最近审阅: 23 十月 2020
最近更新: 07 二月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 运动发育落后
  • 语言发育落后
  • 认知/智力发育落后
  • 保留原始反射
  • 符合年龄的相应反射缺失
  • 痉挛/阵挛
  • 选择性自主运动控制能力受损
  • 走路垫脚/膝过伸
  • 剪刀步态
  • 蹲踞步态
  • 挛缩

其他诊断因素

  • 肌无力
  • 关节不稳/错位
  • 肌张力障碍
  • 舞蹈病
  • 手足徐动症
  • 共济失调
  • 新生儿肌张力不全
  • 脊柱侧弯

危险因素

  • 早产
  • 新生儿窒息
  • 多胎妊娠
  • 母体孕期疾病
  • 胎脑畸形
  • 重大出生缺陷
  • 家族性遗传代谢病
  • 新生儿期并发症
  • 孕期致畸原的暴露
  • 低等社会经济状况
  • 非头先露
  • 过期产
  • 头部损伤

诊断性检查

需考虑的检查

  • 颅脑超声/CT
  • 凝血功能检查
  • 基因检测
  • 代谢筛查
  • 受累关节 X 线检查
  • 仪器化步态分析
更多 需考虑的检查

治疗流程

撰稿人

Los Angeles

CA

利益声明

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

利益声明

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

利益声明

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

利益声明

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

利益声明

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

利益声明

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.

利益声明

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

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Clinical Professor

Department of Orthopaedic Surgery

University of California at San Diego

Medical Affairs Officer

Rady Children's Hospital

San Diego

CA

利益声明

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

利益声明

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

利益声明

CF declares that he has no competing interests.

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