Pruitt David W, Tsai Tobias
Division of Pediatric Rehabilitation, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, USA.
Phys Med Rehabil Clin N Am. 2009 Aug;20(3):453-67. doi: 10.1016/j.pmr.2009.06.002.
The medical issues associated with the diagnosis of cerebral palsy (CP) can have significant interplay with the neuromuscular issues that most physiatrists manage in the clinical setting. Identification and appropriate management of these common comorbidities by the primary care and subspecialist physicians can have significant impact on the quality of life of the patient and family. Some of these issues are prevalent across all gross motor function classification system (GMFCS) levels of severity, whereas others more commonly complicate the care of those children with the more severe GMFCS levels IV and V. Performance of a complete review of systems to address the potentially complex medical comorbidities and subsequent application of appropriate screening tools can assist in achieving optimal outcomes in children with CP and their families.
与脑性瘫痪（CP）诊断相关的医学问题，可能与大多数物理治疗师在临床环境中处理的神经肌肉问题存在显著的相互作用。初级保健医生和专科医生对这些常见合并症的识别和适当管理，会对患者及其家庭的生活质量产生重大影响。其中一些问题在所有粗大运动功能分类系统（GMFCS）严重程度级别中都很普遍，而其他问题则更常使GMFCS IV级和V级的重度患儿护理变得复杂。进行全面的系统检查以解决潜在复杂的医学合并症，并随后应用适当的筛查工具，有助于为CP患儿及其家庭实现最佳治疗效果。
