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Cerebral Palsy Lena Lutz
Overview “Cerebral” :	brain “Palsy” :	   disorder of movement or posture Condition where damage to certain areas of the brain result in loss of  muscle control and movement Non-progressive and non-contagious Developmental disability Can occur before, at, or soon after birth
Key Components 3 Main Types of Cerebral Palsy: Spastic Stiff and difficult movement (scissor gait) Most common form Athetoid Involuntary and uncontrolled movement Second most common Effected part of brain: Basal Ganglia Ataxic  Disturbed sense of balance and depth perception Effected part of brain: cerebellum Mixed There can exist a combination of these types of CP for any one person
Signs / Symptoms Depending on which areas of the brain have been damaged, someone with Cerebral Palsy may experience: Muscle tightness or spasms Involuntary movement Disturbance in gait and mobility Abnormal sensation and perception Impairment of sight, hearing or speech Seizures
Videos http://www.youtube.com/watch?v=occFkFbl3ms&feature=related Normal walking pattern http://www.youtube.com/watch?v=-MMtyzeYVmM&playnext=1&list=PL3D531511F0614FF4 Anatomically-based model of a child with spastic cerebral palsy http://www.youtube.com/watch?v=XBvZF54GfMU&feature=related Spastic gait http://www.youtube.com/watch?v=CBlrp-Ok38E&feature=related Ataxic gait http://www.youtube.com/watch?v=eMp43AWxYNc Athetoid involuntary movement
Causes Areas of the brain can be damaged during: Fetal development Infancy Before, during, or shortly following birth Often occurs due to brain damage from lack of oxygen before or during birth Neither progressive nor communicable
Medications Tegretol, Dilantin and Phenobarbital Help control/prevent different types of seizures Diazepam, Baclofen, and Dantrolene Help reduce spasticity http://www.youtube.com/watch?v=0_UrwYzsp08&feature=relmfu ‘Diagnosis & Treatment : How to Treat Cerebral Palsy ‘
Benefit From Exercise Slow stretching, warm external temperature, and good positioning can help decrease the dynamic condition found with the Spasticity form of CP
Risk with Exercise Quick movements, cold external temperature, fatigue and emotional stress can increase a spastic dynamic condition Increased effort and emotional stress can increase the involuntary and/or uncontrolled movement (primarily in extremities) found in Athetoid CP Convulsive seizures may occur and significantly interfere in exercise; safety precautions must be taken Use adaptive equipment Straps and holding gloves
References www.about-cerebral-palsy.org ACSM (2010). Guidelines for exercise testing and prescription. (8th ed.). Baltimore, MD: Lippincott, Williams & Wilkins www.youtube.com

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Cerebral palsy presentation

  • 2. Overview “Cerebral” : brain “Palsy” : disorder of movement or posture Condition where damage to certain areas of the brain result in loss of muscle control and movement Non-progressive and non-contagious Developmental disability Can occur before, at, or soon after birth
  • 3.
  • 4. Key Components 3 Main Types of Cerebral Palsy: Spastic Stiff and difficult movement (scissor gait) Most common form Athetoid Involuntary and uncontrolled movement Second most common Effected part of brain: Basal Ganglia Ataxic Disturbed sense of balance and depth perception Effected part of brain: cerebellum Mixed There can exist a combination of these types of CP for any one person
  • 5.
  • 6. Signs / Symptoms Depending on which areas of the brain have been damaged, someone with Cerebral Palsy may experience: Muscle tightness or spasms Involuntary movement Disturbance in gait and mobility Abnormal sensation and perception Impairment of sight, hearing or speech Seizures
  • 7. Videos http://www.youtube.com/watch?v=occFkFbl3ms&feature=related Normal walking pattern http://www.youtube.com/watch?v=-MMtyzeYVmM&playnext=1&list=PL3D531511F0614FF4 Anatomically-based model of a child with spastic cerebral palsy http://www.youtube.com/watch?v=XBvZF54GfMU&feature=related Spastic gait http://www.youtube.com/watch?v=CBlrp-Ok38E&feature=related Ataxic gait http://www.youtube.com/watch?v=eMp43AWxYNc Athetoid involuntary movement
  • 8. Causes Areas of the brain can be damaged during: Fetal development Infancy Before, during, or shortly following birth Often occurs due to brain damage from lack of oxygen before or during birth Neither progressive nor communicable
  • 9. Medications Tegretol, Dilantin and Phenobarbital Help control/prevent different types of seizures Diazepam, Baclofen, and Dantrolene Help reduce spasticity http://www.youtube.com/watch?v=0_UrwYzsp08&feature=relmfu ‘Diagnosis & Treatment : How to Treat Cerebral Palsy ‘
  • 10. Benefit From Exercise Slow stretching, warm external temperature, and good positioning can help decrease the dynamic condition found with the Spasticity form of CP
  • 11. Risk with Exercise Quick movements, cold external temperature, fatigue and emotional stress can increase a spastic dynamic condition Increased effort and emotional stress can increase the involuntary and/or uncontrolled movement (primarily in extremities) found in Athetoid CP Convulsive seizures may occur and significantly interfere in exercise; safety precautions must be taken Use adaptive equipment Straps and holding gloves
  • 12. References www.about-cerebral-palsy.org ACSM (2010). Guidelines for exercise testing and prescription. (8th ed.). Baltimore, MD: Lippincott, Williams & Wilkins www.youtube.com