for research conduction. PMID: 20592684 [PubMed - as supplied by publisher] (Source: European Journal of Physical and Rehabilitation Medicine)

Growth in Children with Cerebral Palsy during five years after Selective Dorsal Rhizotomy: a practice-based study

Background: Overweight is reported as a side effect of SDR. The aims were to study the development of weight, height and body mass index (BMI) during five years after SDR. Methods: This prospective, longitudinal and practice-based study included all 56 children with CP spastic diplegia undergoing SDR from the start in March 1993 to April 2003 in our hospital. The preoperative Gross Motor Function Classification System (GMFCS) levels were I-II in 17, III in 15, IV-V in 24 children. Median age at SDR was 4.3 years (range 2.4-7.4 years). Weight and height/recumbent length were measured. Swedish growth charts for typically developing children generated weight, height and BMI z-scores for age and gender. Results: The preoperative median z-scores were for height -1.92 and for body mass index (BM...
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