CEREBRAL PALSY
BY: JESSICA ROLEN
WHAT IS CEREBRAL PALSY?
• CP is a brain disorder
that affects muscle
tone, movement, and
motor skills.
• Cerebral means having
to do with the brain
• Palsy means weakness
or problems using
muscles

CP is one of the most common
congenital disorders of childhood
500,000 children and adults in the
U.S. have CP
WHAT CAUSES CEREBRAL PALSY?
• CP is caused by brain
damage before or
during birth.
• This damage can
also occur during the
first 2 years of a
child’s life.

• Infections, maternal
health
problems, genetic
disorders, or
something else that
interferes with brain
development
• In some cases CP
can be cause by lack
of oxygen to the
brain
WHAT CAUSES CEREBRAL PALSY:
CONTINUED
• Premature infants have a slightly higher risk of
developing CP.
• CP can also occur during early infancy as a result of
several conditions, including:
•
•
•
•
•

Bleeding in the brain
Brain infections
Head injury
Infections in the mother during pregnancy
Severe jaundice
TYPES OF CEREBRAL PALSY
• Spastic
• Dyskinetic
• Ataxic
• Mixture
SYMPTOMS OF CEREBRAL PALSY
• Symptoms are usually seen before a child is 2 years
old and can sometimes begin as early as 3 months.
• Parents may notice their child is delayed in
reaching and in developmental stages such as
sitting, rolling, crawling, or walking.
• There are several different types of CP so, there may
sometimes be a mixture of symptoms.
SYMPTOMS OF SPASTIC CEREBRAL
PALSY
• Tightness of muscle. Muscle may not stretch. May
tighten up over time.
• Abnormal walk
• Joints are tight
• Muscle weakness or loss of movement
• These symptoms may affect one arm or leg, one
side of the body, both legs, or both arms and legs.
SYMPTOMS IN OTHER TYPES OF
CEREBRAL PALSY
• Abnormal movements of hands, feet, arms, or legs
while awake
• Tremors
• Unsteady gait
• Loss of coordination
• Floppy muscles and joints that move around to
much.
OTHER SYMPTOMS OF CEREBRAL
PALSY
Other brain and nervous
system symptoms

• Decreased intelligence
or learning disabilities
are common
• Speech
problems(dysarthria)
• Hearing and vision
problems
• Seizures
• Pain

Eating and digestive
symptoms

• Difficulty sucking or
feeding infants, or
chewing and
swallowing.
• Problems swallowing
• Vomiting or
constipations
TESTS
• Full neurological exam is critical
• In older people, testing cognitive function is
important
• Test that may be performed:
•
•
•
•
•
•

Blood tests
CT scan of the head
Electroencephalogram (EEG)
Hearing screen
MRI of the head
Vision testing
TREATMENT FOR CEREBRAL PALSY
• There is no cure for CP
• The goal of treatment is to help the person be as
independent as possible
• Treatment requires a team approach including:
• Primary care doctor, dentist, social
worker, nurses, occupational, physical, and speech
therapists
• Other specialist include: neurologist, rehabilitation
physician, pulmonologist, and gastroenterologist

• Physical therapy, occupational therapy, orthopedic
help, or other treatments may be needed with daily
activities and care
TREATMENT
Self and home care

• Getting enough food
and nutrition
• Keeping the home safe
• Performing exercises
• Practicing proper
bowel care
• Protecting joints from
injury

Communication and
Learning

• Glasses
• Hearing aids
• Muscle and bone
braces
• Walking aids
• Wheelchairs
OTHER TREATMENTS FOR CEREBRAL
PALSY
Medication

Surgery

• Anticonvulsants:
prevent or reduce the
frequency of seizures
• Botulinum: toxin to help
with spasticity and
drooling
• Muscle relaxants:
reduce tremor and
spasticity

• Control gastro
esophageaul reflux
• Cut certain nerves from
spinal cord
• Place feeding tubes
• Release joint
contractures
MEETING CEREBRAL PALSY NEEDS IN
THE CLASSROOM
• Communication aids
such as computers with
attached voice
synthesizers should be
explored in order to
support a child’s
development.
• If a child has hearing
problems placing them
in the from of the
classroom would be
best for them.
CLASSROOM SETUP
• Access to the classroom environment is critical to
creating an inclusive classroom setting.
• Classroom arrangement:
• Moving furniture for students with walkers or wheelchairs so
they can maneuver in and out of learning centers
• Make sure items are reachable for all children
• Modify classroom activities to meet the needs of your
students
This is essential to creating a supportive and accessible
environment for children with CP.
TEACHER EXPECTATION FOR A CHILD
WITH CEREBRAL PALSY
• Teacher expectations for a child with cerebral palsy
will depend on the child and the child’s IEP.
• Enlist professional to help assess child’s specific
educational strengths and needs.
• Children with CP are limited in their ability to
communicate. Because of this, they are sometimes
deemed to have less intellectual ability than they
actually do.
MORE INFO. AND HELP
In Knoxville

• Cerebral Palsy Center
• http://www.cpcenter.o
rg/helping.html
CCD
• http://www.cdc.gov/n
cbddd/cp/facts.html

United Cerebral Palsy

• http://ucp.org
REFERENCES
• http://cerebralpalsyworld.com/cp_education.aspx
• http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0
001734/#adam_000716.disease.symptoms
• http://www.teachnology.com/teachers/special_ed/disabilities/cp/
• http://depts.washington.edu/hscenter/sites/default
/files/03_resources/08_children_special_needs/docu
ments/cerebral_palsy.pdf
• http://kidshealth.org/parent/medical/brain/cerebr
al_palsy.html#

