This document provides information about cerebral palsy (CP), including:
1. CP is a motor function disorder caused by permanent, non-progressive brain lesions present at birth or shortly after. It causes a lack of muscle control and balance issues.
2. CP has various causes like developmental malformations, neurological damage before/during/after birth from issues like lack of oxygen.
3. There are four main types of CP defined by affected movements: spastic, athetoid, ataxic, and mixed. Spastic CP is the most common.
4. Treatment aims to improve motor skills and independence through therapies, surgeries, medications, assistive devices, and family support
Ataxic cerebral palsy is a rare form of cerebral palsy affecting around 5% to 10% of all people diagnosed. It gets its name from the word ataxia, which means lack of coordination and without order.
This presentation contains detailed knowledge about Down's Syndrome its types, clinical presentation, diagnosis, medical and physio therapeutic management of the condition.
Down syndrome is a condition in which a person has an extra chromosome. Chromosomes are small “packages” of genes in the body. They determine how a baby’s body forms and functions as it grows during pregnancy and after birth. Typically, a baby is born with 46 chromosomes. Babies with Down syndrome have an extra copy of one of these chromosomes, chromosome 21. A medical term for having an extra copy of a chromosome is ‘trisomy.’ Down syndrome is also referred to as Trisomy 21. This extra copy changes how the baby’s body and brain develop, which can cause both mental and physical challenges for the baby.
This ppt describes various movement disorders found commonly in elderly persons. It also describes hyper and hypokinetic disorder categorization with cause and pathophysiology of movement disorders.
Ataxic cerebral palsy is a rare form of cerebral palsy affecting around 5% to 10% of all people diagnosed. It gets its name from the word ataxia, which means lack of coordination and without order.
This presentation contains detailed knowledge about Down's Syndrome its types, clinical presentation, diagnosis, medical and physio therapeutic management of the condition.
Down syndrome is a condition in which a person has an extra chromosome. Chromosomes are small “packages” of genes in the body. They determine how a baby’s body forms and functions as it grows during pregnancy and after birth. Typically, a baby is born with 46 chromosomes. Babies with Down syndrome have an extra copy of one of these chromosomes, chromosome 21. A medical term for having an extra copy of a chromosome is ‘trisomy.’ Down syndrome is also referred to as Trisomy 21. This extra copy changes how the baby’s body and brain develop, which can cause both mental and physical challenges for the baby.
This ppt describes various movement disorders found commonly in elderly persons. It also describes hyper and hypokinetic disorder categorization with cause and pathophysiology of movement disorders.
Meaning of Cerebral Palsy , Definition of Cerebral Palsy , Areas affected by Cerebral Palsy , Causes of Cerebral Palsy , Types of Cerebral Palsy ( many basis ) , Signs and Symptoms of Cerebral Palsy , Developmental Milestones of Cerebral Palsy child , Associated problems of Cerebral Palsy , Treatment of Cerebral Palsy ,
Cerebral palsy (CP) is a disorder that affects muscle tone, movement, and motor skills (the ability to move in a coordinated and purposeful way). CP usually is caused by brain damage that happens before or during a baby's birth, or during the first 3 to 5 years of a child's life.
CP
Non-specific term that include disorders characterized by early onset and impaired movement and posture.
Non-progressive and may include perceptual problems, language deficits, and intellectual involvement.
Incidence
Most common physical disability of childhood.
Incidence has increased since the 60’s, maybe due to improved survival of VLBW infants.
Etiology
Variety of perinatal, prenatal, and postnatal factors contribute, either singly or multifactorily to CP.
Commonly thought to be due to birth asphyxia; now known to be due to existing prenatal brain abnormalities.
Premature delivery is the single most important determinant of CP.
In 24% of cases, no cause is found.
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2. • In 1860s, known as
"Cerebral Paralysis” or
William “Little’s Disease”
John Little
• After an English surgeon
(1810-1894)
wrote the 1st medical
descriptions
3. CEREBRAL PALSY (CP)
• Cerebral“- Latin Cerebrum;
– Affected part of brain
• “Palsy " -Gr. para- beyond,
lysis – loosening
– Lack of muscle control
4. CEREBRAL
PALSY
• A motor function disorder
– caused by permanent, non-progressive brain lesion
– present at birth or shortly thereafter. (Mosby, 2006)
• Non-curable, life-long condition
• Damage doesn’t worsen
• May be congenital or acquired
5. CEREBRAL PALSY
A Heterogenous Group
of Movement Disorders
– An umbrella term
– Not a single diagnosis
8. An insult or injury to the brain
– Fixed, static lesion(s)
– In single or multiple
areas of the motor
centers of the brain
– Early in CNS dev’t
9. CAUSES
• Development Malformations
– The brain fails to develop correctly.
