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The medical management of cerebral palsy

Smith, M; Kurian, MA; (2016) The medical management of cerebral palsy. Paediatrics and Child Health , 26 (9) pp. 378-382. 10.1016/j.paed.2016.04.013. Green open access

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Abstract

Medical management of cerebral palsy is a complex issue that should be undertaken with the overall aim to improve comfort, function in every day life, self confidence, participation and independence. Although the main focus is commonly the motor disorder, medical management also encompasses far wider issues including the management of multiple co-morbidities (e.g. epilepsy, visual and hearing impairment, gastro-oesophageal reflux and constipation, learning and behavioural difficulties) which require close multi-disciplinary teamwork. High muscle tone can be broadly considered as either spasticity, dystonia, or commonly a mixed pattern. Strategies to reduce muscle tone include enteral medication, botulinum neurotoxin, intra-thecal Baclofen, and selective dorsal rhizotomy. However, strength training and reduction of inserted involuntary movements are equally important strategies to improve function. We also discuss treatable conditions which mimic cerebral palsy, and explore potential future therapies such as stem cells.

Type: Article
Title: The medical management of cerebral palsy
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.paed.2016.04.013
Publisher version: http://dx.doi.org/10.1016/j.paed.2016.04.013
Language: English
Additional information: © 2017. This manuscript version is published under a Creative Commons Attribution Non-commercial Non-derivative 4.0 International licence (CC BY-NC-ND 4.0). This licence allows you to share, copy, distribute and transmit the work for personal and non-commercial use providing author and publisher attribution is clearly stated. Further details about CC BY licences are available at http://creativecommons.org/licenses/by/4.0. Access may be initially restricted by the publisher.
Keywords: Aerebral palsy; dystonia; spasticity
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > UCL GOS Institute of Child Health > ICH Developmental Neurosciences Prog
URI: http://discovery.ucl.ac.uk/id/eprint/1497973
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