From congenial paralysis to post-early brain injury developmental condition: Where does cerebral palsy actually stand?
(2019) Annals of physical and rehabilitation medicine — Vol. ##, n° ##, p. ## (2019)
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- 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.
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Chabrier, S., Pouyfaucon, M., Chatelin, A., Bleyenheuft, Y., Fluss, J., Gautheron, V., Newman, C. J., Sébire, G., Van Bogaert, P., Vuillerot, C., Brochard, S., & Dinomais, M. (2019). From congenial paralysis to post-early brain injury developmental condition: Where does cerebral palsy actually stand? Annals of physical and rehabilitation medicine, ##(##), ##. https://doi.org/10.1016/j.rehab.2019.07.003 (Original work published 2019)