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Archive for June, 2009

Cerebral Palsy—what is it?

Thursday, June 11th, 2009

The term cerebral palsy encompasses a set of neurological conditions that cause physical disability in human development, either through the brain or the nervous system.

The word cerebral refers to the area in the brain that is affected, while palsy means complete or partial muscle paralysis. A child with cerebral palsy will generally show symptoms during the first three years of life.
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These symptoms may include:
* Achieves developmental milestones, such as crawling, walking, or speaking, later than his/her peers.
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* Crawls in an unusual way.

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* Abnormal muscle tone – the child will slouch while sitting.
* Difficulty feeding and sucking.
* Lies down in awkward positions
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* Bad coordination and balance (ataxia).
* Muscles are stiff and contract abnormally (spastic paralysis).
* Problems with hearing, eyesight, bladder control, or bowel movement control

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* Seizures.

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There are several types of cerebral palsy.

Spastic cerebral palsy (spastic hemiplegia, spastic diplegia, spastic quadriplegia) involves muscle stiffness on one side of the body, the lower limbs, or full body, respectively.

Ataxic cerebral palsy affects the child’s balance and depth perception. Most children with ataxic cerebral palsy have normal intelligence and good communication skills, but may have erratic speech.

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Athetoid or dyskinetic cerebal palsy is the second most common form of the disease, and the child’s whole body is affected by muscle problems.

Hypotonic cerebral palsy includes severe muscle problems, with some parents describing their child’s movements as similar to that of a rag doll.

Spina Bifida has racial and ethnic differences

Thursday, June 11th, 2009

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The addition of folic acid to all enriched cereal grain products has reduced the prevalence of the birth defect spina bifida in the United States.

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According to The Journal of the American Medical Association, the birth defect was reduced 22.9 percent from 1995 to 1999; however, there have been no further decreases from 2003-2004.

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This folic acid increase was mandated to prevent pregnancies affected by neural tube defects (NTDs) such as spina bifida.

The prevalence of NTD-affected pregnancies has remained higher among Hispanic women than among women in other racial/ethnic populations. Analysis of birth certificate data in the United States have shown that the number of cases of spina bifida were excluded because most conceptions with births during that period occurred before folic acid fortification was mandated in the United States.

Analysis has also shown significant decreases in prevalence among infants with non-Hispanic black mothers, but not among infants with non-Hispanic white mothers or Hispanic mothers.

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The report shows two limitations: birth defects are underreported on birth certificates, even defects such as spina bifida that are obvious at birth. Also, birth certificates are complted for live births only, so pregnancies affected by spina bifida that ended in induced or spontaneous abortion were not recorded.

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Wii for CP

Friday, June 5th, 2009

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Some games for the Nintendo Wii are being developed especially for children suffering from Cerebral Palsy. They are slower paced than the commercially available games, less complicated, and are designed to help develop muscle control and hand coordination.
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Using Wii games to increase motor function in CP victims is the brainchild of the Limbs Alive Project operated at Newcastle’s Royal Victoria Infirmary. Ten families participated in the game trials.

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A recent cash prize will help keep this project alive. Janice Pearse, an occupational therapist, won the 2009 national Rompa Quality of Life award from the Children’s Foundation charity for her involvement in the project.

Children are encouraged to play the games at least 30 minutes a night, sometimes using their non-dominant (weaker) hand. This kind of therapy is fun for the children involved and lets them exercise without a conscious effort.

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Robotic therapy eases cerebral palsy symptoms

Friday, June 5th, 2009

Robotic physical therapy developed by MIT researchers for stroke victims is now being offered to children with Cerebral Palsy.

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Robotic therapy sessions involve a video-game like set-up where the patient is presented with a task, such as “grabbing” a ball and moving it across the screen. If the patient starts to move their arm in the wrong way, or does not move it at all, the robot will gently nudge his or her arm in the correct direction. A robot to teach walking works in essentially the same manner.

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The robotic therapy has been shown to significantly increase functionality in adult stroke patients. Robotic therapy helps rebuild brain connections by linking a patient’s conscious effort to make a movement with that movement being realized. Researchers look forward to an even better response to this therapy in children than in adults since children’s brains are much more plastic than adult brains.

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So far, it seems to be working. After a dozen sessions or so, children are able to move from a walker to crutches, or from crutches to walking independently. Hopefully this research will continue to find ways to improve the lives of children suffering from this horrible disease.

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