Cerebral Palsy: Science and Clinical Practice – Chapter 36: Respiratory Problems (ebook)


Chapter 36 of the book – Respiratory Problems

Rob Ross Russell

Respiratory problems in children with complex physical disabilities are very common. CP affects airway protection both by interfering with the swallowing mechanisms as well as potentially impairing the cough and gag reflexes. Swallowing difficulties and the increased incidence of gastrooesophageal reflux contribute to a greater likelihood of lung aspiration. Several other factors increase the likelihood of these patients developing infections and long-term lung damage. Many children with CP have had a difficult neonatal period, and chronic lung disease of prematurity is therefore a common comorbidity. Patients with CP may also have an impaired breathing pattern and a greater risk of scoliosis. Sleep can be affected, with changes both to sleep architecture and an increased incidence of obstructive sleep apnoea. In this chapter we review the physiology of respiratory function in children with CP as well as their clinical presentation and management.

About the complete book

This landmark title considers all aspects of cerebral palsy from the causes to clinical problems and their implications for individuals. An international team of experts provides clinicians and researchers with key information on the mechanisms underlying impairments in movement, development, cognition, communication, vision, feeding, behaviour, sexuality, and musculoskeletal deformities.  They present a wide range of person-centred assessment approaches, including clinical evaluation, measurement scales, neuroimaging and gait analysis. The principles of multi-disciplinary management are presented, in terms of therapist intervention, medication and surgery. The perspective of the book spans the lifelong course of cerebral palsy, taking into account worldwide differences in socio-economic and cultural factors. Many chapters are illustrated with clinical vignettes enabling direct translation into practice. Full integrated colour, with extensive cross-referencing make this a highly attractive and useful reference.

Readership: Paediatric neurologists, developmental paediatricians, rehabilitation doctors, orthopaedic surgeons, child psychiatrists, physiotherapists speech and language therapists psychologists, occupational therapists and other health and educational professionals.

Clinics in Developmental Medicine Series.