| Cerebral
palsy (CP) refers to a group of conditions that
affect control of movement and posture. Because of
damage to one or more parts of the brain that
control movement, an affected child cannot move his
or her muscles normally. While symptoms
range from mild to severe, the condition does not
get worse as the child gets older. With treatment,
most children can significantly improve their
abilities.
A multidisciplinary
team of health care professionals develops an
individualized treatment plan based on the severity
of cerebral palsy. It is imperative to involve
patients, families, teachers, and caregivers in all
phases of planning, decision making, and treatment.
The individualized treatment plan will take into
consideration both the immediate needs of the
patient, and the long term prognosis for
development. A child's brain and nervous system,
because they are still developing, have an amazing
ability to heal themselves to differing degrees.
Often, initial signs of cerebral palsy in milder
cases may improve over time, and with proper care
and treatment.
Normally, muscles and
tendons stretch and grow at the same rate as bones.
With cerebral palsy conditions, muscle development
may not keep pace with bone growth due to spasticity
or contracture. Physical therapy is an
important part of any treatment plan for cerebral
palsy patients. Physical therapy may include:
- Daily range of
motion exercises can assist with muscle
development, and help keep limbs from growing
weak or stiff.
- Stretches and
Exercises can also improve the development of a
child's motor skills.
- As the child ages
and prepares for daily living, therapy may focus
on improving the ability to sit, move
independently, dress, and use the
bathroom.
- Orthotics, such as
braces and walkers, can help with limb control
and positioning, and can be an important element
of therapy - helping the child to perform daily
tasks and participate in activities.
Children with
cerebral palsy often benefit from speech therapy.
In some cases, the lack of control in facial and
throat muscles can cause drooling and eating
difficulties - speech therapy can help regain some
of this control. In addition, children with athetoid
(dyskinetic) CP frequently have difficulty
pronouncing words, a speech therapist can assist a
child with their communication.
A child living with cerebral palsy can sometimes
become frustrated, angry and irritable. Psychotherapy
can improve behavioral issues, providing
encouragement, improving self-esteem, reinforce
positive messages, and stop negative behaviors like
hair pulling and biting.
Medication may be used to target particular
disabilities, such as seizures. As with many forms
of drug therapy, a certain amount of experimentation
may be required before optimum results are achieved
- Antispasmodics are
the most common medications used. They relax
tight muscles and reduce muscle spasms. The
muscle relaxants diazepam (Valium®) and
dantrolene (Dantrium®) may be prescribed to
control muscle contraction and spasticity.
- Phenobarbital,
Phenytoin, and other Anticonvulsants are needed
with patients who suffer seizures.
- Baclofen is a
muscle relaxant and antispastic medication that
is available in tablet and injectable forms.
- Anticholinergics
inhibit the effects of acetylcholine, a brain
chemical that triggers muscle contraction and
may be prescribed to control the abnormal
movements associated with athetoid cerebral
palsy.
- Stool softeners
and mild laxatives may help treat constipation,
which is a common complaint of people with CP.
In addition to the
above therapy options and available medications,
some surgeries can be beneficial, improving the
quality of life for CP patients.
- Surgery can be
performed to loosen tight muscles and release
fixed joints. This is most commonly used on
major joint centers like hips, knees, and
ankles. Only about 5% of people with stiffness
of their elbows, wrists, hands, and fingers
benefit from surgery.
- Surgery can be
used to cut some of the nerves on limbs most
effected by spasms. This procedure can reduce
spasms and restore a degree of control.
- Additional
surgeries may be beneficial for those with CP.
These include surgeries for orthopedic problems
(hip dislocation, uneven leg length, scoliosis,
etc.), or medication-related procedures where a
pump may be inserted in the abdomen to deliver
medications.
For most, cerebral
palsy is a life-long condition, however, treatments
and environmental management can result in an
improved quality of life for families. Staying
informed about the latest treatment options, working
with medical professionals, and creating a support
system of family, friends and educators can assist
in the healthy development of your child.
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Your Legal
Concerns
While most doctors, nurses, midwives, and hospital
technicians provide a high standard of care for
their patients, unfortunately, many families are
harmed by medical mistakes. A physician may have
misread fetal monitoring equipment, failed to
diagnose fetal distress during labor, waited too
long to perform a C Section, administered too much
Pitocin, or failed to act in a timely manner.
Parents of a child suffering with cerebral palsy
should contact
an experienced cerebral palsy lawyer to
research the cause of their child’s condition.
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