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CEREBRAL PALSY physiotherapist
CEREBRAL PALSY
CEREBRAL PALSY IS CURABLE .
MANY PATIENT CAME FROM DIFFERENT STATE AND COUNTRY FOR TREATMENT OF CP AND CURED BY ME.
OUR TREATMENT MAKE THE PATIENT TO WALK INDEPENDENTLY (WITHOUT ANY SUPPORT ) AND ABLE TO DO ALL ACTIVITIES OF DAILY LIVING .
IT IS SAD THAT MANY PEOPLE THINK THAT CP IS NOT CURABLE . BUT IT IS NOT RIGHT THERE IS EXCELLENT TREATMENT FOR CP .
OUR RESEARCH CENTRE IS RECOGNISED AS ONE OF THE BEST PHYSIOTHERAPY CLINIC FOR CP TREATMENT IN PATNA .
Cerebral palsy (CP) is a group movement disorder that appear in early childhood . Cerebral palsy refers to a group of neurological disorders that appear in infancy or early childhood and affect body movement and muscle coordination . Cerebral palsy (CP) is caused by abnormalities inside the developing brain that disrupt the brain’s ability and to control movement and maintain posture and balance . Cerebral palsy affects the motor area of the brain that directs muscle movement . CP usually is caused by brain damage that happens before or during a baby’s birth , or during the first 3 to 5 years of a child’s life . This can lead to other health issues , including vision , hearing , and speech problems ; and learning disabilities .
SIGNS AND SYMPTOMS :-
Symptoms include poor coordination , weak muscles , and tremors . There may be problems with sensations , vision , hearing , and speaking . Often babies with cerebral palsy do not roll over , sit , craw l, or walk as early as other children of their age . Difficulty with the ability to think reason and each occurs in about one third of people with CP .
An infant with cerebral palsy may have muscular and movement problems , including poor muscle tone . Muscle tone refers to a person’s automatic ability to tighten and relax muscle when required. Overdeveloped or underdeveloped muscles, leading to stiff or floppy movements.
•Poor coordination and balance, known as ataxia .
•Involuntary, slow writhing movements, or athetosis .
•Stiff muscles that contract abnormally, known as spastic paralysis .
•Crawling in an unusual way .
•Lying down in awkward positions .
•Favoring one side of the body over the other .
•A limited range of movement Late achievement of developmental milestones such as crawling, walking, or speaking .
•Hearing and eyesight problems .
•Problems controlling bladder and bowel movements .
•Drooling, and problems with feeding, sucking, and swallowing .
TYPE OF CP
TYPE OF CP TOTALLY DEPEND UPON THE EXTENT , LOCATION OF CHILD’S ABNORMALITIES .
THERE ARE FOUR DIFFERENT TYPE OF CP.
1. SPASTIC
2. ATHETOID
3. ATAXIC
4. HYPOTONIC
(1) SPASTIC CP ( 70% OF CASES)
•Spastic hemiplegia: A child with spastic hemiplegia will typically have spasticity , or muscle stiffness , on one side of the body . This is usually just a hand and an arm , but it may also involve a leg . Children with spastic hemiplegia generally walk later and on tip-toe because of tight heel tendons . The side that is affected may not develop properly . There may be speech problems . Intelligence is not usually affected . Seizures may occur .
•Spastic diplegia :- The lower limbs are affected , and the upper body has no spasticity or only a little . The leg and hip muscles are tight . Legs cross at the knees , making walking more difficult .Tightness in certain leg muscles makes the legs move like the arms of a scissor .
•Spastic quadriplegia :- The legs , arms , and body are affected . This is the most severe form of spastic cerebral palsy . It may involve cognitive deficits . Children will often have severe stiffness in their limbs but a floppy neck . Walking and talking will be difficult . Seizures may occur .
(2) ATHETOID CEREBRAL PALSY (10% OF CASES ) - Also known as athetoid dyskinetic cerebral palsy . Intelligence is usually normal , but muscle problems affect the whole body . Weak or tight muscle tone causes random and uncontrolled body movements . The child will have problems walking , sitting , maintaining posture , and speaking clearly because the tongue and vocal cords are hard to control
(3) ATAXIC CEREBRAL PALSY (10% OF CASES ) :- Balance and coordination are most affected. Tasks that need fine motor skills will be difficult, such as tying shoelaces, buttoning up shirts.Balance difficulties may cause the child to walk with their feet far apart. Most children with ataxic cerebral palsy have normal intelligence and good communication skills .
(4) HYPOTONIC CEREBRAL PALSY (10% OF CASES ) :- Muscle problems appear earlier. The infant’s head and body will be floppy, “like a rag doll.” There is only moderate resistance when an adult tries to move the infant’s limbs. The infant may rest with their elbows and knees loosely extended, instead of flexed. There may be breathing difficulties.
CAUSE:-
- lack of oxygen in the womb.
- if the mother has an infection during pregnancy, such as rubella or German measles,
- low blood pressure,
- preterm delivery, or if she uses an illegal drug.
- Pelvic inflammatory infection in the mother .
- Bleeding inside the brain happens when a fetus experiences a stroke .
- Emergency cesarean
- The second stage of labor is prolonged
- Vacuum extraction is used during delivery .
- Multiple births, for example, twins .
DIAGNOSIS: The Physiotherapist will ask the parents about the infant’s history and development and the mother’s medical history during her pregnancy. The Physiotherapist will examine the child and observe their posture, movements,coordination, motor skills, child’s reflexes. monitor the child’s development, growth, muscle tone, age-appropriate motor control, hearing and vision .
Need to be ruled out, such as a tumor or muscular dystrophy. Check MRI or CT scan of the brain .
PHYSIOTHERAPY TREATMENT :-
•Reduce the muscles tone of spastic muscles
•Make the patient to stand without support
•improve the gait pattern (make the patient to walk without support ) •Improve Balance
•Improve coordination
•make the patient to do activity of daily living .
OUR SPECIALLY DESIGNED PHYSIOTHERAPY TREATMENT PROTOCOL OF CP MAKE THE PATIENT ABLE TO WALK WITHOUT ANY SUPPORT AND DO THE ACTIVITIES OF DAILY LIVING. Physiotherapy Center for Cerebral Palsy in Kankarbagh