By Nadire Berker, Selim Yal in
(Futura) Univ. of Texas-Houston scientific university, Houston. specializes in the exam of stroke sufferers, the translation of ultrasound reports, and the applying of cerebrovascular ultrasound in constructing administration and therapy options. for college students and practitioners. DNLM: Cardiovascular Accident--ultrasonography.
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Extra info for Cerebral Palsy - A HELP Guide
Most spastic hemiplegic children are able to become independent adults even without therapy. Diplegic children [D] need treatment. Physiotherapy, bracing, and efficient spasticity management result in a more efficient gait with less contracture formation in diplegics. However, most of them still need orthopaedic surgery in childhood or adolescence. Approximately 85% of total body involved children [E] are unable to walk even indoors. They remain fully dependent on a caregiver and require assistive devices, special housing arrangements and continuous care.
Our treatments do not correct the primary neurological lesion. Our inability to cure the disease means we manage symptoms or deformity [E] Acknowledging these limitations is important in developing a treatment plan that balances time for treatment and time for being a child. 4. Be cautious with comparisons. Our objective is to give the child the best possible life-not to make the child normal. Be cautious about using normal values to assess children with cerebral palsy. Becoming too focused on making limbs straight or gait lab curves normal [F] may be counterproductive.
In the child with hemiplegia hand function may be more limited by the sensory loss than the deformity and muscle weakness. The child with arthrogryposis with severe deformity still functions well because of intact sensation. Skin ulcers are common in children with myelodysplasia [D]. 3. Recognize the limitations of treatments. Our treatments do not correct the primary neurological lesion. Our inability to cure the disease means we manage symptoms or deformity [E] Acknowledging these limitations is important in developing a treatment plan that balances time for treatment and time for being a child.