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  • Title: [Results of the treatment of cerebral movement disorders in the light of analysis of functional tests].
    Author: Kiwerski J, Grossmann J, Grabowska G.
    Journal: Rehabilitation (Stuttg); 1989 May; 28(2):63-6. PubMed ID: 2740608.
    Abstract:
    Analyzed was the medical documentation of 627 cerebral palsied children who had been treated at the Warsaw rehabilitation center STOCER of Konstancin, Poland. The analysis was to give evidence of how extraordinarily difficult a task the treatment of cerebral palsy is. Notwithstanding months of intensive and complex therapy, major functional gains were observed in only a small percentage of the patient group. Analysis results also illustrate the great importance of the child's intellectual level for the functional improvements that can be achieved. Our observations fully confirm the initially posited thesis that treatment success in these difficult cases can be expected solely in the framework of long-term therapy not only directed at functional development but, which is often decisive, focusses also on intellectual advancement. Improvements therefore presuppose comprehensive treatment based on close cooperation of the physician, physical therapist, educator, social worker, and psychologist, and - most importantly - the child's family. Given the need for long-term treatment and intervention, active involvement of the parents and carers can hardly be overestimated, as any potential progress in the child's functional and intellectual development will to a very high degree depend on their participation and commitment.
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