{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T09:54:19Z","timestamp":1763978059497,"version":"3.44.0"},"reference-count":19,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Arch Dis Child Educ Pract Ed"],"accepted":{"date-parts":[[2018,5,15]]},"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>While there remains limited intervention to address the damage to the developing brain, current multidisciplinary management of cerebral palsy (CP) needs to minimise the impact of secondary musculoskeletal complications. A focus on comorbidities to maximise function for activity and participation by supporting the child and family in their environment is required. Comprehensive clinical guidance was published by National Institute for Health and Care Excellence (NICE) earlier this year. This article aims to provide a practical clinical approach to the child and family based on:(1) art: empathy, listening and weighing up the clinical picture of the child and family in context; diagnosis, the need for support and space; and care coordination at the right time; and (2) science: the current science in CP care is rapidly expanding in terms of plasticity, pathophysiology, functional assessments and treatments.<\/jats:p>","DOI":"10.1136\/archdischild-2017-313793","type":"journal-article","created":{"date-parts":[[2018,6,15]],"date-time":"2018-06-15T12:23:00Z","timestamp":1529065380000},"page":"66-73","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Fifteen-minute consultation: Modern-day art and science of managing cerebral palsy"],"prefix":"10.1136","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1198-8400","authenticated-orcid":false,"given":"Jill","family":"Cadwgan","sequence":"first","affiliation":[{"name":"Evelina London Children\u2019s Hospital, Guy\u2019s and St Thomas' NHS Foundation Trust (Kings Health Partners), London, UK"},{"name":"Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Goodwin","sequence":"additional","affiliation":[{"name":"Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlie","family":"Fairhurst","sequence":"additional","affiliation":[{"name":"Evelina London Children\u2019s Hospital, Guy\u2019s and St Thomas' NHS Foundation Trust (Kings Health Partners), London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,6,15]]},"reference":[{"key":"2025090700361479000_104.2.66.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2007.tb12610.x"},{"key":"2025090700361479000_104.2.66.2","unstructured":"World Health Organization. International Classification of Functioning, Disability, and Health: Children & Youth Version: ICF-CY. Geneva, Switzerland: World Health Organization, 2007."},{"key":"2025090700361479000_104.2.66.3","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162201002675"},{"key":"2025090700361479000_104.2.66.4","doi-asserted-by":"publisher","DOI":"10.1136\/edpract-2011-300593"},{"key":"2025090700361479000_104.2.66.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2007.05.011"},{"key":"2025090700361479000_104.2.66.6","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162200001511"},{"key":"2025090700361479000_104.2.66.7","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.1111\/dmcn.13502","article-title":"Identification and measurement of dystonia in cerebral palsy","volume":"59","author":"Rice","year":"2017","journal-title":"Dev Med Child Neurol"},{"key":"2025090700361479000_104.2.66.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1997.tb07414.x"},{"key":"2025090700361479000_104.2.66.9","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.paed.2014.04.004","article-title":"Parental reaction to disability","volume":"24","author":"Kisler","year":"2014","journal-title":"Paediatr Child Health"},{"key":"2025090700361479000_104.2.66.10","doi-asserted-by":"publisher","DOI":"10.1177\/0883073812471430"},{"key":"2025090700361479000_104.2.66.11","unstructured":"National Institute for Health and Care Excellence. Cerebral palsy in under 25s: assessment and management: NICE guideline, 2017. NG62."},{"key":"2025090700361479000_104.2.66.12","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/s12887-016-0561-6","article-title":"Explanations and information-giving: clinician strategies used in talking to parents of preterm infants","volume":"16","author":"Redshaw","year":"2016","journal-title":"BMC Pediatr"},{"key":"2025090700361479000_104.2.66.13","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12246"},{"key":"2025090700361479000_104.2.66.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpn.2009.09.005"},{"key":"2025090700361479000_104.2.66.15","unstructured":"The Association of Paediatric Chartered Physiotherapists. Cerebral Palsy Integrated Pathway - Developing a UK-wide programme. http:\/\/apcp.csp.org.uk\/cerebral-palsy-integrated-pathway-developing-uk-wide-programme2018."},{"key":"2025090700361479000_104.2.66.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpn.2009.05.002"},{"key":"2025090700361479000_104.2.66.17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2011.03912.x"},{"key":"2025090700361479000_104.2.66.18","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(09)70151-6"},{"key":"2025090700361479000_104.2.66.19","unstructured":"Department for Education & Department of Health. Special educational needs and disability code of practice: 0 to 25 years, 2015."}],"container-title":["Archives of disease in childhood - Education &amp; practice edition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/archdischild-2017-313793","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T07:36:27Z","timestamp":1757230587000},"score":1,"resource":{"primary":{"URL":"https:\/\/ep.bmj.com\/lookup\/doi\/10.1136\/archdischild-2017-313793"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,15]]},"references-count":19,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2019,3,22]]},"published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1136\/archdischild-2017-313793"],"URL":"https:\/\/doi.org\/10.1136\/archdischild-2017-313793","relation":{},"ISSN":["1743-0585","1743-0593"],"issn-type":[{"type":"print","value":"1743-0585"},{"type":"electronic","value":"1743-0593"}],"subject":[],"published":{"date-parts":[[2018,6,15]]}}}