CEREBRAL PALSY
It’s a non progressive neuromuscular disorder inflicting delicate to severe disabilities throughout life.This condition is manifested as a group of persisting qualitative motor disorders that seem in young youngsters due to wreck to the brain throughout delivery or thanks to some pathological conditions within the intrauterine life.The neuroligical issues are multiple but non progressive in nature.Approximately a pair of per one hundred live birth has this problem.This disease has no hereditary tendency.
Causes of cerebral palsy:
one) Injury to the brain throughout delivery.
a pair of) 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 might not be similar in all babies affected.Depending upon the injury to the brain there may be mild to severe lesions.
Mild cases:- twenty% children can have mild disability.
Moderate cases:-fifty% cases are having moderate disability.The affected kids require self facilitate for aiding their impaired ambulation capacity.
Severe cases:-Regarding 30% of the affected youngsters are totally incapacited and bedridden and they allways need care from others.
Abnormal findings in cerebral palsy:-
one,Abnormal neonatal reflexes.
2,Stiffness of all muscles with awkward motion.
three,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.
five,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 might be tough in some cases.
9,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 will be loss of muscle tone with issue in walking.
fourteen,Complete or partial loss of hearing.
15,Speech could be affected.
sixteen,Squint and alternative visual problems might be associated.
seventeen,Convulsions could be seen in some children.
Cerebral palsy is diagnosed by detailed clinical examination and by eliminating other similar diseases like brain tumour, progressive atrophy ect.All investigations like CT scan,MRI and routine investigations are needed to ruleout different diseases.
Management of carebral palsy:–
General management:
This includes proper nutrition and private care. Symptomatic medicines are needed to scale 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 coaching is given to coach walking,swallowing and talking.The affected children are trained to hold articles for routine activities.
Rehabilitation:
Moral and social support ought to be given to those children.They ought to be send to special colleges where special training can be given by trained staff.Mentally retarded youngsters would like special training.Depending up on the disabitity special instruments and machines are given for locomotion and to assist their daytoday activities.
Occupational therapy:
This can be given by occupational therapists.They train the disabled people to try and do some suitable works so that these folks can have their own income.
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