en
Scientific article
English

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

Published inAnnals of Physical and Rehabilitation Medicine, vol. 63, no. 5, p. 431-438
Publication date2019
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.

Keywords
  • Cerebral palsy
  • Disability and Health (ICF)
  • Early brain injury
  • Human development
  • International Classification of Functioning
  • Narrative medicine
Citation (ISO format)
CHABRIER, Stéphane et al. From congenial paralysis to post-early brain injury developmental condition: Where does cerebral palsy actually stand? In: Annals of Physical and Rehabilitation Medicine, 2019, vol. 63, n° 5, p. 431–438. doi: 10.1016/j.rehab.2019.07.003
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
ISSN of the journal1877-0657
135views
0downloads

Technical informations

Creation10/28/2020 2:17:00 PM
First validation10/28/2020 2:17:00 PM
Update time03/15/2023 11:40:36 PM
Status update03/15/2023 11:40:35 PM
Last indexation01/17/2024 11:53:28 AM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack