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Treatment of Cerebral Palsy and Motor Delay is a highly practical, easy-to-read resource for all paediatric practitioners and students working with the developmental abilities and difficulties of children, providing a thorough overview of cerebral palsy and its treatment.
The sixth edition has been thoroughly revised and updated to integrate the latest evidence-base on motor control and motor learning, whilst still retaining Sophie Levitt's eclectic, holistic and functional approach. It includes greater detail on paediatric occupational therapy, classification systems, the latest systematic reviews of research, as well as an expanded chapter on adolescents and adults with cerebral palsy. The chapter on equipment has also been increased so as to be of further relevance to occupational therapists.
Supported by clear diagrams and photographs, as well as summaries to consolidate learning, it outlines therapeutic approaches and suggests treatment and management options, providing a wealth of practical information. The book promotes positive relationships between therapists, people with cerebral palsy and their families.
List of contents
Foreword ix
Preface xi
Acknowledgements xvii
1 The clinical picture for therapy and management 1
Incidence of cerebral palsy 1
Motor dysfunction 1
Associated impairments and disabilities 3
Broad framework for therapy and management 4
Aetiology of cerebral palsy 7
Genetic causes 7
Causes in later childhood 7
Neuroimaging 7
Clinical picture and development 8
Change at different ages 9
Classification systems 11
Topographical classifications 14
Classification of motor types of cerebral palsies 15
Common features observed in all presenting types of cerebral palsies 21
Motor delay 22
Summary 23
2 A collaborative learning approach 25
Working with parents within a family framework 25
Emotional support 26
Parents vary 27
Other adults 28
Family-centred services 28
Research on home and school visits 30
Collaborative learning approach 30
Opportunities to discover what the parents and child want to achieve 31
Opportunities to clarify what is needed for these achievements, to recognize what parents and children already know and can do, and to find out what they still need to learn and do 32
Involvement in the selection and use of methods 34
Involvement in the evaluation of progress 37
Parent-child interaction 38
Helping a child to learn motor control (body function) and motor function (activity) 39
Observation of parent and child interaction 40
Social needs 41
Parents' health 41
Teamwork with parents 42
Siblings 43
Alternative and complementary treatments 44
Summary 46
3 Learning motor function 49
Learning methods 50
Development of a child's attention and learning 52
Practical ideas to promote attention and learning 53
A child's own strategies for a chosen goal 54
Task analysis 55
Cues for learning 56
Verbal guidance 58
Rewards 58
Practice and experience 59
Summary 60
4 Adolescents and adults 61
Studies of function in adolescents and adults 62
Activity goals 63
Issues of concern for adolescents and adults 64
Adolescents 65
Adults 66
Healthy lifestyle 67
Develop appropriate community mobility 68
Training of self-care and cosmetic appearance 69
Knowledge about the condition 69
Therapeutic activities 70
Measures 70
Summary 70
5 Outline of treatment approaches 71
History 71
Muscle education and braces 71
Progressive pattern movements 73
Proprioceptive neuromuscular facilitations (PNF) 74
Neuromotor development 75
Neurodevelopmental treatment (NDT) (Bobath approach) 75
Sensory stimulation for activation and inhibition 77
Reflex creeping and other reflex reactions 78
Conductive education 79
Sensory integration 81
Context therapy 82
Strength training 82
Systems-based task-oriented approach 87
Mobility Opportunities via Education (MOVE) 88
Contemporary theories 89
6 Evidence-based practice 93
Research and clinical studies 93
Research on treatment approaches 93
Theoretical grounds 94
Research studies 94
Reviews of research studies 94
Resear
About the author
Sophie Levitt is a Specialist Physiotherapist and Tutor in Developmental Paediatrics and Paediatric Neurology. Her career has encompassed high profile therapy posts in London. She currently consults to a variety of professionals involved in the field of cerebral palsy internationally.
Anne Addison is a Clinical Lead Occupational Therapist working with children and young people with cerebral palsy and other neurodevelopmental disabilities.??She has worked across community, educational and acute hospital settings and currently has a specialist role supporting children with communication difficulties.
Summary
Treatment of Cerebral Palsy and Motor Delay is a highly practical, easy-to-read resource for all paediatric practitioners and students working with the developmental abilities and difficulties of children, providing a thorough overview of cerebral palsy and its treatment.
The sixth edition has been thoroughly revised and updated to integrate the latest evidence-base on motor control and motor learning, whilst still retaining Sophie Levitt's eclectic, holistic and functional approach. It includes greater detail on paediatric occupational therapy, classification systems, the latest systematic reviews of research, as well as an expanded chapter on adolescents and adults with cerebral palsy. The chapter on equipment has also been increased so as to be of further relevance to occupational therapists.
Supported by clear diagrams and photographs, as well as summaries to consolidate learning, it outlines therapeutic approaches and suggests treatment and management options, providing a wealth of practical information. The book promotes positive relationships between therapists, people with cerebral palsy and their families.
Report
"It is a pleasure to welcome the sixth edition of this book. It is the distillation of the knowledge and practice of two distinguished therapists who have wide experience in all aspects of evaluating and treating children and young people with motor disorders, particularly cerebral palsy... This book remains essential for those managing children with disability." - Dr Lewis Rosenbloom, Honorary Consultant Paediatric Neurologist, Alder Hey Children's Hospital, Liverpool, UK.
"... supports the continued development of best practices for working with these individuals, providing realistic interventions and management strategies ... The book is authored by well-respected and credentialed individuals in the field ... Overall, this is a very thorough and easy-to-follow book ... The book does a nice job of indicating when additional resources may be available to support learning. It meets the need for a comprehensive resource on the best practices for management of cerebral palsy and includes enhanced information on adolescents and adults, a needed focus for therapists." - Doddy's Book Review, April 2019