What is Spastic Cerebral Palsy?

Answer 1

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

Answer 2

Cerebral Palsy, also known as CP, is a term used to identify children who are born with physical disabilities, many times due to lack of oxygen at birth, for some reason. Most people with CP have many difficulties from birth. Their speech may be affected as well as their ability to walk properly, sometimes their vision is affected. Developmental milestones are delayed, and many use walkers or wheelchairs to get around. They also may have "spastic" movements of the arms and legs, sometimes unable to control the muscles. Some kids with CP are very disabled, while others may be quite smart, but unable to express themselves. Whenever you meet a person in a wheelchair who does not have total control of speech or legs and arms, DON'T treat them like they are retarded or stupid and don't know what you are saying. You would be very surprised at how smart and capable that a person is. NEVER underestimate someone, and act like they are not there. They are there, but they may not be able to voice their feelings.

Answer 3

Spastic CP is the most common form of CP

It occurs due to injury in the pyramidal system and usually presents with hypertonia, rigidity, exaggerated tendon reflexes and persistence of primitive reflexes - usually presents with tonus, which is constant contraction of a muscle - symptoms can range from mild to completely debilitating

Answer 4

Is a congenital condition that occurs before, during or after birth and it is caused by alack of oxygen to the child's brain which can damage the brain. That damage affects the child's motor skills.With variable degrees of severity can vary from very little noticeable physical limitations to the extent that the child can't move, walk or feed himself.

Answer 5

Cerebral Palsy is the general term used for a set of chronic neurological disorders that hinder muscle control.

Cerebral palsy (CP) is a disorder that affects muscle tone, movement, and motor skills (the ability to move in a coordinated and purposeful way). Cerebral palsy can also lead to other health issues, including vision, hearing, and speech problems, and learning disabilities.

Answer 6

Hello,

I see you are asking "What is cerebral palsy?"

Cerebral palsy (CP) is a group of disorders that affect a person's ability to move and maintain balance and posture. CP is the most common motor disability in childhood. Cerebral means having to do with the brain. Palsy means weakness or problems with using the muscles.

For more information, you can visit this URL -

orthopedicshealth. com/condition/cerebral-palsy/c/18934

Answer 7

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