CEREBRAL PALSY
Jose Martinez
Professor Bonome
Health Science
November 28th, 2014
Cerebral Palsy
Cerebral Palsy, also known as CP, is a motor disability that affects a person when they are a child, and it is also the most common motor disability in found in children. CP is a lifelong disability, caused by damage to the developing brain, in which most cases it happens during the pregnancy(1). The main thing that Cerebral Palsy affects is a person’s ability to move and maintain balance/posture(2). The actual symptoms can vary among the individual. Some people with mild Cerebral Palsy, may have trouble walking properly, but can still do it nonetheless. But, someone with severe Cerebral Palsy may need special equipment to walk, and in some
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Depending on the region of the brain that is affected, the disability may differ. For example, a person may be affected with spasticity, or stiff muscles. Another person may be affected with dyskinesia, or uncontrollable movements(2). It is important to diagnose Cerebral Palsy at a young age for the wellbeing of the child. Diagnosing Cerebral Palsy involves several steps, Developmental Monitoring, Developmental Screening, and Developmental and Medical Evaluations(1). Developmental Monitoring would involve tracking the child’s growth, like for example every time that they go for a check-up at the doctor’s. Usually the doctor will ask if the parents have any concerns about the growth and the development of their child, and will almost always do this regardless to keep the baby healthy. Even though they do this with all children, those with low birth weight or other risk factors at birth may be monitored more closely than those born healthy. Screening involves a small test on the child that will show the doctor if the child has any motor or movement delays. These will be performed every couple of months, usually at 9 months, and then again at 18 and so on. Now keep in mind that even though there are
In class and through research I knew that it affected people differently but to actually see those patients was a huge learning experience for me. I left one house where the child was severe CP that has a trach, g-tube, pulse ox that is attached to one of his toes for continuous monitoring, oxygen through his trach, back brace for scoliosis, and a shunt. The next house the child was very energetic, bouncing off the walls, running and playing. The only deficit with him was right sided weakness that affects his fine motor skills. Watching him run and play you would not know that his right hand would slow him down. While doing therapy with fine motor skills he was not able to pick up beads, he could manipulate larger objects but it took a little longer for him to be able to grasp it with a lateral grip pinch. This was an eye opening experience for
Cerebral Palsy can either be present before birth, can occur during the delivery process, or can even develop up to several years after a child is born. The disorder is most commonly
The family I interviewed has a son named Cuyler that is 22 years old. I talked to Cuyler’s mom Cathie. He is the oldest of three kids. Cuyler was born at 24 weeks’ gestation and had a grade 3 brain bleed. Because of being born premature and the bleeding in his brain it led to some of the disabilities Cuyler has. His mom told me that Cuyler has spastic quadriplegia. His disabilities include cerebral palsy, blindness, and he is nonverbal. She also told me that Cuyler also has seizures at least once a month, is hypotonic, and is fed by a g-tube. As far as physical movement the only gross motor skills that Cuyler can do is roll over.
The reason for this is because measuring treatment outcomes in people living with cerebral palsy is already difficult but it is even more so in those living with spastic quadriplegia. “Unlike an ambulant child, where changes can be seen in gait parameters, oxygen cost, and gait velocity, the child with spastic quadriplegia may show changes only in measures of impairment such as the modified Ashworth scale, Tardieu scale, or joint range of motion. It is difficult to measure change in the level of function or disability in the child with moderate to severe spasticity” (Gormley 2001). This being said, the need for clinical trials to assess management results for severely involved patients is still necessary. Designing studies that “employ standard enrolment criteria across centres, apply interventions in a standardized manner, utilize control groups and validated outcome measures, including measures of cost effectiveness and patient satisfaction” may be difficult, but are entirely necessary in order to justify the new approach to treatment that is suggested in this article (Gormley 2001).
Our user was diagnosed with spastic quadriplegia, which is the harshest type of spastic cerebral palsy. Spastic cerebral palsy is caused by damage of the motor cortex and the pyramidal tracts of the brain. The brain damage can occur before, during or even after birth. When the damage occurs before birth it is usually during the 26 to 34 week of gestation in which the white matter of the fetus is most susceptible to complications. It can occur during birth, and babies with cerebral palsy were usually born in a feet-first position instead of a headfirst. An uncommon reason of brain damage occurs after birth, however it still occurs and it can be caused by a traumatic head injury. Since it is a type of cerebral palsy the patient will suffer from
There are many contributing factors to develop deformities. For example lack of movement due to abnormal tone, muscle weakness and abnormal movement pattern. Some of the most deformities are as follow, equines varus, and scoliosis. Therefore to avoid secondary complication, it is better to seek for early physiotherapy treatment. The main duty of therapist is to find out the deformity and look for suitable treatment at early stages, as there is only a limited period which can prevent or reduce the deformity. For example in spastic child who did not receive proper treatment most likely fails to perform independently. Besides, the child with deformity complaint of pain and discomfort due to faulty joint position (Hinchcliffe 2007). Blackmore (2006) conducted a study on the effectiveness of casting for ankle deformity in cerebral palsy. The study show casting has a great effect in correction of abnormal gait in cerebral palsy
Sadly, babies and infants are most affected by Cerebral Palsy. Each year, in the United States alone, about 10,000 cases are reported of babies with signs and symptoms of Cerebral Palsy. “It is the most common motor disorder in children and is second only to autism as the most common disability in children” (My Child Without Limits). Most adults with Cerebral Palsy developed it as a child and grew up with it in their life.
