Revision as of 03:52, 24 February 2020 edit Doc James (talk \| contribs) Administrators 311,963 edits Reverted to revision 941948179 by DemonDays64 Bot (talk): That is not really a cause but the mechanism (TW) Tag: Undo ← Previous edit		Revision as of 05:17, 3 March 2020 edit undo 122.108.141.214 (talk) →‎Management Next edit →
Line 157: [[File:Cerebral palsy.jpg\|thumb\|alt=A girl wearing leg braces walks towards a woman in a gym, with a treadmill visible in the background.\| Researchers are developing an electrical stimulation device specifically for children with cerebral palsy, who have [[foot drop]], which causes tripping when walking.]] {{Main\|Management of cerebral palsy}} Over time, the approach to CP management has shifted away from narrow attempts to fix individual physical problems {{endash}} such as spasticity in a particular limb {{endash}} to making such treatments part of a larger goal of maximizing the person's independence and community engagement.<ref name=novak_2013/>{{rp\|886}} Much of childhood therapy is aimed at improving gait and walking. Approximately 60% of people with CP are able to walk independently or with aids at adulthood.{{Citation needed\|date=December 2019\|reason=removed citation to predatory publisher content}} However, the evidence base for the effectiveness of intervention programs reflecting the philosophy of independence has not yet caught up: effective interventions for body structures and functions have a strong evidence base, but evidence is lacking for effective interventions targeted toward participation, environment, or personal factors.<ref name=novak_2013/> There is also no good evidence to show that an intervention that is effective at the body-specific level will result in an improvement at the activity level, or vice versa.<ref name=novak_2013/> Although such cross-over benefit might happen, not enough high-quality studies have been done to demonstrate it.<ref name=novak_2013/> Because cerebral palsy has "varying severity and complexity" across the lifespan,<ref name="multidisciplinary455"/> it can be considered a collection of conditions for management purposes.<ref name="research gaps 2016"/> A [[multidisciplinary]] approach for cerebral palsy management is recommended,<ref name="multidisciplinary455"/> focusing on "maximising individual function, choice and independence" in line with the [[International Classification of Functioning, Disability and Health]]'s goals.<ref name="autogenerated1">{{cite book\|author1=National Guideline Alliance (UK)\|title=Cerebral Palsy in Under 25s: Assessment and Management\|date=January 2017\|publisher=[[National Institute for Health and Care Excellence]] (UK)\|location=London\|isbn=978-1-4731-2272-7\|url=https://www.ncbi.nlm.nih.gov/books/NBK419326/pdf/Bookshelf_NBK419326.pdf\|accessdate=5 February 2017\|url-status=live\|archiveurl=https://web.archive.org/web/20170910181620/https://www.ncbi.nlm.nih.gov/books/NBK419326/pdf/Bookshelf_NBK419326.pdf\|archivedate=10 September 2017}}</ref> The team may include a paediatrician, a [[health visitor]], a social worker, a physiotherapist, an orthotist, a speech and language therapist, an [[occupational therapist]], a teacher specialising in helping children with visual impairment, an educational psychologist, an [[orthopaedic surgeon]], a neurologist and a neurosurgeon.<ref>{{cite web\|title=Cerebral palsy – Treatment\|url=http://www.nhs.uk/Conditions/Cerebral-palsy/Pages/Treatment.aspx\|website=www.nhs.uk\|publisher=[[NHS Choices]]\|accessdate=6 February 2017\|url-status=live\|archiveurl=https://web.archive.org/web/20170206185635/http://www.nhs.uk/Conditions/Cerebral-palsy/Pages/Treatment.aspx\|archivedate=6 February 2017}}</ref>

Cerebral palsy: Difference between revisions