Cerebral palsy occurs in about twoin every thousand children. There aremany different risk factors and someknown causes. A problem with thebrain can occur:
Remember! No one child has all these problems. There are treatments available to help manage them.
As it is a developmental impairment which causes functional limitations and not a disease, there are no curative solutions in the traditional health model of disease and cure but early diagnosis & interventions by multi or transdisciplinary professionals from fields of medicine, therapy, psychology, special education, assistive technology & psychosocial sciences, can lessen their limitations & improve the quality of life of persons with cerebral palsy and their families.
Children with cerebral palsy need a system of health care across the lifespan. All modalities of treatment depend on the ability of brain cells to increase their connectivity if environments are enriched and result in optimal compensation in the early years of life when brain growth is maximal and concentrate on decreasing limitations in the later years.
They also need inclusive policies at all levels of governmental & societal action in all spheres of life.
Physiotherapy in cerebral palsy begins as early as in the NICU and continues as the child turns from a toddler to preschooler through childhood… teenage life and adulthood.
The focus of therapy varies with the demands of the age of the child. Initial therapy involves more sensory based approach followed by handling and positioning
As the child grows the focus moves to alignment, gait training, specific skill training etc. As per the child’s functional status the child assessed under different domains and a functional goal is formed. Goal attainment scale is used to assess the goal during therapy.
All of the above are done in during the course of therapy. Often two of three domains are covered in a single session. E.g. NDT and SI therapy is often used in combination – co-activation is facilitated during activities that involve vestibular input and thus improve postural control.
50-60% of children with cerebral palsy have normal intelligence and can be educated in normal schools and pursue wide range of careers like any other person in spite of their mobility limitations and become contributory members of society.
In case of difficulties with learning they may require a special educator/shadow teacher.
Expenses include doctor’s fees, medicines, therapy charges, cost of adjuncts, adaptive equipments, walking aids, cost for surgery /Botox / hospital admissions etc.
Social costs of cerebral palsy much bigger than the medical costs which means we need to do much more for these persons at a societal & administrative levels. Social costs refer to the caring, housing, education, employment and recreational expenses.
Posterior walker + Harness
Orthoses and Splints
Ankle foot orthosis