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Neurodevelopmental Management Strategies for Children With Cerebral Palsy: Optimizing Function, Promoting Participation, and Supporting Families


Clinical Obstetrics and Gynecology: December 2008 - Volume 51 - Issue 4 - p 800-815
doi: 10.1097/GRF.0b013e31818a0431
Diagnosis, Prevention, and Treatment of Cerebral Palsy

There is a spectrum of outcomes in health, functional skills, and participation among children with one of the cerebral palsy syndromes. Medical advances have allowed us to better understand the importance of goal-oriented management and attention to nutrition, safe feeding, seizures, deformity, and spasticity. However, ensuring long-term successful outcomes require coordination between medicine, social services, education, and rehabilitation and continually examining how to promote functioning and participation. Until multicentered population registries and networks for clinical trials are established, our knowledge of evidence-based outcomes will remain partial and incomplete.

University of Chicago Pritzker School of Medicine, JP Kennedy Research Center on Intellectual and Neurodevelopmental Disabilities, and Section of Developmental and Behavioral Pediatrics Comer and LaRabida Children's Hospitals, Chicago, Illinois

Sponsored in part by a Planning Grant from the American Academy of Cerebral Palsy and Developmental Medicine and an investigator initiated grant from the Grant Healthcare Foundation entitled, Passport to Health. This chapter is dedicated to Gina Detmer and Melissa Sibert from Reaching for the Stars and Mary Kay Ballasiotes Childhood Stroke and Hemiplegia Connections of Illinois.

Correspondence: Michael E. Msall, MD, University of Chicago Pritzker School of Medicine 950 E, SSC Rm 207, Chicago, IL. E-mail:

© 2008 Lippincott Williams & Wilkins, Inc.