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Treatment of cerebral palsy and motor delay / Sophie Levitt

Main Author: Levitt, Sophie Edition: Fifth edition Publication: Oxford : Wiley-Blackwell, cop. 2010 Description: XII, 356 p.ISBN: 978-1-4051-7616-3Topical name: Paralisia cerebral | Reabilitação | Crianças | Terapia ocupacional CDU: 615.851.3*CR Online Resources: Google books List(s) this item appears in: Terapia ocupacional
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Biblioteca IPBeja
615.851.3*CR/LEV (Browse shelf) Available 44121

1 The clinical picture for therapy and management
The motor dysfunction
Associated impairments and disabilities
Clinical picture and development
Spastic cerebral palsy
Athetoid (dyskinetic, dystonic) cerebral palsy
Ataxic cerebral palsy
Common features in all types of cerebral palsies
Motor delay
Principles of learning and therapy

2 A collaborative learning approach
Working with parents
Collaboration with other adults
The collaborative learning approach
Opportunities to discover what parents and child want to achieve
Opportunities to clarify what is needed for these achievements, to recognise what they already know and can do and to find out what they still need to learn and do
Participation in the selection and use of methods
Participation in the evaluation of progress
Parent–child interaction
Helping a child to learn motor control
Observation of parent and child interaction
Emotional support
Parents’ health
Teamwork with parents
Alternative and complementary treatments

3 Outline of treatment approaches
Muscle education and braces
Progressive pattern movements
Proprioceptive neuromuscular facilitations (PNF)
Neuromotor development
Neurodevelopmental treatment (Bobath approach)
Sensory stimulation for activation and inhibition
Reflex creeping and other reflex reactions
Conductive education
Sensory integration
Adjuncts to therapy
Systems-based task-oriented approach
Mobility opportunities via education (MOVE)
Contemporary theories

4 Evidence-based practice
Research and clinical studies
Research on treatment approaches
Theoretical grounds
Research studies
Reviews of research studies
Studies of specific treatment systems
Research on specific procedures
Other research
Clinical experience with evidence-based practice
The appraisal of research studies for therapy

5 Synthesis of treatment systems
The eclectic viewpoint in therapy
Synthesis of treatment systems
The postural mechanisms
Voluntary motion
Perceptual-motor function
principles for a synthesis of therapy systems
Developmental training
Treatment of abnormal tone
Training of movement patterns
Use of afferent stimuli
Management of deformity

6 Learning motor function
Learning methods
The development of a child’s attention and learning
Practical ideas to promote attention and learning
Learning a motor function
A child’s own goals and strategies
Task analysis
Cues for learning
Verbal guidance
Practice and experience

7 The older person with cerebral palsy
Role of the physiotherapist and occupational therapist
Studies of function
Issues of concern in the older person
Motor abilities and self-care activities
Healthy lifestyle
Develop appropriate community mobility
Training of self-care and cosmetic appearance
Knowledge about the condition
Therapeutic motor activities

8 Assessment for therapy and daily function
Approach to assessment
Assessment and measurements
Specific functional items
Measures of upper extremity and hand function
Methods of observation of gait
Grading in assessments
Additional assessment required

9 Treatment procedures and management
Motor training
Motor development and the child with severe visual impairment
Prone development
Supine development
Development of sitting
Development of standing and walking
Abnormal postures in standing (see Figs 9.166–9.169)
Lower limb orthoses for standing and walking
Development of hand function

10 Motor function and the child’s daily life
Motor function in feeding, dressing, toileting, washing, bathing, play and communication
Motor function and perception
Motor function and communication, speech and language
Development of communication – brief summary
Development of feeding – brief summary
Development of dressing – brief summary
Development of play – brief outline
Techniques for carrying the child correctly (Figs 10.6–10.11)

11 Management of deformity
Causes of deformities and aims of therapy and management
Deformities and gait
Therapy and daily care
Review of deformities
Arm deformity
Deformities of trunk and neck
General considerations related to surgery
Pre-operative physiotherapy
Post-operative physiotherapy and care

12 Therapeutic group work
General management of groups
Selection of children
The programme

Appendix 1: Developmental levels
Physical ability assessment guide
Standing and walking
Wheelchair use

Appendix 2: Equipment
Basic equipment
Aids to activities of daily living

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