The parent of a cerebral palsied child with spastic quadriplegia relates the process of arriving at the decision to utilize tube feeding via a surgically placed gastrostomy. (DB)

Although it once seemed simple to say that a single event such as birth trauma or asphyxia caused brain disorders like cerebral palsy, mental retardation, and epilepsy, a recent study showed that it is nearly impossible to pinpoint a single cause and its effects. Recommendations for further research are made. (BB)

This article explains dynamic systems theory (DST), a theoretical framework for the management of children with a diagnosis of cerebral palsy. Three tenets of DST (self-organization of movement, transition, and rate-limiting factors) are examined in light of potential intervention strategies. The need for research to evaluate DST assumptions and…

A review of the changes in the treatment of and attitudes toward cerebral palsy in the last 30 years is presented. The author stresses the need for early diagnosis and evaluation, day care (especially respite care), counseling, transportation, special living arrangements, and integration of this population. (PHR)

This paper examines parallels between aspects of conductive education for brain-damaged children and R. Feuerstein's theory of mediated learning. Two key aspects of Feuerstein's theory are examined and applied to conductive education: structural cognitive modifiability and the mediation process between culture and child. Mediation processes,…

Studies of the degree of involvement (DOI) and its relationship to therapeutic intervention effectiveness and related services for young children with cerebral palsy were reviewed. Three dimensions of DOI: (1) brain damage and mental retardation, (2) functional motor ability, and (3) emotional disturbance and behavior problems were reviewed. The…