Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around.
Leo Buscaglia
Currently there is no cure for CP. The brain damage that leads to CP is not curable.lt is best to prevent cerebral palsy rather than try to treat it. Good prenatal care helps decrease the risk of CP by preventing premature births, low-birth weight, and infections affecting the mother. It is very important for women to have rubella vaccinations before becoming pregnant.
CP treatment focuses on making the best of the situation through therapy, drugs, surgery, and mechanical aides.
Physical therapy helps strengthen muscles, improve walking, and keeps joints from forming contractures.
Occupational therapy teaches children how to perform daily tasks such as throwing balls, feeding, and dressing themselves.
Speech therapy helps improve speech, understanding, and swallowing. Drugs are used to control seizures and muscle spasms. Braces can compensate for muscle imbalance.
Surgery and mechanical aids can help to overcome impairments. These include orthopedic surgeries to adjust tendons or fuse joints.
For patients with severe tightness of the leg muscles, a pump can be surgically implanted to deliver a relaxing medication, baclofen, to the nerves in the spine.
Another spine operation that consists in cutting some nerves in the spinal canal to relieve spasticity may be necessary. It is known as selective dorsal root rhizotomy.
Hearing aids can help improve hearing. Eye-glasses or eye surgery can correct visual problems. Counseling for emotional and psychological needs, and behavioral therapy may be employed. Educational aid may help children reach their full academic potential.
The parents and family of CP patients may have feelings of grief, sadness, and guilt. These feelings should be discussed with a specialist. Support groups are available to help CP patients cope with their situation.
Is there any treatment?
Cerebral palsy can’t be cured, but treatment will often improve a child's capabilities. Many children go on to enjoy near-normal adult lives if their disabilities are properly managed. In general, the earlier treatment begins the better chance children have of overcoming developmental disabilities or learning new ways to accomplish the tasks that challenge them. Treatment may include physical and occupational therapy, speech therapy, drugs to control seizures, relax muscle spasms, and alleviate pain; surgery to correct anatomical abnormalities or release tight muscles; braces and other orthotic devices; wheelchairs and rolling walkers; and communication aids such as computers with attached voice synthesizers.
TREATMENT SUGGESTIONS AND DAILY CARE FOR ALL LEVEL OF DEVELOPMENT:
Supine Rise to Sitting:
- First 0-6 month’s normal development level. Help the child to over come head lag.
- From 6-10 months normal development level. Help the child to rise to sitting on his own.
Development of Sitting:
Once the child has attained fair head control and developing balance and saving reactions. The child is given exercise like,
- Pull to sit
- Sitting with counter positioning
- Side lying to sit
- Spinal extension exercise
Development of Standing and Walking:
The following main aspects should be developed,
- Antigravity support or weight bearing on feet. Normally present at birth and modified at 6 months.
- Postural fixation of the trunk normally present by 9-12 months.
- Postural fixation at the pelvic girdle in the vertical. Normally present by 9-12 months.
- Counter positioning in the standing position when holding on support. Normally at 9-12 months lever and without holding on 12-18 months.
- Control of anteroposterior weight shift, normally 12-18 months.
- Control of lateral sway from one foot to other, normally developed about 12 months of age.
- Having from falling normally develops at 12-24 months.
- Righting reactions.
Development of Gait:
All the abnormal gaits will be treated in a program concentrating on,
- Equal distribution of weight on each foot.
- Correcting of abnormal postures.
- Building up of the child’s stability by decreasing support.
- Delay training in standing and walking, if the child is not ready.
- Continuing to develop head, trunk and pelvic postural fixation and counter positioning in sitting, support on hands in upright kneeling, half-kneeling and in vertical positions other than standing, as well as in standing.
- Weight shift leading to stepping.
- Training lateral sway.
- Stop/Start Training and walking on uneven ground, climbing stairs and inclines.
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