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:
Full version

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

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