Cerebral Palsy
Cerebral Palsy is a symptom ,or, in other words an effect seen
in children due to brain injury which takes place during
intra-uterine fetal development (before birth), during birth
procedure or during early childhood days (1-5 yrs). Cerebral
Palsy (CP) is characterized by muscle tone imbalance, spasticity
in legs and arms, inability to initiate bodily movements, lack
of control in postural balance such as upright sitting, standing
and walking. A causative factor for Cerebral Palsy is noted as
Asphyxia (lack of oxygen to brain at the time of delivery) or
Hypoxia (insufficient oxygen content in cerebral circulation).
Some of the other contributing factors for this condition are
premature birth of babies (7-8 months) and babies born with low
birth weight (less than 2 kgs).
Common problems experienced by children with Cerebral Palsy
1. Poor respiratory pattern
2. High (or) low muscle tone
3. Inability to receive information properly
4. Inadequate expressive skills
5. Inability to sit and stand erect against gravity
6. Poor feeding pattern
7. Inability to walk in cross pattern walking (Human walking)
8. Poor reading and writing skills
9. Limited bimanual skills
10. Limited Social Integration
11. Frequent seizures and respiratory infections.
All the above problems are not because of weak bones, lungs,
heart, muscles, eyes, ears, nose, mouth or throat as might
appear prima facie. The cause is central in origin (ie.) INSIDE
THE BRAIN.
The Philosophy
• All human functions are controlled and monitored by the
complex organ called BRAIN
• The development of human brain starts right from conception
and gets completed through about 7-8 stages before the age of 6
years
• Any insult to the developing brain will arrest or delay its
growth & function
• The time factor for the completion of brain growth &
maturation is approximately from birth to 6 years of age
• Children with brain injury cannot grow and develop at the same
speed as non-injured children
• A hurt brain needs a good amount of oxygenated blood flow,
minerals and other nutrients to grow
• A child with hurt brain needs receptive and expressive
experience to achieve human function
• All human developments take place in a sequential way
The millions of neurons inside the human brain should function
in a controlled, integrated and rhythmical way to make it "The
Organized Brain"
All children should achieve normal human growth and development
before the age of 6 years to perform future human functions.
Different types of Cerebral Palsy
Spastic Cerebral palsy:
This form of cerebral palsy affects 70% to 80% of children.
Their bodily muscles are stiff ( spasticity ) and may be
permanently contracted. These types of cerebral palsy are
described based upon the limbs that are involved.
Spastic Diplegia:
Spasticity is predominant on both legs. Any one upper limb also
may be affected.
Spastic Quadriplegia:
High degree of spasticity is seen in all four limbs, trunk and
head of the affected child.
Spastic Hemiplegia:
Generally limbs on one side of the body are affected.
Athetoid Cerebral Palsy:
This form of Cerebral Palsy is characterized by writhing, slow
and uncontrolled movements of body parts. Their abnormal
movements are usually seen on legs, arms, hands, muscles of
mouth and tongue. The above bodily movements usually increase
during periods of emotional stress and may disappear during
sleep. This form of cerebral palsy also causes excessive
drooling in children.
Dystonic Cerebral Palsy :
Abnormal muscle tone leads to improper gait or walking pattern.
Postural tone may also be affected
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