A report: the definition and classification of cerebral palsy - April 2006
A report: the definition and classification of cerebral palsy - April 2006
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DOI：
10.1111/j.1469-8749.2007.tb12610.x
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发表时间：
2007-02-01
影响因子：
3.8
通讯作者：
Bax, Martin
中科院分区：
文献类型：
--
作者：
Rosenbaum, Peter;Paneth, Nigel;Bax, Martin
由于各种原因，脑性瘫痪(CP)的定义和分类需要重新考虑。现代脑成像技术对脑损伤的本质有了新的认识，对脑发育的神经生物学和病理学的研究进一步探索了病因机制。现在人们认识到，评估活动限制的程度是CP评估的一部分，不受活动限制的人不应被包括在CP标准中。此外，先前的定义没有给予通常伴随CP的表现和行为的非运动性神经发育障碍足够的重视，也没有给予经常随着年龄增加而发生的肌肉骨骼障碍的进展。为了探索这些信息，2004年7月11日至13日，在美国马里兰州贝塞斯达举行的一次国际研讨会上回顾了相关材料，该研讨会由一个执行委员会组织，部分临床前和临床科学领域的领导者参加了研讨会。在研讨会上，与会者一致认为应保留“脑瘫”这一概念。有人就经修订的CP定义和分类的内容提出了建议，以满足临床医生、调查人员、卫生官员、家庭和公众的需要，并为改进交流提供共同语言。执行委员会组织的小组利用这些信息和国际社会的补充意见，编写了一份关于脑性瘫痪定义和分类的报告，2006年4月。执行委员会提交本报告的目的是提供一个共同的国家方案概念，供广大国际受众使用。
For a variety of reasons, the definition and the classification of cerebral palsy (CP) need to be reconsidered. Modem brain imaging techniques have shed new light on the nature of the underlying brain injury and studies on the neurobiology of and pathology associated with brain development have further explored etiologic mechanisms. It is now recognized that assessing the extent of activity restriction is part of CP evaluation and that people without activity restriction should not be included in the CP rubric. Also, previous definitions have not given sufficient prominence to the non-motor neurodevelopmental disabilities of performance and behaviour that commonly accompany CP, nor to the progression of musculoskeletal difficulties that often occurs with advancing age. In order to explore this information, pertinent material was reviewed on July 11-13, 2004 at an international workshop in Bethesda, MD (USA) organized by an Executive Committee and participated in by selected leaders in the preclinical and clinical sciences. At the workshop, it was agreed that the concept 'cerebral palsy' should be retained. Suggestions were made about the content of a revised definition and classification of CP that would meet the needs of clinicians, investigators, health officials, families and the public and would provide a common language for improved communication. Panels organized by the Executive Committee used this information and additional comments from the international community to generate a report on the Definition and Classification of Cerebral Palsy, April 2006. The Executive Committee presents this report with the intent of providing a common conceptualization of CP for use by a broad international audience.