Cerebral Palsy Presentation

  • 1.
  • 2.
    WHAT IS CEREBRALPALSY? • CP is a brain disorder that affects muscle tone, movement, and motor skills. • Cerebral means having to do with the brain • Palsy means weakness or problems using muscles CP is one of the most common congenital disorders of childhood 500,000 children and adults in the U.S. have CP
  • 3.
    WHAT CAUSES CEREBRALPALSY? • CP is caused by brain damage before or during birth. • This damage can also occur during the first 2 years of a child’s life. • Infections, maternal health problems, genetic disorders, or something else that interferes with brain development • In some cases CP can be cause by lack of oxygen to the brain
  • 4.
    WHAT CAUSES CEREBRALPALSY: CONTINUED • Premature infants have a slightly higher risk of developing CP. • CP can also occur during early infancy as a result of several conditions, including: • • • • • Bleeding in the brain Brain infections Head injury Infections in the mother during pregnancy Severe jaundice
  • 5.
    TYPES OF CEREBRALPALSY • Spastic • Dyskinetic • Ataxic • Mixture
  • 6.
    SYMPTOMS OF CEREBRALPALSY • Symptoms are usually seen before a child is 2 years old and can sometimes begin as early as 3 months. • Parents may notice their child is delayed in reaching and in developmental stages such as sitting, rolling, crawling, or walking. • There are several different types of CP so, there may sometimes be a mixture of symptoms.
  • 7.
    SYMPTOMS OF SPASTICCEREBRAL PALSY • Tightness of muscle. Muscle may not stretch. May tighten up over time. • Abnormal walk • Joints are tight • Muscle weakness or loss of movement • These symptoms may affect one arm or leg, one side of the body, both legs, or both arms and legs.
  • 8.
    SYMPTOMS IN OTHERTYPES OF CEREBRAL PALSY • Abnormal movements of hands, feet, arms, or legs while awake • Tremors • Unsteady gait • Loss of coordination • Floppy muscles and joints that move around to much.
  • 9.
    OTHER SYMPTOMS OFCEREBRAL PALSY Other brain and nervous system symptoms • Decreased intelligence or learning disabilities are common • Speech problems(dysarthria) • Hearing and vision problems • Seizures • Pain Eating and digestive symptoms • Difficulty sucking or feeding infants, or chewing and swallowing. • Problems swallowing • Vomiting or constipations
  • 10.
    TESTS • Full neurologicalexam is critical • In older people, testing cognitive function is important • Test that may be performed: • • • • • • Blood tests CT scan of the head Electroencephalogram (EEG) Hearing screen MRI of the head Vision testing
  • 11.
    TREATMENT FOR CEREBRALPALSY • There is no cure for CP • The goal of treatment is to help the person be as independent as possible • Treatment requires a team approach including: • Primary care doctor, dentist, social worker, nurses, occupational, physical, and speech therapists • Other specialist include: neurologist, rehabilitation physician, pulmonologist, and gastroenterologist • Physical therapy, occupational therapy, orthopedic help, or other treatments may be needed with daily activities and care
  • 12.
    TREATMENT Self and homecare • Getting enough food and nutrition • Keeping the home safe • Performing exercises • Practicing proper bowel care • Protecting joints from injury Communication and Learning • Glasses • Hearing aids • Muscle and bone braces • Walking aids • Wheelchairs
  • 13.
    OTHER TREATMENTS FORCEREBRAL PALSY Medication Surgery • Anticonvulsants: prevent or reduce the frequency of seizures • Botulinum: toxin to help with spasticity and drooling • Muscle relaxants: reduce tremor and spasticity • Control gastro esophageaul reflux • Cut certain nerves from spinal cord • Place feeding tubes • Release joint contractures
  • 14.
    MEETING CEREBRAL PALSYNEEDS IN THE CLASSROOM • Communication aids such as computers with attached voice synthesizers should be explored in order to support a child’s development. • If a child has hearing problems placing them in the from of the classroom would be best for them.
  • 15.
    CLASSROOM SETUP • Accessto the classroom environment is critical to creating an inclusive classroom setting. • Classroom arrangement: • Moving furniture for students with walkers or wheelchairs so they can maneuver in and out of learning centers • Make sure items are reachable for all children • Modify classroom activities to meet the needs of your students This is essential to creating a supportive and accessible environment for children with CP.
  • 16.
    TEACHER EXPECTATION FORA CHILD WITH CEREBRAL PALSY • Teacher expectations for a child with cerebral palsy will depend on the child and the child’s IEP. • Enlist professional to help assess child’s specific educational strengths and needs. • Children with CP are limited in their ability to communicate. Because of this, they are sometimes deemed to have less intellectual ability than they actually do.
  • 17.
    MORE INFO. ANDHELP In Knoxville • Cerebral Palsy Center • http://www.cpcenter.o rg/helping.html CCD • http://www.cdc.gov/n cbddd/cp/facts.html United Cerebral Palsy • http://ucp.org
  • 18.
    REFERENCES • http://cerebralpalsyworld.com/cp_education.aspx • http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0 001734/#adam_000716.disease.symptoms •http://www.teachnology.com/teachers/special_ed/disabilities/cp/ • http://depts.washington.edu/hscenter/sites/default /files/03_resources/08_children_special_needs/docu ments/cerebral_palsy.pdf • http://kidshealth.org/parent/medical/brain/cerebr al_palsy.html#