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It is a common congenital condition, where the child presents with musculoskeletal and cognitive problems, caused by injury to the immature brain.

What causes CP?

  1. prematurity (most common)
  2. prenatal intrauterine factors
  3. anoxic injuries
  4. perinatal infection such as toxoplasmosis,CMV,ToRCH,herpes simplex,rubella
  5. brain malformations
  6. meningitis
  7. brain trauma - NAT

Classification?

Gross Motor Function Classification Scale (GMFCS)

Type I

Near normal gross motor function, independent ambulator

Type II

Walks independently, but difficulty with uneven surfaces, minimal ability to jump

Type III

Walks with assistive devices

Type IV

Severely limited walking ability, primary mobility is wheelchair

Type V

Nonambulator with global involvment, dependent in all aspects of care

How is CP diagnosed?

  • Clinically
    • developmental milestones,
    • cognitive function, and
    • musculoskeletal abnormalities such as
    • spasticity,
    • impaired balance,
    • loss of motor control.

Treatment?

  1. physical therapy
  2. bracing/orthotics,
  3. medications for spasticity

Role of Botulinum Toxin ?

  • Blocks spasticity causing receptors, for limited time.
  • It helps in maintaining motions of upper limb and lower limbs, specially during rapid growth periods.
  • It acts as a time buying strategy for kids.Surgery of these kids to be avoided till the age of 8 yrs.
  • often injected into calf muscles.
  • It act only when the deformity is not fixed , that is when joints can be moved. It has no role when there are fixed contractures.

SEMLS surgery (Single-Event, Multi-Level Surgery)

  • Multiple deformities i.e deformities at hip, knee and ankle are addressed in single sitting.
  • This helps for early rehabilitation, and less anaesthetic exposure to it.
  • Fascial lengthenings are done so as to cause minimal damage to the muscle.

For More Details , Please Contact

Dr Gaurav Jain

20 B Sainath Colony , Indore

Call us +91 91114 64959

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GAURAV JAIN

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3y ago

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