Studies have shown that when making assessments of children with Cerebral palsy, it is best to assess them on their own and not with other children who does not have the illness. According to Livingston and others, children with CP are reported to have a decreased quality of life compared to others. Also, their Gross Motor Function Classification System are reliable in physical function, but does not correlate with their psycho social well-being. And lastly, although children with CP have different life issues than adults or children, there have been limited research on the Quality of Life factors for this age range (Livingston, Rosenbaum, & others,
As shown, there are many different therapies that are utilized to treat cerebral palsy, but families still search for alternative therapies because there are gaps in successful treatment plans. One study states, 26.8% of families surveyed sought out alternative therapies, and the experimenters concluded that more people would be open to try new therapies if more testing is completed, and if the financial risk is lowered (Majnemer et al., 2013). Suit therapy is a relatively new alternative therapy that is used to treat patients with cerebral palsy. Suit therapy is a system of rubber bands, hooks, and rings that connect a vest, shorts, knee pads, and shoes, that correct normal muscle alignment, along with redeveloping the neural firing pathway (McMahon, Pruitt, & Vargus-Adams, 2009). One of the first studies completed on suit therapy by Rosenbaum (2003) conducted tests on the participants with cerebral palsy, who were diagnosed with differing levels of motor function. Thus, he found the benefits of suit therapy were inconclusive because further research shows that suit therapy does not benefit every form of cerebral
Music isn’t just sounds and words. Music is a form of art that affects many different things that people don’t know. From creativity, to your personality music plays a big factor. Not only physical things like that, music can alter how you think, how you feel, it can even affect your health. Music helps you exercise as well. The music industry in its entirety is positive, because it allows people to express themselves. People find a great deal of inspiration and soul in music. Music also helps the people who produce it to earn a living and profit. Music has a positive effect on humans, their development, and their way of life.
This article is credible; it was published in an accredited journal, the Journal of Child Neurology. The author has proper authority because he is a certified medical doctor. Rosenbaum writes that the Adeli, or polish suit, was originally designed for use in space (Rosenbaum, 2003). It was then adapted as an alternative therapy to treat children with cerebral palsy (Rosenbaum, 2003). The idea behind the suit is that it provides controlled exercise with resistance for children that struggle with motor movements and coordination (Rosenbaum, 2003). The effects of the suit were studied, and it was determined that the results were inconclusive. Children that participated when the effects were studied varied in many ways. Each child had a different level of severity of the disorder, different levels of comfort with wearing the suit, and the child’s ability with controlled movements (Rosenbaum, 2003). Because of all of these variances, the results were determined inconclusive. All children improved to varying degrees, but there was no set standardization of results, making the results difficult to interpret (Rosenbaum, 2003). This article appears to have no bias. It is well researched; it discusses many types of alternative therapies, as well as gives the history and background of the treatment of cerebral palsy. After this initial groundwork, many studies have been completed that analyzed the outcomes of intense physical therapy, and suit
Cerebral palsy (CP) is an umbrella term used to refer to a group of disorders that affect the movement and coordination of an individual's muscles. People with CP experience difficulty moving their limbs, eyes and mouth. Everyday things like walking, talking and eating can be a struggle for someone living with the disorder. While their is no cure, therapy and treatment can help. Sustaining injuries to the developing brain during pregnancy, birth, and shortly after birth are likely to cause cerebral palsy. Genetic factors are not said to be a cause of the disorder since no gene can be pin pointed as directly responsible. Although, genetic predispositions to risk factors can play a role in the causes of CP.
In this document you will be learning of the hardships of daily life for kids with cerebral palsy. When you have CP you might feel like you are normal . CP starts with a baby in the womb or the first couple of years of a child’s life (years 3-5).This disease affects the brain which makes it very hard to walk, or with other symptoms your hands and arms can get deformed . It also affects a person's motor skills and muscle tone. What this really means is tension in your muscles and your ability to walk and
Swimming is a great exercise for patient with cerebral palsy as the water has a certain amount of resistance to it, so that the patient can float since his or her weight is much more buoyant than it is without water, as a result a person movements are less restricted. The swimming pool water temperature should be 90 - 95 degree, so the muscles can be relax. In the UCP they use chain to bring adult and children on to the ramp in the pool so they can be able to use the pool. Inside the pool they have toys and balls for the children can play with. Some pools have hydraulic floor to change the depth of the pool and to get them out of the pool.
The patient in the case study is a 27-year-old man who has Cerebral Palsy. Cerebral Palsy (CP) is a disorder of movement. It occurs usually following injury to the brain before or during birth or within the first five years of life. The physical problems presented by CP are difficulty controlling, preventing or producing movement, these are often referred to at motor problems. A person with Cerebral Palsy may also have other disabilities such as visual and hearing problems, language problems and learning difficulties.