Wimalasundera Neil, Stevenson Valerie L
Department of Paediatric Neurodisability, Clinical lead for the Wolfson Neurodisability Service, The Wolfson Neurodisability Service, London, UK.
National Hospital for Neurology and Neurosurgery, London, UK.
Pract Neurol. 2016 Jun;16(3):184-94. doi: 10.1136/practneurol-2015-001184. Epub 2016 Feb 2.
Cerebral palsy has always been known as a disorder of movement and posture resulting from a non-progressive injury to the developing brain; however, more recent definitions allow clinicians to appreciate more than just the movement disorder. Accurate classification of cerebral palsy into distribution, motor type and functional level has advanced research. It also facilitates appropriate targeting of interventions to functional level and more accurate prognosis prediction. The prevalence of cerebral palsy remains fairly static at 2-3 per 1000 live births but there have been some changes in trends for specific causal groups. Interventions for cerebral palsy have historically been medical and physically focused, often with limited evidence to support their efficacy. The use of more appropriate outcome measures encompassing quality of life and participation is helping to deliver treatments which are more meaningful for people with cerebral palsy and their carers.
脑瘫一直被认为是由于发育中的大脑遭受非进行性损伤而导致的运动和姿势障碍;然而,最近的定义让临床医生认识到的不仅仅是运动障碍。将脑瘫准确分类为分布类型、运动类型和功能水平推动了研究进展。这也有助于针对功能水平进行适当的干预,并更准确地预测预后。脑瘫的患病率保持相对稳定,每1000例活产中有2 - 3例,但特定病因组的趋势出现了一些变化。历史上,针对脑瘫的干预措施主要集中在医学和物理方面,往往缺乏支持其疗效的充分证据。使用更合适的涵盖生活质量和参与度的结果指标,有助于提供对脑瘫患者及其护理人员更有意义的治疗方法。