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From congenial paralysis to post-early brain injury developmental condition: Where does cerebral palsy actually stand?

Abstract : Cerebral palsy (CP), an umbrella term for a developmental motor disorder caused by early brain injury (EBI)/interference, remains debated. In this essay, we present a narrative, beginning with the original anatomical-clinical description of the so-called paralysie congéniale (congenial paralysis) by the French psychiatrist Jean-Baptiste Cazauvieilh. We then discuss how the concept has evolved over the last 2 centuries. We aim to illustrate these ideas with the biopsychosocial model of health, especially in light of the current neuroscientific and sociological knowledge of human development. We endeavour to integrate 3 connected but distinct entities: (1) the EBI as a seminal turning point of the individual's story; (2) the clinical findings we call CP, when motor impairment and activity limitation related to post-EBI (or other early non-progressive brain interference) appears, and; (3) a post-EBI developmental condition that encompasses the overall consequences of an EBI. This framework should guide individual, familial and collective care discussions and research strategies beyond the scope of CP. Copyright © 2019 Elsevier Masson SAS. All rights reserved.
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https://hal.univ-angers.fr/hal-02510323
Contributeur : Marie-Françoise Gerard <>
Soumis le : mardi 17 mars 2020 - 16:34:41
Dernière modification le : mercredi 24 juin 2020 - 16:18:15

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Stéphane Chabrier, Margaux Pouyfaucon, Alain Chatelin, Yannick Bleyenheuft, Joel Fluss, et al.. From congenial paralysis to post-early brain injury developmental condition: Where does cerebral palsy actually stand?. Annals of Physical and Rehabilitation Medicine, Elsevier Masson, 2019, ⟨10.1016/j.rehab.2019.07.003⟩. ⟨hal-02510323⟩

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