medigraphic.com
Academia Mexicana de Neurología, A.C.

2007, Number 2

<< Back Next >>

Rev Mex Neuroci 2007; 8 (2)

Variability of the efficacy of a Neurologic Restoration Program on Patients with Cerebral Palsy

Maragoto RC, Vera CH, Cepero MG, Fernández MI, Marín HT

Language: Spanish
References: 26
Page: 119-126
PDF size: 81.16 Kb.


ABSTRACT

Introduction: Cerebral palsy is an important cause of disability in the child. Its incidence is estimated in 1.5 to 2.5 per 1,000 born alive and there is evidence of an increasing trend. During the last century, multiple therapeutic methods have been developed for the treatment of these neurological sequels. The Neurologic Restoration Program (PNR) has been applied for the last l5 years at CIREN. Objective: To evaluate the variability of its efficacy in the application of a Neurologic Restoration Program on children with cerebral palsy and to identify prognostic factors for the children’s functional recovery. Patients and methods: All the clinical records of patients with cerebral palsy, especially of those hospitalized since January 2000 up to December 2005 were reviewed for a total of 174 children that underwent the Neurologic Restoration Program. Selected data were taken from these patients that were later statistically processed. Results: A gain in points was demonstrated in all the Gross Motor Function (GMF) areas, before and after PNR with statistical significance. This efficacy is not homogeneous and it varies according to different variables. The analysis performed showed that the patient’s age, number of PNR cycles, extension of lesion, absence of cognitive alterations and epilepsy, absence of alterations in cranial MRI and in Somatosensory Evoked Potentials constitute the factors for a good functional prognosis. Conclusions: There is a variability in the efficacy of a Neurologic Restoration Program in children with cerebral palsy.


REFERENCES

  1. Little W. On the influence of abnormal parturation, difficult labours, premature birth, and asphyxia neonatorum on the mental and physical condition of the child, especially in relation to deformities. Trans Obstet Soc London 1861; 3: 293.

  2. Burgess D. A case of cerebral birth palsy. Med Chron Manchester 1888; 9: 471.

  3. Freud S. Die infantile cerebrallahmung. In: Nothnagel J Ed. Specialle Pathologie und Therapie. Band IX, Th. III. Vienna: Holder; 1897.

  4. Legido A, Katsetos CD. Parálisis cerebral: nuevos conceptos etiopatogénicos. Rev Neurol 2003; 36: 158-59. Acceso el 22 de diciembre 2005.

  5. Ramirez LEA y cols. Toxina botulínica como adyuvante en el tratamiento de la parálisis espástica en miembros torácicos. Cir Plast 2002; 12(2): 57-60.

  6. Schifrin BS, Longo LD. William John Little and cerebral palsy. A reappraisal. Eur J Obstet Gyn Reprod Biol 2000; 90: 139-44.

  7. La parálisis cerebral: Esperanza de la investigación. [sitio en Internet] Nacional Instituto of Neurological Disorders and Stroke. Disponible en www.ninds.nih.gov/disorders/ spanish/paralisiscerebral.htm. Acceso el 7 de diciembre, 2005.

  8. Scherzer AL. History, definition, and classification of cerebral palsy. In: Scherser, Ed. Early diagnosis and interventional therapy in cerebral palsy. New York: Marcel Decker; 2001, p. 1-25.

  9. Nelson KB, Ellenberg JH. Antecedents of cerebral palsy. N Engl J Med 1986; 315: 81-6.

  10. Blair E, Stanley F. Intrapartum asphyxia: a rare cause of cerebral palsy. J Ped 1988; 112: 515-19.

  11. Vannucci R. Perinatal hypoxic-ischemic encephalopathy. The Neurologist 1995; 1: 35-52.

  12. Nelson KB, Leviton A. How much neonatal encephalopathy is due to birth asphyxia? AJDC 1991; 145: 1325-31.

  13. Perlman JM. Intrapartum hypoxic-ischemic cerebral injury and subsequent cerebral palsy: medicolegal issues. Pediatrics 1997; 99: 851-7.

  14. Stanley F, Blair E, Hockey A, et al. Spastic quadriplegia in Western Australia: a genetic epidemiological study. 1: case population and perinatal risk factors. Dev Med Child Neurol 1993; 35: 191-201.

  15. Bax M. Terminology and classification of cerebral palsy. Dev Med Child Neurol 1964; 57: 153-8.

  16. Clement MC, Briard JL, Pnost G. Ataxies cerebelleuses congenitales nonprogressives. Arch Fr Pediatr Scand 1972; (Suppl.): S 26.

  17. Ashwal S, Russman BS, Blasco PA, Miller G, Sandler A, et al. Practice Parameter: Diagnostic assessment of the child with cerebral palsy Neurology 2004; 62: 851-63.

  18. Yalcin S, Kocaoglu B, Berker N, Erol B. Surgical management of orthopedic problems in adult patients with cerebral palsy. Acta Orthop Traumatol Turc 2005; 39(3): 231-6.

  19. Kulak W, Sobaniec W. Quantitative EEG analysis in children with hemiparetic cerebral palsy. Neurorehabilitation 2005; 20(2): 75-84.

  20. Singhi P, Jagirdar S, Khandelwal N, Malhi P. Epilepsy in children with cerebral palsy. J Child Neurol 2003; 18(3): 174-9.

  21. Kulak W, Sobaniec W, Bockowski L, Solowiej E, Smigielska-Kuzia J, Artemowicz B, Sendrowski K. Neurophysiologic studies of brain plasticity in children with cerebral palsy. Rocz Akad Med Bialymst 2005; 50(Suppl. 1): 74-7.

  22. Morton JF, Brownlee M, McFadyen AK. The effects of progressive resistance training for children with cerebral palsy. Clin Rehabil 2005; 19(3): 283-9.

  23. Peter I, Stephen D, Steven E, Robert J, Dianne J, Paimender R, et al. Prognosis for Gross Motor Function in Palsy Cerebral. JAMA 2002; 288(11): 1357-63.

  24. Bringas-Grandea A, Fernández-Luque A, García-Alfaro C, Barrera-Chacón M, Toledo-González M, Domínguez- Roldán JM. Parálisis cerebral infantil: estudio de 250 casos. Rev Neurol 2002; 35(9): 812-17.

  25. Nelson KB. The epidemiology of cerebral palsy in term infants. Ment Retard Dev Disabil Res Rev 2002; 8: 146-50.

  26. Krigger KW. Cerebral palsy: an overview. Am Fam Physician 2006; 73(1): 91-100.




2020     |     www.medigraphic.com