CEREBRAL PALSY
It’s a non progressive neuromuscular disorder causing delicate to severe disabilities throughout life.This condition is manifested as a group of persisting qualitative motor disorders that seem in young kids due to break to the brain during delivery or thanks to some pathological conditions in the intrauterine life.The neuroligical problems are multiple but non progressive in nature.Approximately a pair of per one hundred live birth is having this problem.This disease has no hereditary tendency.
Causes of cerebral palsy:
one) Injury to the brain throughout delivery.
2) As a complication of forceps delivery.
three) Lack of oxygen supply to the baby during delivery.
4) Infections during delivery.
Signs and symptoms of cerebral palsy:–
The signs and symptoms might not be similar in all babies affected.Depending upon the damage to the brain there may be gentle to severe lesions.
Mild cases:- twenty% youngsters can have gentle disability.
Moderate cases:-fifty% cases are having moderate disability.The affected youngsters need self help for helping their impaired ambulation capacity.
Severe cases:-Regarding 30% of the affected youngsters are totally incapacited and bedridden and they allways would like care from others.
Abnormal findings in cerebral palsy:-
one,Abnormal neonatal reflexes.
two,Stiffness of all muscles with awkward motion.
3,Extention of extremities on vertical suspension of the infant.
four,Scissoring of the lower limbs thanks to spasm of the adductor muscles of the thigh.
5,In severe cases the back bend backwards like and arch.
half dozen,Could have total or partial paralysis.
7,Arrest of neurological and behavioral developement.
8,Swallowing could be difficult in some cases.
nine,Drooling of saliva.
10,Gentle to severe mental retardations.
eleven,Abnormal movements are seen in some cases.
12,Tremors with typical movements.
thirteen,If cerebellum is affected there can be loss of muscle tone with issue in walking.
fourteen,Complete or partial loss of hearing.
15,Speech could be affected.
16,Squint and different visual issues could be associated.
seventeen,Convulsions may be seen in some children.
Cerebral palsy is diagnosed by detailed clinical examination and by eliminating alternative similar diseases like brain tumour, progressive atrophy ect.All investigations like CT scan,MRI and routine investigations are needed to ruleout alternative diseases.
Management of carebral palsy:–
General management:
This includes correct nutrition and private care. Symptomatic medicines are needed to reduce convulsions and muscle stiffness. Diazepam will scale back spasticity and athetosis.
Dantrolene sodium helps to relax skeletal muscles.
Physiotherapy:
Here massage,exercise, hydrotherapy and ect are needed.Special training is given to coach walking,swallowing and talking.The affected children are also trained to carry articles for routine activities.
Rehabilitation:
Moral and social support should be given to these children.They must be send to special colleges where special coaching will be given by trained staff.Mentally retarded children need special training.Relying up on the disabitity special instruments and machines are given for locomotion and to assist their daytoday activities.
Occupational therapy:
This is often given by occupational therapists.They train the disabled people to try and do some appropriate works so that these people can have their own income.
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