CEREBRALNA PARALIZA: REDEFINIRANJE I REKLASIFIKACIJA
CEREBRAL PALSY: REDEFINITION AND RECLASSIFICATION

Summary/Abstract: Definition and classification of cerebral palsy (CP) are constantly reconsidered. The previous definitions have not emphasised non-motoric neurodevelopmental problems that often accompany CP, as well as the progression of musculoskeletal problems. Today, the limitations of person with CP in performing activities of daily living, are increasingly assessing. Thus, the level of functional limitation becomes a key criteria in the redefinition of CP. The concept of unique definition and classification of CP is still evolving. New parameters in the definition and classification of this clinical entity should meet the needs of clinicians and scientists, but also families and the public, in order to create a common, international language and to improve mutual communication. Simplified SCPE (Surveillance of Cerebral Palsy in Europe) classification based on neurological symptoms, and classification systems for classification of gross (GMFCS - Gross Motor Function Classification System) and fine motor function (BFMF - Bimanual Fine Motor Function and MACS - Manual Ability Classification System) have become universally accepted instruments in working withpeople with CP. Although the one of the proposed dimensions of classification is cause and time of occurrence of CP, the classification by the cause would be currently unrealistic. However, the latest findings in developmental neurobiology and neuroradiology play an important role in revealing the pathogenesis of CP, and thus facilitates planning and developing of the most appropriate therapy treatments and (re)habilitation intervention. The considerations behind the process of redefining and reclassifing CP are aimed towards unambiguously leading of national registries, easier monitoring of prevalence and comparison of the effects of interventions, and to more productive collaboration between experts in different fields.

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