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Cerebral palsy

Cerebral palsy physiotherapy
Cerebral palsy means ‘brain paralysis’. It is a disability that affects movement and body position. It occurs from brain damage that happened before the baby was born, at birth, or as a baby. The whole brain is not damaged, only parts of it, mainly parts that control movements. Once damaged, the parts of the brain do not recover, nor do they get worse.
Cerebral palsy physiotherapy is often the first step in treating cerebral palsy. It can help improve motor skills and can prevent movement problems from getting worse over time. cerebral palsy physiotherapy implements strength and flexibility exercises, heat treatment, massages and special equipment to give children with cerebral palsy more independence.

Prevalence

  • 2-4/1000; new babies each year
  • During past 3 decade considerable advances made in obstetric & neonatal care, but unfortunately there has been virtually no change in incident of CP

Causes of Cerebral palsy

  • Prenatal (70%): Infection, anoxia, toxic drugs intake, Rh disease, congenital malformation of brain
  • Natal (5-10%): hypoxia, traumatic delivery, hypoxic ischemic encephalopathy, asphyxia
  • Postnatal: Trauma, infection, toxicity.

Early Signs of Cerebral Palsy

  • Birth History: Premature birth, Seizures, Low apgars, Intracranial haemorrhage.
  • Delayed Milestones
  • Abnormal Motor Performance: Handedness; Reptilian crawl; Toe waking.
  • Altered Tone (hypotonic/ hypertonic/rigidity)
  • Persistence of primitive reflexes.
  • Abnormal posturing
  • Abnormal walking pattern

The ultimate and long term goal of cerebral palsy physiotherapy gaining independence in activities of daily living, school or work and social life. Provide community and social support.
The short term goals of cerebral palsy physiotherapy and treatment: Education of parents and care givers, Positioning and handling, Normalization of tone, Prevention of deformity and contracture, Training for problems related with sensory integration, Providing assistive adaptive devices and training for proper use, Gait training and hand function

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