Scientific Reports,
Journal Year:
2025,
Volume and Issue:
15(1)
Published: Feb. 8, 2025
The
aim
of
our
study
is
to
investigate
whether
adjunct
neuromuscular
electrical
stimulation
(NMES)
therapy
improves
functional
performance
outcomes
in
children
with
cerebral
palsy
(CP)
who
have
received
botulinum
toxin
(BTX)
injections.
We
searched
the
PubMed,
Cochrane
Library,
CINAHL,
EMBASE,
and
Scopus
databases
for
randomized
controlled
trials
studying
effects
NMES
after
BTX
injection
CP
from
database
inception
July
3,
2024.
Two
independent
reviewers
extracted
data,
risks
bias
were
assessed
using
PEDro
scale
trials.
included
5
this
meta-analysis.
treatment
following
resulted
greater
compared
injections
alone
(standardized
mean
difference
=
0.57;
95%
CI
0.22
0.92).
However,
did
not
significantly
improve
spasticity
0.28;
-
0.21
0.76).
Despite
including
only
a
small
number
trials,
present
analysis
demonstrated
that
an
effective
managing
children.
Further
research
must
be
conducted
refine
these
therapies,
ensure
better
outcomes,
alleviate
burdens
faced
by
individuals
CP.
Scientific Reports,
Journal Year:
2023,
Volume and Issue:
13(1)
Published: Dec. 18, 2023
Inflammation
conditions
are
associated
with
autism
spectrum
disorder
(ASD)
and
cerebral
palsy
(CP),
primarily
observed
in
the
peripheral
immune
system.
However,
extent
of
neuro-inflammation
neuro-immune
dysregulation
remains
poorly
studied.
In
this
study,
we
analyzed
composition
cerebrospinal
fluid
(CSF)
to
uncover
inflammatory
mediators
driving
system
ASD
CP
patients.
Our
findings
revealed
that
patients
had
elevated
levels
four
cytokines
(TNF-α,
IL-4,
IL-21,
BAFF)
compared
controls,
while
exhibited
increased
eight
(IFN-γ,
GM-CSF,
TNF-α,
IL-2,
IL-6,
IL-17A
IL-12),
one
anti-inflammatory
cytokine
(IL-10),
five
growth
factors
(GFs)
(NGF-β,
EGF,
GDF-15,
G-CSF
BMP-9)
both
controls
Additionally,
intrathecal
infusion
autologous
bone
marrow
mononuclear
cells
(BMMNCs)
led
a
slight
decrease
TGF-β
GDF-15
CSF
patients,
respectively.
study
provides
new
insights
into
molecular
potential
develop
more
effective
diagnosis
methods
improved
treatment
for
these
diseases.Clinical
trial
registration
samples
used
from
clinical
trials
NCT03225651,
NCT05307536,
NCT02569775,
NCT03123562,
NCT02574923,
NCT05472428
previous
reports
[7,
9,
17-19].
Children,
Journal Year:
2024,
Volume and Issue:
11(7), P. 796 - 796
Published: June 28, 2024
The
formation
of
the
human
gut
microbiome
initiates
in
utero,
and
its
maturation
is
established
during
first
2–3
years
life.
Numerous
factors
alter
composition
functions,
including
mode
delivery,
early
onset
breastfeeding,
exposure
to
antibiotics
chemicals,
maternal
stress,
among
others.
microbiome–brain
axis
refers
interconnection
biological
networks
that
allow
bidirectional
communication
between
brain,
involving
nervous,
endocrine,
immune
systems.
Evidence
suggests
metabolic
byproducts
are
actively
implicated
regulation
brain
development.
Any
disturbance
this
stage
may
adversely
affect
resulting
a
variety
neurodevelopmental
disorders
(NDDs).
In
present
study,
we
reviewed
recent
evidence
regarding
impact
on
development,
alongside
correlation
with
significant
NDDs,
such
as
autism
spectrum
disorder,
attention-deficit/hyperactivity
Tourette
syndrome,
cerebral
palsy,
fetal
alcohol
disorders,
genetic
NDDs
(Rett,
Down,
Angelman,
Turner
syndromes).
Understanding
changes
provide
new
chances
for
their
treatment
future.
ABSTRACT
Cerebral
palsy
(CP)
encompasses
neurodevelopmental
disorders
affecting
movement
and
posture,
arising
from
nonprogressive
brain
damage
during
prenatal,
perinatal,
or
postnatal
periods.
