It is a non progressive neuromuscular disorder causing mild to severe disabilities throughout life.This condition is manifested as a cluster of persisting qualitative motor disorders which appear in young children due to wreck to the brain during delivery or thanks to some pathological conditions in the intrauterine life.The neuroligical issues are multiple but non progressive in nature.Approximately a pair of per one hundred live birth is having this problem.This disease is having no hereditary tendency.

Causes of cerebral palsy:

one) Injury to the brain throughout delivery.

two) As a complication of forceps delivery.

three) Lack of oxygen offer to the baby throughout delivery.

four) Infections throughout delivery.

Signs and symptoms of cerebral palsy:–

The signs and symptoms could not be similar in all babies affected.Relying upon the harm to the brain there might be mild to severe lesions.

Delicate cases:- twenty% youngsters can have mild disability.

Moderate cases:-fifty% cases are having moderate disability.The affected youngsters require self facilitate for helping their impaired ambulation capacity.

Severe cases:-Concerning 30% of the affected children are totally incapacited and bedridden and that they allways need care from others.

Abnormal findings in cerebral palsy:-

one,Abnormal neonatal reflexes.

a pair of,Stiffness of all muscles with awkward motion.
3,Extention of extremities on vertical suspension of the infant.

4,Scissoring of the lower limbs because of spasm of the adductor muscles of the thigh.

5,In severe cases the back bend backwards like and arch.

six,Might have total or partial paralysis.

7,Arrest of neurological and behavioral developement.

eight,Swallowing may be difficult in some cases.

nine,Drooling of saliva.

ten,Mild to severe mental retardations.

11,Abnormal movements are seen in some cases.

twelve,Tremors with typical movements.

13,If cerebellum is affected there will be loss of muscle tone with difficulty in walking.

14,Complete or partial loss of hearing.

fifteen,Speech could be affected.

16,Squint and alternative visual issues might be associated.

seventeen,Convulsions might 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 required to ruleout different diseases.

Management of carebral palsy:–

General management:

This includes proper nutrition and private care.  Symptomatic medicines are required to cut back convulsions and muscle stiffness.  Diazepam will cut 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 train walking,swallowing and talking.The affected youngsters are also trained to hold articles for routine activities.

Rehabilitation:

Moral and social support should be given to these children.They ought to be send to special schools where special coaching will be given by trained staff.Mentally retarded kids need special training.Depending up on the disabitity special instruments and machines are given for locomotion and to assist their daytoday activities.

Occupational therapy:

This is given by occupational therapists.They train the disabled individuals to do some suitable works therefore that these individuals can have their own income.

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