Cerebral Palsy

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Cerebral Palsy

Postby Admin on Wed May 20, 2009 2:37 pm

A general term for a group of permanent brain injuries that affect an infant in the womb, during birth, or in the months following birth. People with cerebral palsy may have limited motor skills, speech difficulties, learning disabilities, or other related conditions.

Cerebral Palsy

What is Cerebral Palsy?

Cerebral palsy is a general term used by doctors to refer to a set of neurological conditions (conditions that affect the brain and nervous system) that affect a child's movement and coordination. The main types of cerebral palsy are:

* Spastic cerebral palsy - some of the muscles in the body are tight, stiff and weak, making control of movement difficult
* Athetoid (dyskinetic) cerebral palsy - control of muscles is disrupted by spontaneous and unwanted movements. Control of posture is also disrupted
* Ataxic cerebral palsy - problems include difficulty with balance, shaky movements of hands or feet, and difficulty with speech
* Mixed cerebral palsy - a combination of two or more of the above

What are the symptoms?

There may be abnormal tone (stiffness or floppiness) of the limbs and odd postures.

In spastic cerebral palsy (70 per cent of cases), the limbs become stiff and may be drawn in. In athetoid cerebral palsy (10 per cent of cases), the child develops involuntary irregular writhing movements.

There may be incoordination of the muscles of the mouth, causing feeding problems such as slow feeding, gagging and vomiting, delayed motor milestones, such as crawling and walking, weakness or paralysis of the limbs, an abnormal gait and slowness in developing speech and social skills.

As many as one in three children and adolescents with cerebral palsy also has epilepsy.

Other common problems include:

* Difficulty with walking, writing, eating, talking, dressing
* Problems with balance and coordination
* Difficulty controlling and maintaining posture (they may need help to sit upright)
* Visual difficulties
* Hearing problems

What causes it?

The most common cause of cerebral palsy is something that damages the brain while the baby is growing in the womb. These antenatal factors can be found in 80 per cent of those affected and include genetic problems, malformations of the brain and maternal infection (rubella, toxoplasmosis).

Better maternity care has meant fewer babies are born with cerebral palsy due to birth trauma, but this has been offset by the improved survival of premature and low birthweight babies, who may be up to 50 times more at risk of cerebral palsy. Infections when a baby is young (especially encephalitis or meningitis) can also lead to cerebral palsy.

What's the treatment?

There's no cure for cerebral palsy. However, there are plenty of treatments and therapies that can reduce the impact of the condition by easing symptoms such as spasticity, improving communication skills and finding other ways to do things. Physiotherapy, occupational therapy and speech therapy can all play an important part.

Children with cerebral palsy do best when they get special help from an early age. Because the brain changes a lot during the first few years of life, it can be difficult to assess the extent of cerebral palsy at first, but most experts suggest babies should be first assessed at about nine to 12 months.

Many children with cerebral palsy benefit from an approach known as conductive education, which helps them to overcome movement problems and gain some control through special education and rehabilitation. Adults can get a lot from it, too.

Speech and language therapy helps with speech development and also with eating, drinking, and swallowing. Surgery is sometimes needed to correct any deformities that develop as a result of abnormal muscle development or function.

Medication can reduce muscle hyperactivity and spasticity, but physiotherapy is the bedrock of cerebral palsy management and can helps with posture and movement. It also tries to prevent progression of disability.



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http://www.bbc.co.uk/health/conditions/cerebralpalsy1.shtml
http://www.nhs.uk/Conditions/Cerebral-palsy/Pages/Introduction.aspx

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Re: Cerebral palsy Help and Information

Postby BusyGirl on Wed May 20, 2009 2:38 pm

Thanks for the information, I have found this very usefull and its very informative, thanks for the website links.

I'd just like to add some info to this:

Medicines

If your child's muscles are particularly stiff and overactive it can cause them frustration and pain. If your child is experiencing these problems, they may require medication to help them relax their muscles.

The first type of medication your child may be prescribed is a muscle relaxant such as diazepam, which is usually taken in tablet form.

Side effects of diazepam include:

* drowsiness,
* slurred speech,
* constipation,
* nausea, and
* incontinence.

If muscle relaxants are not effective, an injection of botulinum toxin (BTA) may be given. BTA works by blocking the signals from the brain to the affected muscles. The effects of the injection normally last for up to three months. The treatment is most effective when a programme of stretching and physical therapy follows the injections.

Another possible treatment option is known as intrathecal baclofen therapy. This involves surgically implanting a small pump on the outside of the body which is connected to the spinal cord. The pump then delivers regular doses of a medicine known as baclofen directly into the nervous system. Baclofen works by blocking some of the nerve signals that cause muscle stiffness.

http://www.nhs.uk/Conditions/Cerebral-palsy/Pages/Treatment.aspx

Thanks! :D
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Ma Jiantang, Director of National Bureau of Statistics, said, "There are still imbalances within the Chinese economy needing to be addressed. However, from a long-term point of view, the factors that had been driving the growth of the economy haven’t changed. So despite challenges ahead, we also have conditions working in our favor."
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