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Fifteen-minute consultation: Modern-day art and science of managing cerebral palsy

Lookup NU author(s): Dr Jill Cadwgan, Dr Jane Goodwin

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This is the authors' accepted manuscript of an article that has been published in its final definitive form by BMJ, 2019.

For re-use rights please refer to the publisher's terms and conditions.


Abstract

While there remains limited intervention toaddress the damage to the developing brain,current multidisciplinary management of cerebralpalsy (CP) needs to minimise the impact ofsecondary musculoskeletal complications. Afocus on comorbidities to maximise functionfor activity and participation by supportingthe child and family in their environment isrequired. Comprehensive clinical guidancewas published by National Institute for Healthand Care Excellence (NICE) earlier this year.This article aims to provide a practical clinicalapproach to the child and family based on:(1)art: empathy, listening and weighing up theclinical picture of the child and family in context;diagnosis, the need for support and space; andcare coordination at the right time; and (2)science: the current science in CP care is rapidlyexpanding in terms of plasticity, pathophysiology,functional assessments and treatments.


Publication metadata

Author(s): Cadwgan J, Goodwin J, Fairhurst C

Publication type: Article

Publication status: Published

Journal: Archives of Disease in Childhood. Education and Practice Edition

Year: 2019

Volume: 104

Issue: 2

Pages: 66-73

Print publication date: 01/04/2019

Online publication date: 15/06/2018

Acceptance date: 15/05/2018

Date deposited: 04/09/2018

ISSN (print): 1743-0593

ISSN (electronic): 1743-0585

Publisher: BMJ

URL: https://doi.org/10.1136/archdischild-2017-313793

DOI: 10.1136/archdischild-2017-313793


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