It’s a non progressive neuromuscular disorder causing mild to severe disabilities throughout life.This condition is manifested as a group of persisting qualitative motor disorders which appear in young children due to break to the brain throughout delivery or due to some pathological conditions within the intrauterine life.The neuroligical problems are multiple however non progressive in nature.Approximately two per 100 live birth is having this problem.This disease is having no hereditary tendency.
Causes of cerebral palsy:
one) Injury to the brain during delivery.
a pair of) As a complication of forceps delivery.
three) Lack of oxygen provide to the baby throughout delivery.
4) Infections during delivery.
Signs and symptoms of cerebral palsy:–
The signs and symptoms could not be similar in all babies affected.Depending upon the damage to the brain there might be delicate to severe lesions.
Mild cases:- twenty% children can have delicate disability.
Moderate cases:-fifty% cases are having moderate disability.The affected youngsters require self help for aiding their impaired ambulation capacity.
Severe cases:-Regarding 30% of the affected children are totally incapacited and bedridden and that they allways would like care from others.
Abnormal findings in cerebral palsy:-
one,Abnormal neonatal reflexes.
two,Stiffness of all muscles with awkward motion.
3,Extention of extremities on vertical suspension of the infant.
four,Scissoring of the lower limbs due to spasm of the adductor muscles of the thigh.
5,In severe cases the rear bend backwards like and arch.
half-dozen,May have total or partial paralysis.
seven,Arrest of neurological and behavioral developement.
8,Swallowing could be tough in some cases.
nine,Drooling of saliva.
ten,Gentle to severe mental retardations.
11,Abnormal movements are seen in some cases.
12,Tremors with typical movements.
thirteen,If cerebellum is affected there will be loss of muscle tone with difficulty in walking.
fourteen,Complete or partial loss of hearing.
15,Speech might be affected.
16,Squint and alternative visual issues might be associated.
seventeen,Convulsions could be seen in some children.
Cerebral palsy is diagnosed by detailed clinical examination and by eliminating different similar diseases like brain tumour, progressive atrophy ect.All investigations like CT scan,MRI and routine investigations are needed to ruleout alternative diseases.
Management of carebral palsy:–
General management:
This includes proper nutrition and personal care. Symptomatic medicines are needed to cut back convulsions and muscle stiffness. Diazepam will scale back spasticity and athetosis.
Dantrolene sodium helps to relax skeletal muscles.
Physiotherapy:
Here massage,exercise, hydrotherapy and ect are needed.Special coaching is given to coach walking,swallowing and talking.The affected kids are trained to hold articles for routine activities.
Rehabilitation:
Moral and social support ought to be given to those children.They must be send to special colleges where special coaching can be given by trained staff.Mentally retarded children want special training.Relying up on the disabitity special instruments and machines are given for locomotion and to assist their daytoday activities.
Occupational therapy:
This can be given by occupational therapists.They train the disabled individuals to do some appropriate works therefore that these folks can have their own income.
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