Diagnosis
typically
occurs
between
ages
3
5,
with
symptoms
including
abnormal
muscle
tone
impaired
motor
skills.
CP's
etiology
is
diverse,
ranging
genetic
predispositions
to
perinatal
complications,
often
exacerbated
by
poor
nutrition.
Management
requires
a
multidisciplinary
approach
involving
neurologists,
therapists,
surgeons,
psychologists,
social
workers
address
impairments
co‐morbidities
like
epilepsy,
cognitive
deficits,
sensory
impairments.
Neurological
rehabilitation,
primarily
through
physical
occupational
therapies,
forms
the
cornerstone
of
CP
management.
Addressing
feeding
difficulties,
common
in
CP,
necessitates
enteral
parenteral
feeding,
each
potential
complications.
High‐calorie
formulas
offer
promising
strategy
combat
undernutrition
improve
outcomes.
Research
also
explores
benefits
natural
compounds
kaempferol
resveratrol,
though
further
investigation
needed.
Frontiers in Neurology,
Journal Year:
2025,
Volume and Issue:
15
Published: Jan. 6, 2025
Cerebral
palsy
(CP)
is
a
group
of
permanent
disorders
movement
development
that
may
cause
activity
limitations.
In
this
context,
robot-assisted
therapy
might
play
key
role
in
clinical
management.
This
comprehensive
systematic
review
aimed
to
investigate
the
efficacy
robotic
systems
improving
upper
limb
(UL)
functions
children
with
CP.
PubMed,
EMBASE,
Scopus,
and
PEDro
were
searched
from
inception
February
2024.
The
risk
bias
was
assessed
Joanna
Briggs
Institute
critical
appraisal
tools
battery.
Of
756
articles
identified,
14
studies
involving
193
CP
judged
be
good
methodological
quality,
but
lack
study
design,
included
final
synthesis.
wide
range
devices
used,
both
exoskeletons
end-effectors,
wearable
non-wearable.
who
underwent
reported
significant
overall
increase
assessment,
specifically
UL
movements
manual
dexterity.
improvement
often
accompanied
by
gain
also
instrumental
assessments
(i.e.,
kinematic
analysis,
EMG).
present
suggested
can
improve
motor
Moreover,
availability
different
adjustable
parameters
represent
an
important
resource
proposing
patient-centered-personalized
rehabilitation
protocols
enhance
integration
into
daily
life.
However,
limited
sample
size
standardized
clearly
reproducible
impose
recommend
use
as
usual
not
replacement.
https://osf.io/a78zb/.
Pharmaceutics,
Journal Year:
2023,
Volume and Issue:
15(6), P. 1583 - 1583
Published: May 24, 2023
The
utilization
of
nanotechnology
has
brought
about
notable
advancements
in
the
field
pediatric
medicine,
providing
novel
approaches
for
drug
delivery,
disease
diagnosis,
and
tissue
engineering.
Nanotechnology
involves
manipulation
materials
at
nanoscale,
resulting
improved
effectiveness
decreased
toxicity.
Numerous
nanosystems,
including
nanoparticles,
nanocapsules,
nanotubes,
have
been
explored
their
therapeutic
potential
addressing
diseases
such
as
HIV,
leukemia,
neuroblastoma.
also
shown
promise
enhancing
diagnosis
accuracy,
availability,
overcoming
blood–brain
barrier
obstacle
treating
medulloblastoma.
It
is
important
to
acknowledge
that
while
offers
significant
opportunities,
there
are
inherent
risks
limitations
associated
with
use
nanoparticles.
This
review
provides
a
comprehensive
summary
existing
literature
on
highlighting
its
revolutionize
healthcare
recognizing
challenges
need
be
addressed.
Scientific Reports,
Journal Year:
2025,
Volume and Issue:
15(1)
Published: Jan. 8, 2025
Gait
analysis
is
crucial
for
identifying
functional
deviations
from
the
normal
gait
cycle
and
essential
individualized
treatment
of
motor
disorders
such
as
cerebral
palsy
(CP).
The
primary
contribution
this
study
introduction
a
multimodal
fuzzy
logic
system-based
index
(FLS-GIS),
designed
to
provide
numerical
scores
patterns
in
both
healthy
children
those
with
CP,
before
after
surgery.
This
examines
evaluates
surgical
outcomes
CP
who
have
undergone
Achilles
tendon
lengthening.
