THE ISSUE OF DIAGNOSTICS OF CHILDREN CEREBRAL PALSY IN RELATION TO PROVISION OF HEALTHCARE IN THE DISTRICT OF TEPLICE
Dana Šlechtová
Ústav zdravotnických studií UJEP, Ústí nad Labem, Czech Republic
Korespondenční autor: Dana Šlechtová (Dana.Slechtova@ujep.cz; dana.sle@seznam.cz)
ISSN 1804-7181 (On-line)
Full verze:
Submitted:28. 6. 2011
Accepted: 8. 11. 2011
Published online: 15. 12. 2011
Summary
Children cerebral palsy (CCP) is a chronic non-progressive disease characterised by an disorder of locomotion and development of locomotion resulting from damage caused to the developing brain in prenatal, perinatal, and early postnatal period. The scope of motoric handicap and occurrence of associated deficits in the area of sensoric systems or in the area of cognitive functions represents those factors that influence the individual’s life in all areas. From research in the area of provision of healthcare to a child with CCP from the point of holistic approach it has followed that the recommended procedure for general practitioners relating to CCP diagnostics and therapy is accepted in practice, but it completely fails to meet the present requirements from the point of early diagnostics. In practice, cooperation between the paediatrician and the specialist – children neurologist is close and functioning. The relation between identification of difficulties and the adequate reflex locomotion according to Vojta has followed from the research as well. The difference in time relations reported in the recommended CCP diagnostic and therapeutic standard of 1997 and the currently advocated requirements for early diagnostics of locomotion disorder is only stated in the given communication; the assessment and evaluation belongs only to expert paediatrists and neurologists dealing with the given issues. Further, a certain disagreement between the doctors and parents of the afflicted children has followed from the examination, especially in the area of providing the much needed information about condition and further development of the child.
Keywords: children cerebral palsy; diagnostic and therapeutic standard; early diagnostics; physiotherapy; reflex locomotion method
Literatura
1. Beckung E, Hagberg G et al. (2008). Probability of Walking in Children with Cerebral palsy in Europe. Pediatrics. [online]. [cit. 2010–09–19]. Available at: <http://www.pediatrics.org.>
2. Cooley WC (2004). Providing a primary Care Medical Home for Children and Youth with CP. Pediatrics. [online]. [cit. 2010–10–18]. Available at: <http://www.pediatrics.org.>
3. Kolář P (2000). Posturální aktivita a DMO [Postural activity and CCP]. Zdravotnické noviny. Vol. 49, no 29, Suppl. Lékařské listy, p. 1–2 (Czech).
4. Kolář P (2001). Význam posturální aktivity pro včasný záchyt pacientů s dětskou mozkovou obrnou [Significance of postural activity for early capture of patients with children cerebral palsy]. Pediatrie pro praxi. Olomouc: Solen, s. r. o. 4: 190–194 (Czech).
5. Kolářová J, Hánová P (2007). Včasná diagnostika hybných poruch kojenců v prvním trimenonu prvního roku života [Early diagnostics of locomotion disorders of infants in the first trimenon of the first year of life]. Pediatrie pro praxi. 8(5): 264–267 (Czech).
6. Komárek V, Hadač J (1997). Doporučené postupy pro praktické lékaře – Dětská mozková obrna. Projekt MZ ČR zpracovaný ČLS JEP za podpory grantu IGA MZ ČR 5390–3 [Recommended procedures for general practitioners – Children cerebral palsy. Project of the Ministry of Health processed by ČLS JEP with support of IGA grant 5390–3 of the Ministry of Health of the Czech Republic]. Reg. č. o/101/218 [online]. [cit. 2010–02–10]. Available at: <http://www.cls.cz/…/os/t218.rtf> (Czech).
7. Kraus J (2005). Dětská mozková obrna [Children cerebral palsy]. 1st ed. Praha: Grada, p. 173–179 (Czech).
8. Marešová E, Joudová P, Severa S (2011). Dětská mozková obrna. Možnosti a hranice včasné diagnostiky a terapie [Children cerebral palsy. Possibilities and limits or early diagnostics and therapy]. Praha: Galén, 151 p. (Czech).
9. Miller F (2005). Cerebral Palsy. Springer Science+Business Media, LLC. New York NY 10013 USA. 1052 p.
10. Miller F (2007). Physical Therapy of Cerebral Palsy. Springer Science+Business Media. New York NY 10013 USA. 400 p.
11. Miller F, Bachrach S et al. (2006). Cerebral Palsy: a complete guide for caregiving. USA, Baltimore. The Jons Hopkins University Press. 473 p.
12. Orth H (2009). Dítě ve Vojtově terapii [A child in Vojta’s therapy]. Příručka pro praxi. České Budějovice: KOPP, 213 p. (Czech).
13. Panteliadis CHP, Strassburg HM (2004). Cerebral palsyprinciples and Management. New York. Thieme, 261 p.
14. Pharoah P, Platt MJ, Cooke T (1996). The changing epidemiology of Cerebral palsy. [online]. Archives of Disease in Childhood [cit. 2009–02–10]. Available at: <http://www.ncbi.nlm.nih.gov/pmc/articles/ PMC1061193/pdf/archdischfn00041–0025.pdf>
15. Severa S (2009). Časná diagnostika a terapie hybných poruch, zejména DMO, jako předpoklad úspěšné vertikalizace (vzpřímení) a lokomoce (pohybu) [Early diagnostics and therapy of locomotion disorders, particularly CCP, as precondition for successful verticalisation and locomotion]. [online]. [cit. 2010–02–10]. Available at: <http://neurocentrum.cz/DMO_info.htm#…> (Czech).
16. Vágnerová M (2003). Psychologie handicapu 3. část. Vývoj postiženého dítěte v předškolním věku [Psychology of handicap, Part 3. Development of an afflicted child at pre-school age]. Liberec: PF Technická univerzita Liberec, 27 p. (Czech).
17. Vágnerová M, Strnadová I, Krejčová L (2009). Náročné mateřství [Demanding maternity]. Praha: Univerzita Karlova, 309 p. (Czech).
18. Vojta V (1993). Mozkové hybné poruchy v kojeneckém věku [Cerebral locomotion disorders at infant age]. Praha: Grada, 361 p. (Czech).
19. Zounková I (2005). Fyzioterapie ve vývojové neurologii [Physiotherapy in development neurology]. Vox Pediatriae. Praha: Medix. 5(10): 20 (Czech).
