Cerebral palsy is a disorder of the brain due to inadequate oxygenationat the time of birth or any time during first 2-3 years after birth. Itaffects child’s posture and coordination between the muscles finallyaffecting child’s ability to walk and perform activities of daily livingindependently. Though it is not progressive, if not treated in well in childhood, it creates disabled adults.
SYMPTOMS OF CEREBRAL PALSY
- Delayed attainment of milestones
- Muscle stiffness or uncontrolled movements
- Difficulty in walking
- Frequent falls
- Impaired cognitive ability
- Fits/ convulsions
- Associated visual impairments, etc.
CAUSES OF CEREBRAL PALSY
- Difficult Prolonged tabor
- Trauma during birth
- Suffocation of child during birth
- Assisted delivery
- Infections during pregnancy
- Infections in early days of life
- Congenital heart disease, etc.
TREATMENT OF CP
It is a multidisciplinary team which treats child with CP. Early diagnosis and early Intervention are extremely useful. The team consists of ^urologist, Orthopaedician, Surgeon, Parents/ Guardians, Physiotherapist, Occupational Therapist, Speech and Language Therapist, Social worker, Special Educator, etc.
Treatment in the early years of life (0-4 years) consists of Neurodevelopmental Physiotherapy and Occupational Therapy. From 4-8 years of age, the focus of the treatment shifts on to maintaining themuscle length and strength using Botox injections followed by splitting, Orthosis, Physiotherapy, Occupational Therapy and Speech Therapy etc. After 8years of age, the surgical options can be undertaken for the orthopaedic management of the deformities followed by the use of proper orthosis and Physiotherapy, Occupational Therapy, Special Education etc.