Cerebral Palsy

It's a non progressive neuromuscular disorder causing mild to severe disabilities throughout life.This problem is manifested like a number of persisting qualitative motor disorders which come in young kids because of harm to the mind during delivery or because of some pathological conditions within the intrauterine life.The neuroligical troubles are multiple but non progressive anyway.Approximately 2 per 100 live birth has this issue.This ailment has no hereditary tendency.

Reasons for cerebral palsy:

1) Problems for the mind during delivery.

2) Like a complication of forceps delivery.

3) Insufficient oxygen supply towards the baby during delivery.

4) Infections during delivery.

Signs or symptoms of cerebral palsy:--

The twelve signs and symptoms might not be similar in most babies affected.Based upon damages for the brain there could be mild to severe lesions.

Mild cases:- 20% children could have mild disability.

Moderate cases:-50% cases are receiving moderate disability.The affected children require selfhelp for assisting their impaired ambulation capacity.

Severe cases:-About 30% with the affected youngsters are totally incapacited and bedridden and so they allways need care from others.

Abnormal findings in cerebral palsy:-

1,Abnormal neonatal reflexes.

2,Stiffness of most muscles with awkward motion.
3,Extention of extremities on vertical suspension with the infant.

4,Scissoring with the lower limbs as a result of spasm with the adductor muscles with the thigh.

5,In severe cases the trunk bend backwards like and arch.

6,Could have total or partial paralysis.

7,Arrest of neurological and behavioral developement.

8,Swallowing could be difficult sometimes.

9,Drooling of saliva.

10,Mild to severe mental retardations.

11,Abnormal movements have emerged sometimes.

12,Tremors with typical movements.

13,If cerebellum is affected you will have loss in tone of muscle with difficulty in walking.

14,Complete or partial loss in hearing.

15,Speech could be affected.

16,Squint as well as other visual problems could be associated.

17,Convulsions could be noticed in some children.

Cerebral palsy is diagnosed by detailed clinical examination through eliminating other similar diseases like brain tumour, progressive atrophy ect.All investigations like CT scan,MRI and routine investigations are expected to ruleout other diseases.

Management of carebral palsy:--

General management:

This consists of proper nutrition and private care. Symptomatic medicines are expected to cut back convulsions and muscle stiffness. Diazepam is able to reduce spasticity and athetosis.
Dantrolene sodium really helps to relax skeletal muscles.

Physiotherapy:

Here massage,exercise, hydrotherapy and ect are expected.Special training emerges to teach walking,swallowing and talking.The affected youngsters are also conditioned to hold articles for routine activities.

Rehabilitation:

Moral and support needs to be fond of these children.They must be send to special schools where special training may be written by trained staff.Mentally retarded children need special training.Depending through to the disabitity special instruments and machines receive for locomotion and also to assist their daytoday activities.

Occupational therapy:

This really is distributed by occupational therapists.They train those with disability individuals to perform some suitable works to ensure that these folks might have their very own income.

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