Última revisão: 4 Fev 2021
Última atualização: 07 Fev 2019

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • presença de fatores de risco
  • atraso no desenvolvimento motor
  • atraso no desenvolvimento da fala
  • atraso no desenvolvimento cognitivo/intelectual
  • retenção dos reflexos primitivos
  • ausência de reflexos apropriados para a idade
  • espasticidade/clônus
  • deficiência seletiva do controle motor voluntário
  • marcha digitígrada/hiperextensão do joelho
  • marcha em tesoura
  • marcha em agachamento
  • contraturas

Outros fatores diagnósticos

  • fraqueza muscular
  • instabilidade/luxação articular
  • distonia
  • coreia
  • atetose
  • ataxia
  • hipotonia neonatal
  • escoliose

Fatores de risco

  • prematuridade
  • asfixia fetal ao nascimento
  • nascimentos múltiplos
  • doença materna
  • malformação cerebral fetal
  • grandes malformações congênitas
  • distúrbio metabólico/genético familiar
  • complicações neonatais
  • exposição teratogênica materna
  • condição socioeconômica baixa
  • apresentação anômala (outra que não de vértice)
  • pós-datismo
  • traumatismo cranioencefálico

Investigações diagnósticas

Investigações a serem consideradas

  • ultrassonografia/tomografia computadorizada (TC) cranioencefálica
  • exames de coagulação
  • teste genético
  • triagem metabólica
  • raio-x da articulação afetada
  • análise instrumental da marcha

Algoritmo de tratamento

Colaboradores

Los Angeles

CA

Declarações

See individual author disclosures.

William L. Oppenheim

Margaret Jones Kanaar Professor

Orthopaedic Surgery and Cerebral Palsy

David Geffen School of Medicine at UCLA

Los Angeles

CA

Declarações

WLO declares that he has no competing interests.

Loretta Staudt

Research Physical Therapist

UCLA/Orthopaedic Institute for Children Center for Cerebral Palsy

David Geffen School of Medicine at UCLA

Los Angeles

CA

Declarações

LS is a clinical evaluator for several sponsored clinical trials as part of her salaried employment at UCLA. She has received travel, meals, and accomodation to attend training meetings for some of these trials but does not receive any direct reimbursements or personal benefits from the companies, which include Pfizer, Sarepta, Audentes Therapeutics, Bristol-Meyers Squibb, Biogen, Santhera, Fibrogen, Cytokinetics, Italfarmaco, and AveXis.

Associate Director

UCLA/Orthopaedic Institute for Children Center for Cerebral Palsy

David Geffen School of Medicine at UCLA

Los Angeles

CA

Declarações

RH declares that she has no competing interests.

Marcia Greenberg

Clinical Coordinator

UCLA/Orthopaedic Institute for Children Center for Cerebral Palsy

David Geffen School of Medicine at UCLA

Los Angeles

CA

Declarações

MG received a grant to UCLA from USAID for developing material and providing direct training to physical therapists in Ukraine. Dissemination of material developed is only to participants in Ukraine in Ukrainian.

Eileen Fowler

Associate Professor

Department of Orthopaedic Surgery

David Geffen School of Medicine at UCLA

Los Angeles

CA

Declarações

EF is a board member of the American Academy of Cerebral Palsy and Developmental Medicine and a Scientific Advisory Committee member for the Cerebral Palsy Foundation. She has received honorarium for a lecture on cerebral palsy at the Burke Cornell Neurological Institute and payment as a consultant for Shriners Hospital for Children for a grant submission.

Dr William L. Oppenheim, Loretta Staudt, Dr Rachel Thomson, Marcia Greenberg, and Dr Eileen Fowler wish to gratefully acknowledge Dr Albert Stroberg, Dr Erika Hassan, Dr Rebecca Hanson, Dr Joan Earle Hahn, Dr Tien T. Nguyen, and Dr Sarah Copeland, previous contributors to this topic.

Declarações

AS, EH, RH, JEH, TTN, and SC declare that they have no competing interests.

RevisoresVER TUDO

Clinical Professor

Department of Orthopaedic Surgery

University of California at San Diego

Medical Affairs Officer

Rady Children's Hospital

San Diego

CA

Declarações

HC is an author of a number of references cited in this topic. He has received research support from the National Institutes of Health greater than 6 figures USD.

Orthopaedic Surgeon

Shriners Hospital for Children

Portland

OR

Declarações

MS declares that he has no competing interests.

Consultant in Paediatric Neurodisability

Evelina Children's Hospital

Guy's & St Thomas' NHS Foundation Trust

London

UK

Declarações

CF declares that he has no competing interests.

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