A5076225608- Cerebral Palsy and Movement Disorders
- Hip disorders and treatments
- Botulinum Toxin and Related Neurological Disorders
- Family and Disability Support Research
- Infant Development and Preterm Care
- Neurogenetic and Muscular Disorders Research
- Stroke Rehabilitation and Recovery
- Hip and Femur Fractures
- Balance, Gait, and Falls Prevention
- Diabetic Foot Ulcer Assessment and Management
- Muscle activation and electromyography studies
- Spinal Dysraphism and Malformations
- Streptococcal Infections and Treatments
- Bone fractures and treatments
- Neonatal and fetal brain pathology
- Nerve Injury and Rehabilitation
- Statistical Methods and Inference
- Vasculitis and related conditions
- Neutrophil, Myeloperoxidase and Oxidative Mechanisms
- Foot and Ankle Surgery
- Reconstructive Surgery and Microvascular Techniques
- Sports injuries and prevention
- Breast Cancer Treatment Studies
- Human-Animal Interaction Studies
- Child Abuse and Trauma
Royal Children's Hospital
2015-2024
Murdoch Children's Research Institute
2006-2024
Gateshead Council
2024
Physiotherapy New Zealand
2002
Birmingham Children's Hospital
1993
Background: Single-event multilevel surgery is considered the standard of care to improve gait and functioning children with spastic diplegic cerebral palsy. However, evidence base limited. This pilot study first randomized controlled trial single-event surgery, our knowledge. Methods: Nineteen (twelve boys seven girls a mean age nine years eight months) diplegia were enrolled. Eleven surgical group eight, control group. The underwent program progressive resistance strength training. phase...
Background: Cerebral palsy is the most common cause of childhood physical disability in developed countries, affecting two children per 1000 live births. Hip displacement affects about one-third with cerebral and may result pain, deformity, impaired function. The prevention hip has not been studied a randomized trial as far we know. Methods: A randomized, controlled was conducted to examine effect intramuscular injections botulinum toxin combined use variable abduction brace on progression...
The aim of this study was to investigate whether individualized resistance training improves the physical mobility young people with cerebral palsy (CP).Forty-eight participants spastic diplegic CP (26 males, 22 females; mean age 18y 1mo, SD 1y 11mo) classified as level II or III on Gross Motor Function Classification System were allocated randomly progressive usual-care control. Resistance completed twice weekly for 12 weeks at a community gymnasium under supervision physiotherapist....
Hip displacement is the second most common musculoskeletal deformity in children with cerebral palsy. surveillance programs have been implemented many countries to detect hip early when it usually asymptomatic. The aim of monitor development offer management options slow or reverse displacement, and provide best opportunity for good health at skeletal maturity. long-term goal avoid sequelae late dislocation which may include pain, fixed deformity, loss function impaired quality life. focus...
This randomized controlled trial examined whether therapeutic horse riding has a clinically significant impact on the physical function, health and quality of life (QoL) children with cerebral palsy (CP). Ninety‐nine aged 4 to 12 years no prior experience various levels impairment (Gross Motor Function Classification System Levels I−III) were intervention (10wks programme; 26 males, 24 females; mean age 7y 8mo [SD 2y 5mo] or control (usual activities, 27 22 8y 2mo 6mo]). Pre‐ post‐measures...
In population‐based studies, hip displacement affects approximately one‐third of children with cerebral palsy (CP). Given the extreme range clinical phenotypes in CP spectrum, it is unsurprising that development varies from normality, to dislocation and degenerative arthritis. Numerous radiological indices are available measure CP; however, there no grading system for assessing status broad categorical terms. This makes difficult audit incidence displacement, determine relationship between...
The 'Consensus Statement on Hip Surveillance for Children with Cerebral Palsy: Australian Standards of Care' ('Standards Care') provides a clear and concise guideline inclusion hip surveillance into current services. 'Standards
The Journal of Bone & Joint Surgery: May 15, 2013 - Volume 95 Issue 10 p 942 doi: 10.2106/JBJS.9510.ebo450
Aim We investigated the long‐term efficacy and safety of multilevel surgery ( MLS ) in ambulatory children with bilateral spastic cerebral palsy (CP). Method Two hundred thirty‐one were evaluated at short term (1.1y, SD 0.4) long (9.1y, 3.0) follow‐up using clinical examination gait analysis. was by studying changes Gait Profile Score GPS referenced to minimally important difference. Results Ambulatory aged 10 years 7 months 2y 11mo) Gross Motor Function Classification System levels I (19),...
