Thursday, December 14

Common Causes Of Cerebral Palsy

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Cerebral palsy can be defined as a non progressive neuromuscular disorder, causing mild to even severe disabilities through the entirety of one’s life. This condition is characterized as a group of persisting motor disorders, which appeal in young children due to damage to the brain during delivery or due to some pathological condition during pregnancy. The neurological problems are multiple but do not progress any further in nature. About 2 in 100 births are having this problem. There is no hereditary tendency. CAUSES OF CEREBRAL PALSY: 1)injury to the brain during delivery 2)the misuse of forceps during delivery 3)lack of oxygen supply to the baby during birth 4)infections during delivery SIGNS AND SYMPTOMS OF CEREBRAL PALSY: The signs and symptoms may differ in all babies affected. Depending on the amount of damage to the brain, there could be mild to severe lesions: 20% having mild cases, 50% having moderate disability, while about 30% of the affected children are totally incapacitated, bedridden, and always need assistance from others. ABNORMALITIES IN CEREBRAL PALSY: 1)unusual neonatal reflexes 2)stiffness of all muscles, and awkwardness in motion 3)extention of extremities when in upward or standing position 4)scissoring of the legs due to spasms of the muscles of the thigh 5)the back is bent backwards, like an arch 6)some total or partial paralysis 7)difficulty swallowing 8)drooling of saliva 9)mental retardations 10)tremors with typical movements 11)abnormal movements 12)loss of muscle tone 13)partial or complete hearing loss 14)speech impairment 15)squinting of the eyes 16)convulsions Cerebral palsy is diagnosed thoroughly by clinical examination and by ruling out other possible diseases and disabilities, such as, brain tumor and progressive atrophy. All examinations like CT scan, MRI and routine tests are needed to rule out other diseases or conditions. MANAGEMENT OR CARE OF CEREBRAL PALSY: This includes proper personal and nutritional care. Special medicines are needed to reduce convulsions and muscle stiffness. Diazepam can reduce spasms and athetosis. Dantrolene sodium helps to relax skeletal muscles. PHYSICAL THERAPY: Massage, exercise and hydrotherapy are a great help and essentially needed. Special training is required and given to help with walking, swallowing and talking. The affected children are also taught how to hold articles/items for routine activities. REHABILITATION: Moral and social support should be given to these children. They should be sent to special schools, where there is a specially trained staff. Special instruments and machines are used for locomotion and to assist in daily routines and activities. OCCUPATIONAL THERAPY: An occupational therapist trains and assists disabled people to do some suitable work, so that these people can have their own income and are able to make a living.


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