Cerebral palsy: A reconceptualization of the spectrum
Approximately 50 years ago, interest in cerebral palsy increased, and the current definitions and classification were developed. The interplay among the dimensions of significant impairment, nonprogressive lesions, and persistence defines a group of children who were of interest to the researchers w...
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Veröffentlicht in: | The Journal of pediatrics 2004-08, Vol.145 (2), p.S3-S7 |
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container_title | The Journal of pediatrics |
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description | Approximately 50 years ago, interest in cerebral palsy increased, and the current definitions and classification were developed. The interplay among the dimensions of significant impairment, nonprogressive lesions, and persistence defines a group of children who were of interest to the researchers who developed the definition.
Cerebral palsy as a definition does not attend to the broader issues of neurodevelopmental dysfunction. It isolates a portion of the spectrum of motor dysfunction and creates a category whose bounds are defined by a range of motor capability. The classifications of cerebral palsy that require revision are discussed. Some classifications should be discarded. Others should be brought in line with current knowledge and approaches. Still others should be modified to encompass the broader views of function and therapy that reflect the current expectations for persons with disabilities. |
doi_str_mv | 10.1016/j.jpeds.2004.05.014 |
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Cerebral palsy as a definition does not attend to the broader issues of neurodevelopmental dysfunction. It isolates a portion of the spectrum of motor dysfunction and creates a category whose bounds are defined by a range of motor capability. The classifications of cerebral palsy that require revision are discussed. Some classifications should be discarded. Others should be brought in line with current knowledge and approaches. Still others should be modified to encompass the broader views of function and therapy that reflect the current expectations for persons with disabilities.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2004.05.014</identifier><identifier>PMID: 15292880</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Biological and medical sciences ; Cerebral Palsy - classification ; Cerebral Palsy - diagnosis ; Cerebral Palsy - etiology ; Cerebral Palsy - physiopathology ; Child ; Child Development ; General aspects ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Intellectual Disability - etiology ; Language Development Disorders - etiology ; Learning Disorders - etiology ; Medical sciences ; Motor Skills ; Nervous system (semeiology, syndromes) ; Neurology ; Seizures - etiology ; Severity of Illness Index ; Terminology as Topic</subject><ispartof>The Journal of pediatrics, 2004-08, Vol.145 (2), p.S3-S7</ispartof><rights>2004 Elsevier Inc.</rights><rights>2004 INIST-CNRS</rights><rights>Copyright 2004 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c385t-4a8915bb74538190982c586ca133959ab2906898a1df5e775636648555ab3fa23</citedby><cites>FETCH-LOGICAL-c385t-4a8915bb74538190982c586ca133959ab2906898a1df5e775636648555ab3fa23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpeds.2004.05.014$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>310,311,315,781,785,790,791,3551,23934,23935,25144,27928,27929,45999</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16065897$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15292880$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shapiro, Bruce K.</creatorcontrib><title>Cerebral palsy: A reconceptualization of the spectrum</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Approximately 50 years ago, interest in cerebral palsy increased, and the current definitions and classification were developed. The interplay among the dimensions of significant impairment, nonprogressive lesions, and persistence defines a group of children who were of interest to the researchers who developed the definition.
