Table of Contents

Authors vii

Acknowledgements viii

Foreword John Mantovani ix

Preface xi

Part 1 Cerebral Palsy - Background Perspectives

1 What is cerebral palsy? 3

2 Epidemiology: patterns and causes of cerebral palsy Niina Kolehmainen 14

3 Aetiological considerations 28

4 How is cerebral palsy categorized, why is this done and what are the potential pitfalls? 39

5 What does the designation 'cerebral palsy' tell us, and how does this relate to other developmental and neurological disabilities? 51

Part 2 Contextual Factors and Critical Thinking

6 Evaluating evidence 59

7 The International Classification of Functioning, Disability and Health 70

8 Cerebral palsy and the family 76

Part 3 Clinical Perspectives in Cerebral Palsy

9 Clinical recognition, diagnosis and assessment of children with cerebral palsy 89

10 Principles of interventions 102

11 Interventions: orthodox and heterodox. A perspective on issues in 'treatment' Margaret Mayston 115

12 Therapists and therapies in cerebral palsy Margaret Mayston 124

Part 4 Outcomes in Childhood and Beyond

13 Outcomes 151

14 Transition to adulthood 161

15 Adult functioning 169

Glossary 181

Appendices 189

Index 201

About the Author

Professor Peter Rosenbaum, MD, FRCP(C); currently Professor of Paediatrics, McMaster University, Canada. Holds Research Chair in Childhood Disability, Mentoring and Dissemination.
As a Developmental Paediatrician he has had a wide-ranging experience of childhood disability, with a particular interest in cerebral palsy. For the past 40 years he has been an active clinician, researcher, teacher, mentor, author and editor. In 1989 he co-founded CanChild Centre for Childhood Disability Research. He holds an honorary degree as Doctor of Science from Université Laval (2005). In 2000 he was recognized with the Canadian Paediatric Society's highest award, the Ross Award.

Dr Lewis Rosenbloom, FRCP, Hon FRCPCH, Honorary Consultant Paediatric Neurologist, Liverpool UK. He is a paediatric neurologist with a special interest and expertise in paediatric neurodisability. In addition to having developed and co-ordinated a range of relevant clinical services for disabled children, his recent work and publications have been concerned with the causes of cerebral palsy and life expectation of children and adults with cerebral palsy.