Cerebral Palsy

Cerebral Palsy Physiotherapy

Cerebral Palsy is disorder of movements and posture caused by non-progressive lesion in immature brain.

Lesion in CP could be either in the brain or in upper cervical cord.

Based on clinical types	Based on severity
Spastic (most common)	Mild (25%) independent in daily activity
Dyskinesia (25%) following varieties are described Athetosis Tremor Choreiform Dystonia Rigidity	Moderate (50%) needs help in daily activities and ambulation
Ataxia	Severe; patient is bedridden and has a wheelchair existence.
Mixed

Prenatal	Natal	Postnatal	Peri natal( 0-7) days
Rubella	Birth trauma	Trauma	Most lesions causing CP occur in this period
Fetal anorexia	Anoxia	Encephalitis
Maternal diabetes	Prematurity	Meningitis

Muscles that are very tight and do not stretch. They may tighten up even more over time.
Joints are tight and do not open up all the way
Muscle weakness or loss of movement in a group of muscles (paralysis)
Abnormal walk arms tucked in toward the sides, knees crossed or touching, legs make “scissors” movements, walk on the toesT
Tremors, loss of coordination, seizures
Decreased intelligence or learning disabilities are common, but intelligence can be normal
Speech problems (dysarthria) with hearing or vision problems
Difficulty sucking or feeding in infants, or chewing and swallowing in older children and adults
Increased drooling
Slower than normal growth(delayed milestones)
Irregular breathing
Urinary incontinence