Cerebral palsy as a definition does not attend to the broader issues of neurodevelopmental dysfunction. It isolates a portion of the spectrum of motor dysfunction and creates a category whose bounds are defined by a range of motor capability. The classifications of cerebral palsy that require revision are discussed. Some classifications should be discarded. Others should be brought in line with current knowledge and approaches. Still others should be modified to encompass the broader views of function and therapy that reflect the current expectations for persons with disabilities.</description><subject>Biological and medical sciences</subject><subject>Cerebral Palsy - classification</subject><subject>Cerebral Palsy - diagnosis</subject><subject>Cerebral Palsy - etiology</subject><subject>Cerebral Palsy - physiopathology</subject><subject>Child</subject><subject>Child Development</subject><subject>General aspects</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Intellectual Disability - etiology</subject><subject>Language Development Disorders - etiology</subject><subject>Learning Disorders - etiology</subject><subject>Medical sciences</subject><subject>Motor Skills</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Seizures - etiology</subject><subject>Severity of Illness Index</subject><subject>Terminology as Topic</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90M9LwzAUwPEgipvTv0CQXvTW-tI0aSJ4GMNfMPCi55Cmr5jRrTVphfnXm7mBN0_v8nmPx5eQSwoZBSpuV9mqxzpkOUCRAc-AFkdkSkGVqZCMHZMpQJ6nrCjFhJyFsAIAVQCckgnlucqlhCnhC_RYedMmvWnD9i6ZJx5tt7HYD6Np3bcZXLdJuiYZPjAJPdrBj-tzctJEjheHOSPvjw9vi-d0-fr0spgvU8skH9LCSEV5VZUFZ5IqUDK3XAprKGOKK1PlCoRU0tC64ViWXDAhCsk5NxVrTM5m5GZ_t_fd54hh0GsXLLat2WA3Bi1EKUoJIkK2h9Z3IXhsdO_d2vitpqB3tfRK_9bSu1oauI614tbV4fxYrbH-2znkieD6AEywpm282VgX_pwAwaUqo7vfO4wxvhx6HazDGLF2seag6879-8gPXqKG5Q</recordid><startdate>20040801</startdate><enddate>20040801</enddate><creator>Shapiro, Bruce K.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040801</creationdate><title>Cerebral palsy: A reconceptualization of the spectrum</title><author>Shapiro, Bruce K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c385t-4a8915bb74538190982c586ca133959ab2906898a1df5e775636648555ab3fa23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Biological and medical sciences</topic><topic>Cerebral Palsy - classification</topic><topic>Cerebral Palsy - diagnosis</topic><topic>Cerebral Palsy - etiology</topic><topic>Cerebral Palsy - physiopathology</topic><topic>Child</topic><topic>Child Development</topic><topic>General aspects</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Intellectual Disability - etiology</topic><topic>Language Development Disorders - etiology</topic><topic>Learning Disorders - etiology</topic><topic>Medical sciences</topic><topic>Motor Skills</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Seizures - etiology</topic><topic>Severity of Illness Index</topic><topic>Terminology as Topic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shapiro, Bruce K.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shapiro, Bruce K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral palsy: A reconceptualization of the spectrum</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2004-08-01</date><risdate>2004</risdate><volume>145</volume><issue>2</issue><spage>S3</spage><epage>S7</epage><pages>S3-S7</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>Approximately 50 years ago, interest in cerebral palsy increased, and the current definitions and classification were developed. The interplay among the dimensions of significant impairment, nonprogressive lesions, and persistence defines a group of children who were of interest to the researchers who developed the definition.
Cerebral palsy as a definition does not attend to the broader issues of neurodevelopmental dysfunction. It isolates a portion of the spectrum of motor dysfunction and creates a category whose bounds are defined by a range of motor capability. The classifications of cerebral palsy that require revision are discussed. Some classifications should be discarded. Others should be brought in line with current knowledge and approaches. Still others should be modified to encompass the broader views of function and therapy that reflect the current expectations for persons with disabilities.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>15292880</pmid><doi>10.1016/j.jpeds.2004.05.014</doi></addata></record> |
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subjects | Biological and medical sciences Cerebral Palsy - classification Cerebral Palsy - diagnosis Cerebral Palsy - etiology Cerebral Palsy - physiopathology Child Child Development General aspects Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Intellectual Disability - etiology Language Development Disorders - etiology Learning Disorders - etiology Medical sciences Motor Skills Nervous system (semeiology, syndromes) Neurology Seizures - etiology Severity of Illness Index Terminology as Topic |
title | Cerebral palsy: A reconceptualization of the spectrum |
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