FLS-GIS
utilizes
hierarchical
feature
fusion
models
systematically
evaluate
score
patterns,
focusing
on
spatial
temporal
features
across
hip,
knee,
ankle
joints.
two
FLS
types-1
(FLS-GIS-T1)
type-2
(FLS-GIS-T2)
indices,
respectively,
were
implemented
comprehensively
profiles.
Starting
parameters
all
subjects,
changes
post-surgery
reflect
significant
improvements
dynamics,
bringing
walking
closer
their
typically
peers.
Both
FLS-GIS-T1
FLS-GIS-T2
demonstrated
evaluations
compared
pre-surgery
assessments,
p
values
<
0.05
0.001,
when
traditional
indices.
proposed
FLS-based
offers
clinicians
robust
standardized
evaluation
tool,
characterized
by
fixed
range
values,
enabling
consistent
assessment
various
conditions.
Photochemistry and Photobiology,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 21, 2025
Abstract
This
study
investigated
the
effects
of
transcranial
photobiomodulation
(t‐PBM)
on
para‐athletes'
manual
dexterity
and
intralimbal
coordination.
Six
para‐athletes
from
a
Boccia
Team
participated.
t‐PBM
was
administered
using
LED
helmet
with
204
LEDs
(660
850
nm)
emitting
10
mW
each,
delivering
9
J/cm
2
per
during
15‐min
sessions
three
times
week.
The
trial
lasted
weeks,
baseline,
placebo
treatment,
post‐treatment
assessments.
Manual
measured
by
Box
Ball
Test
(BBLT),
coordination
discrete
continuous
horizontal
vertical
touch
tests.
Results
showed
significant
improvements
in
for
group
compared
to
placebo.
Discrete
tests
reduced
time
perform
movements,
increased
movement
frequency
group.
No
were
observed
shown
be
potentially
effective
benefits
fine
motor
skills.
Russian Journal of Child Neurology,
Journal Year:
2025,
Volume and Issue:
19(4), P. 20 - 28
Published: Jan. 22, 2025
The
article
presents
an
overview
of
current
literature
data
on
the
description
risk
factors,
epidemiology,
etiology,
clinical
presentation,
diagnosis,
prevention
and
treatment
cerebral
palsy
(CP).
Cerebral
is
most
common
pathology
that
leads
to
disability
in
childhood,
with
impaired
motor
function
as
a
result
damage
central
nervous
system.
With
CP,
there
wide
range
disorders
disrupt
daily
activities
child.
In
addition,
cognitive
behavioral
problems,
communication
disorders,
appearance
epileptic
seizures
are
possible.
Previously
it
was
believed
cause
CP
lack
oxygen
at
birth.
However,
modern
research
has
established
that,
along
this,
many
other
causes
factors
together
brain
during
ontogenesis
contribute
development
pathological
process.
This
review
aims
highlight
developments
field
identify
new
avenues
for
future
this
area.
Children,
Journal Year:
2025,
Volume and Issue:
12(2), P. 174 - 174
Published: Jan. 30, 2025
Introduction:
This
study
aims
to
examine
the
relationship
between
hypoglycemia
and
general
movement
patterns
during
early
post-term-aged
in
moderate-to-late
preterm
infants
assess
interobserver
reliability
of
evaluation
this
period.
Compared
with
full-term
infants,
constitute
largest
group
premature
births
globally
are
at
greater
risk
developing
neurodevelopmental
disorders.
Hypoglycemia
is
one
most
prevalent
factors
group.
Methods:
prospective
single-center
explorative
cohort
included
their
admission
neonatal
intensive
care
unit.
General
movements
were
assessed
via
Prechtl’s
Movements
Assessment,
blood
glucose
levels
monitored
FreeStyle
Optium™
Neo
glucometer.
Associations
analyzed
Fisher’s
exact
test,
whereas
was
evaluated
intraclass
correlation
coefficient
(ICC)
kappa
coefficient.
Results:
A
total
17
(<45
mg/dL)
presented
a
relatively
high
percentage
(58.8%)
poor
repertoire
normal
(35.2%)
post-term-aged.
Interobserver
good
(ICC
=
0.7),
indicated
moderate
(0.4).
Conclusions:
Moderate-to-late
transient
may
frequently
display
patterns,
highlighting
need
for
careful
monitoring.
Furthermore,
proves
be
reliable
tool