We investigated the validity of Gait Outcomes Assessment List (GOAL), as an assessment gait function in children with cerebral palsy (CP).We studied a prospective cohort 105 CP (Gross Motor Function Classification System [GMFCS] levels I-III; 65 males, 40 females; mean [SD] age 11y 11mo [3y 5mo], range 6-20y), who attended over 10-month period. Parents completed GOAL, Functional Mobility Scale (FMS), and Questionnaire (FAQ) during their child's evaluation. Ninety instrumented analysis (IGA)....
Aim There are conflicting reports about the stability of Gross Motor Function Classification System (GMFCS) in children with cerebral palsy (CP) after orthopaedic surgery. We studied GMFCS bilateral spastic CP single‐event multilevel surgery, using Gait Profile Score (GPS) as primary outcome measure. Method This was a retrospective cohort study 107 (46 females, 61 males) CP, classified level II or III, who underwent surgery at single tertiary institution between 1997 and 2008. The mean age...
Aim We studied ‘hip health’ in a population‐based cohort of adolescents and young adults with cerebral palsy to investigate associations between hip morphology, pain, gross motor function. Method Ninety‐eight (65 males, 33 females) from the birth were identified as having developed displacement (migration percentage >30) reviewed at mean age 18 years 10 months (range 15–24y). Hip morphology was classified using Melbourne Cerebral Palsy Classification Scale ( MCPHCS ). Severity frequency...
This article presents a classification of lower limb musculoskeletal pathology (MSP) for ambulant children with cerebral palsy (CP) to identify key features from infancy adulthood. The aims improve communication, and guide referral interventions, which if timed appropriately, may optimise long-term health function. Consensus was achieved by discussion between staff in Motion Analysis Laboratory (MAL). A four-stage system developed: Stage 1: Hypertonia: Abnormal postures are dynamic. 2:...
Abstract Purpose Selective dorsal rhizotomy (SDR) is a neurosurgical treatment used worldwide to reduce spasticity. The procedure has undergone many changes since its introduction in the early 1900s, and currently, different centers vary aspects of procedure. We surveyed on continents regarding SDR indications, surgical techniques, postoperative rehabilitation. Methods Ten with experience participated an online survey preparing for pre-conference workshop 2022. main topics were patient...
We evaluated gross motor function following botulinum toxin A (BTX-A) injections in the lower limbs of children with spastic cerebral palsy a randomized clinical trial, using cross-over design. Forty-nine (24 males, 25 females, age range 22 to 80 months) were randomly allocated two groups: group 1 received BTX-A and physiotherapy, 2 physiotherapy alone for 6 months. At end this period, continued alone. Assessment measures Gross Motor Function Measure (GMFM), Vulpe Battery (VAB), joint...
We evaluated gross motor function following botulinum toxin A (BTX‐A) injections in the lower limbs of children with spastic cerebral palsy a randomized clinical trial, using cross‐over design. Forty‐nine (24 males, 25 females, age range 22 to 80 months) were randomly allocated two groups: group 1 received BTX‐A and physiotherapy, 2 physiotherapy alone for 6 months. At end this period, continued alone. Assessment measures Gross Motor Function Measure (GMFM), Vulpe Battery (VAB), joint...
Aim To study the long‐term impact of 3 years botulinum toxin A (BoNT‐A) injections and abduction bracing on hip development in children with bilateral spastic cerebral palsy (CP). We wanted to know if early treatment improved reduced need for surgery. Method review morphology surgery requirements who participated a multicentre, randomized controlled trial. The trial investigated short‐term effects BoNT‐A combined an brace, compared usual care, displacement CP. Results Forty‐six CP (31 males,...
Aim Children with cerebral palsy (CP) have reduced levels of physical activity compared children without disability and experience risk factors for becoming overweight or obese. In the Australian CP population, there is little information available about weight status CP. The aims this study were to compare distribution body mass index (BMI) in a cohort ambulant BMI explore relationship between gross motor function. Methods A retrospective 587 Gross Motor Function Classification System...