• Neurological damage
– Can occur before, during or after delivery
– Rh incompatibility, illness, severe lack of oxygen
* Unknown in many instances
10. CHIEF CAUSE
Severe deprivation of oxygen or
blood flow to the brain
– Hypoxic-ischemic
encephalopathy
or intrapartal
asphyxia
17. Types of Spastic CP
According to affected limbs:
* plegia or paresis - meaning paralyzed or weak:
• Paraplegia
• Diplegia
• Hemiplegia
• Quadriplegia
• Monoplegia –one limb (extremely rare)
• Triplegia –three limbs (extremely rare)
18. DEGREE OF SEVERITY
1. Mild CP- 20% of cases
• Moderate CP- 50%
- require self help for assisting their
impaired ambulation capacity.
• Severe CP- 30%;
-totally incapacited and bedridden
and they always need care from others.
29. DIAGNOSIS
• Physical evaluation, Interview
• MRI, CT Scan EEG
• Laboratory and radiologic work up
• Assessment tools
– i.e. Peabody Development Motor Skills,
Denver Test II
32. a. History Taking
–Include all that may predispose
an infant to brain damage or CP
•Risk factors
•Psychosocial factors
•Family adaptation
33. b. Child’s Health
History
• Often admitted to hospitals for corrective
surgeries and other complications.
– Respiratory status
– Motor function
– Presence of fever
– Feeding and weight loss
– Any changes in physical state
– Medical regimen
35. CRITERIA
P osturing / Poor muscle control and strength
O ropharyngeal problems
O
S trabismus/ Squint
S
T one (hyper-, hypotonia)
T
E volutional maldevelopment
E eflexes (e.g. increaseddeep tendon)
R
R *Abnormalities 4/6 strongly point to CP
37. - No treatment to cure cerebral palsy.
- Brain damage cannot be corrected.
• Crucial for children with CP:
–Early Identification;
–Multidisciplinary Care; and
–Support
38. I. Nonphysical Therapy
“The earlier we start,
the more improvement can be made”
-Health worker
39. • General management
- Proper nutrition and personal care
B. Pharmacologic
Botox, Intrathecal, Baclofen
- control muscle spasms and seizures,
Glycopyrrolate -control drooling
Pamidronate -may help with osteoporosis.
40. C. Surgery
-To loosen joints,
-Relieve muscle tightness,
- Straightening of different twists or
unusual curvatures of leg muscles
- Improve the ability to sit, stand, and
walk.
42. D. Physical Aids
• Orthosis, braces and splints
• Positioning devices
• Walkers, special scooters, wheelchairs
E. Special Education
F. Rehabilitation Services- Speech and
occupational therapies
G. Family Services -Professional
support
43. H. Other Treatment
- Therapeutic electrical stimulation,
- Acupuncture,
- Hyperbaric therapy
- Massage Therapy might help
44. II. Physical Therapy
'The ultimate long-term goal is realistic independence. To
get there we have to have some short-term goals.
Those being a working communication system, education to his potential,
computer skills and, above all, friends'.
- Parent of boy with CP
45. A.Sitting
- Vertical head control and
control of head and trunk.
B. Standing and walking
- Establish an equal distribution of
weight on each foot, train to use steps
or inclines
48. NURSING RESPONSIBILITIES
C. Functioning as a member of the
health team
D. Providing counseling and education
for the parents and promote optimal
family functioning
C. Promoting physical and
psychological health
49. D. Assisting with feeding management
and toilet training
E. Assisting with rehabilitation therapies
(physical, occupational and speech)
F. Providing counseling for educational
and vocational pursuits
G. Preventing child abuse
H. Providing care during hospitalization
50. I. Prevent physical injury
C. Prevent physical deformity
K. Promote a positive self-image