Aneja S
Department of Pediatrics, Lady Hardinge Medical College & Associated Kalawati Saran Children Hospital, New Delhi, India.
Indian J Pediatr. 2004 Jul;71(7):627-34. doi: 10.1007/BF02724123.
Evaluation of a child with cerebral palsy (CP) requires a multidisciplinary approach with a team of professionals comprising of a pediatrician or pediatric neurologist, occupational therapist, a physiotherapist, child psychologist, and a social worker. The assessment is necessary to confirm the diagnosis, determine the cause, assess the motor function and associated problems. The diagnosis of CP is clinical but selected investigations may be required for ascertaining the cause. Evaluation includes assessment for common medical problems of childhood particularly nutritional disorders and assessment of family functioning. Additional disabilities are common. Routine assessment of vision and hearing is required in children with CP. Since CP is a changing disorder, some limitations may not be evident early in life but manifest in the school age or later. The evaluation of a child with CP is an ongoing process and should be a part of continuing care as the child grows from infancy to adolescence.
对患有脑瘫(CP)的儿童进行评估需要多学科方法,由一组专业人员组成团队,包括儿科医生或儿科神经科医生、职业治疗师、物理治疗师、儿童心理学家和社会工作者。进行评估对于确诊、确定病因、评估运动功能及相关问题是必要的。脑瘫的诊断基于临床,但可能需要进行特定检查以确定病因。评估包括对儿童常见医学问题尤其是营养失调的评估以及对家庭功能的评估。合并其他残疾很常见。对脑瘫患儿需要进行常规视力和听力评估。由于脑瘫是一种不断变化的疾病,一些局限性在生命早期可能不明显,但在学龄期或更晚才会显现。对脑瘫患儿的评估是一个持续的过程,并且应该作为儿童从婴儿期到青春期成长过程中持续护理的一部分。