Spasticity is reported in approximately 70% of those with CP and, depending on severity, results in chronic pain and interferes with function and quality of life. Intrathecal baclofen (ITB), a GABA B receptor agonist, is frequently used to treat spasticity associated with CP. CP is associated with musculoskeletal, myofascial, and central nervous system (CNS) pathologies that may all contribute to pain. Furthermore, despite advances in pain assessment in clinical populations with motor and communication impairments, our scientific understanding of the pathophysiological mechanisms underlying pain in CP remains inadequate. The most common pain treatment approach is empiric. Despite decades of documentation, there is little evidence that pain as a secondary condition in CP is routinely assessed or treated consistently or effectively. Phenomenological accounts indicate profound effects on quality of life for the affected individual and their family at tremendous human and health care cost. Epidemiological estimates of chronic pain in CP are exceedingly high, ranging from 40% to 60% in large representative samples. CP is the most common childhood-onset motor disorder. This episode aired on Chase Gallatin's fourth birthday.Pain is a well-recognized but poorly understood public health problem in cerebral palsy (CP).This means that this ending promo was shot during the filming of this episode. This is notable to this episode as Michael, Luci, Tina, Derek, Kathy, Min, and Shawn are wearing the same outfits from this episode in the promo. A promo shot of the cast hugging Barney in the second-to-last scene is shown during the " Barney Theme Song" until Tosha joined the cast where it was changed.Kathy wears the same dress she was wearing in " My Family's Just Right For Me".When this episode aired, the Barney Fan Club gave members the chance to send in birthday cards for Barney via Fan Mail.This episode is revealed that Barney is now two hundred million-years-old (two dinosaur years).The second time Tina singing the first verse by herself of "I Love You" after Barney Goes To School.The second time Baby Bop magically appears.The second time Barney does not change back into a doll after Waiting for Santa.This episode was released on VHS as Barney's Birthday on September 2, 1992. Instead, Tina says, "Feliz cumpleaños, Barney." and it cuts to the cake scene. Also, the Spanish version excludes Min's Filipino birthday song and Tina's explanation on what "Feliz cumpleaños" means (since this was being dubbed in Spanish to begin with).Although the song, " Hey, Hey, Our Friends Are Here", appeared as an underscore when the balloons dropped, it was not sung in either the Spanish or the Hebrew version of this episode. The song, " Frosting the Cake", was not sung in the Israeli version either, although it appeared as an underscore when the birthday cake that has decorated came to life.And in the end of that version, the frame doesn't freeze. In the Israeli co-production of Barney & Friends, Hachaverim Shel Barney, Baby Bop was seen standing in the classroom corner before she was supposed to magically arrive." She'll Be Coming Around the Mountain".Everyone ends by singing " I Love You", and they continue to celebrate from there. Barney makes a special birthday wish for all his friends to join him at the birthday party, and of course, it comes true. After giving Barney her teddy bear, Kathy learns that presents aren't the most important thing of a birthday it's the thought that counts.
Min and Tina also take time to explain how birthdays are respectively celebrated in Mexico and The Philippines, and they sing birthday songs from both places. Everyone then plans a special birthday party for Barney, with songs, games, decorations, and of course, cake. After singing " There Are Seven Days", the kids find out that it's Barney's birthday, and he's turning two hundred million-years-old, or two dinosaur years.
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