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Volume 5
Neonatal and Pediatric Medicine
Faneotrics 2019
March 21-22, 2019
Page 32
conference
series
.com
March 21-22, 2019 Dubai, UAE
28
th
World Neonatal, Pediatric and Family
Medicine Conference
Improving motor function of children with cerebral palsy: What is the rational of early intervention?
C
erebral palsy is the result of a non-progressive lesion or injury to developing brain and has multiple causes and clinical
manifestations, making a discussion on diagnosis and screening challenging. In the past, the diagnosis of cerebral palsy
was largely a clinical diagnosis, with the development of imaging it has been recommended that clinical diagnosis of cerebral
palsy should be confirmed by imaging. Although difficult, early diagnosis is extremely important as it provides opportunity
early intervention. Recently, there is a renewed interest in qualitative assessment of general movements in newborns. This
cost effective diagnostic tool consists of observing the infant’s spontaneous movements with promising results providing high
specificity and sensitivity. Poor control of muscles and movement in children with cerebral palsy can be associated with a wide
range of functional challenges. Traditional efforts to manage these motor disabilities have been directed to improving tone and
promoting adequate motor patterns. Contemporary approaches to treatment are addressing muscle weakness as a common
element of functional problems with encouraging results. Brain and muscle plasticity in response to specific types of therapy
has been demonstrated in CP. The amazing developmental changes of the brain between preterm age and the age of 1 year post-
term offers opportunities for early intervention. The goal of motor training is to optimize the development of skilled motor
function. Fixed contractures are managed by lengthening of the muscle-tendon unit by the technique that delivers the safest
and most effective surgical technique that gives appropriate amount of lengthening of the muscle for the child in question.
Given that cerebral palsy presents at early in infancy and persists throughout an individual’s lifetime, the disorder needs to be
thought of and managed in the context of development, functioning with a family based and community integration.
Biography
Simone Battibugli is currently working as Pediatric Orthopedic Surgeon at The Children’s Medical Centre in Dubai. She has 10 years clinical and research
experience as Faculty of Federal University of Sao Paulo. She has completed Pediatric Orthopedic Fellowship at Feinberg School of Medicine at Northwestern
University, Children’s Hospital, Chicago, USA and also as a Pediatric Orthopedic Fellowship at Shriners Hospital for Children, Lexington, USA. Her interests are in
(1) Evidence based nedicine (2) Systematic literature review (3) Management and clinical research on neuromuscular disorders; as cerebral palsy, spina bifida and
arthrogryposis multiplex congenital and (4) Congenital foot and lower limb deformities and other congenital and acquired musculoskeletal pathologies in children.
sbattibugli@yahoo.comSimone Battibugli
The Children’s Medical Centre, UAE
Simone Battibugli, Neonat Pediatr Med 2019, Volume 5
DOI: 10.4172/2572-4983-C1-011