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Full Description
This textbook, the second edition following the first published in 2009, provides a comprehensive and detailed analysis of all spastic forms of cerebral palsy, examining each aspect of the condition from various perspectives, such as motor, perceptual, and emotional.
In cerebral palsy rehabilitation, the therapeutic approach should begin with an evaluation of the child's resources and the strategies they employ to build their adaptive functions, despite their central and peripheral impairments. The use of a pre-established universal model of motor performance (the so-called typical motor development), ordered by an obligatory sequence acquired in rigid and constant progression (the so-called milestones), is no longer acceptable. Instead, it is crucial to analyze the cognitive and motor resources of the child with cerebral palsy, marked by the pathology regardless of any applied therapy, to plan a tailored rehabilitation program with the child and their family. This requires an understanding of how the child's brain responds to internal and external demands for adaptation.
For this reason, it is necessary that the therapists acquire specific knowledge of the natural history of the form of cerebral palsy and its rules, to design and pursue the most effective adaptive changes (understood as stable and favorable modifications of the natural history) achievable in that specific case and specific physical, social and cultural context. This approach should not only consider motor re-education but also other therapeutic interventions, such as drugs, functional surgery, orthoses, aids, and adaptive modifications of the environment.
This textbook, enriched by clinical cases and videos, will be of interest for those who already work in this field (doctors, child neuropsychiatrists and physiatrists, rehabilitation therapists), as well as for students of the first and second level degrees in the area of rehabilitation and specialization medical schools.
In this second edition, all chapters have been updated and, in some cases fully rewritten. Moreover, in the new chapters the general concepts of CP re-education, the reasons that justify early treatment, the importance of the active role of family, the panorama of therapeutic tools, the description of combined treatment (re-education, drugs, orthotics, functional surgery )and of Assistive Technologies were added.
Contents
Part I Nature of the defect.- Cerebral palsy detection: from John Little to the present.- Guide to the interpretation of cerebral palsy.- Part II Function analysis.- Functional diagnosis in infants and in very young children: early predictive signs.- Motor defects and deficits.- Perceptive defects.- Praxic organization disorders.- Visual and oculomotor disorders.- Neuropsychological evaluation.- Emotional, behavioral and social disorders in children and adolescents with cerebral palsy.- Observing interactions.- Part III Classification of spastic syndromes and clinical forms.- Critical aspects of traditional classifications.- Kinematic classification.- Tetraplegic clinical forms.- Dysperceptive clinical forms.- Diplegic clinical forms.- Hemiparetic clinical forms.- Part IV Rehabilitation of spastic forms.- The rehabilitation concept in cerebral palsy.- The posture treatment in tetraplegic forms.- The gait treatment in diplegic forms.- The manipulation treatment in hemiplegic forms.- The combined treatment (drugs, orthoses and aids, functional surgery, assistive technologies.- Family centred or child centred approach?.- Semeiotics manoeuvres.- Rational glossary.
