PT  - JOURNAL ARTICLE
AU  - Jill Cadwgan
AU  - Janice Pearse
AU  - Anita Devlin
AU  - Anna Basu
TI  - Fifteen-minute consultation: Management of the upper limb in unilateral cerebral palsy
AID  - 10.1136/archdischild-2017-313794
DP  - 2019 Apr 01
TA  - Archives of disease in childhood - Education & practice edition
PG  - 58--65
VI  - 104
IP  - 2
4099  - http://ep.bmj.com/content/104/2/58.short
4100  - http://ep.bmj.com/content/104/2/58.full
SO  - Arch Dis Child Educ Pract Ed2019 Apr 01; 104
AB  - Children with unilateral cerebral palsy (UCP) have complex health, education and social care needs. Delayed gross motor milestones are the most common presenting feature, and much of the early management focuses on gross motor skills and lower limb management. In later childhood, adolescence and adulthood, upper limb function has significant impact on activity, participation and independence. There is clear pathophysiological rationale and emerging clinical evidence that earlier intervention to improve upper limb function is beneficial. Whereas most children with UCP are managed in secondary care, it is recommended that the assessment and delivery of specialist intervention for the upper limb occurs at a regional centre.