The document discusses treatments for cerebral palsy that aim to promote independence and a healthy lifestyle. Physical therapy focuses on improving physical abilities like range of motion, muscle tone, and gait through exercises and assistive devices. Exercises include stretching, strengthening, and gait training. Aqua therapy is also used given its benefits of reduced injury risk and improved function for those with limited mobility. Orthoses and devices help with tasks of daily living and mobility issues through customized braces, walkers, wheelchairs, and adapted equipment. The overall goal is maximizing independence and quality of life.

2. The purpose of treatment for cerebral palsy:
To promote the most normal, manageable and
healthy life possible.
This is accomplished through treatments that allow
people with cerebral palsy to maximize their
independence in daily life

3. Goals of Physical Therapy:
1. Overcoming physical limitations
2. Expanding range of joint motion
3. Building and maintaining muscle tone
4. Increasing recreational capabilities
5. Identifying alternate ways to perform everyday tasks
6. Fostering independence
7. Decreasing the likelihood of contractures, bone deformity
8. Educating children and parents about adaptive equipment
9. Providing sensory stimulation
10. Increasing fitness
11. Increasing flexibility
12. Improving posture
13. Improving gait
14. Minimizing pain and discomfort

4. PHYSICAL THERAPY
EXERCISES ASSISTIVE DEVICES ORTHOSIS
1- Ground Exercises
2- Aqua therapy
1- For Exercises
2- For Daily live activities
1- Upper limb orthoses
2- lower limb orthoses
3- spinal orthoses

5. Ground Exercises:
Exercises for cerebral palsy are different accordance to each type and symptoms
present. It preferable to be in a motivating way and concentrating on functional
manner. It includes:
1- Stretching exercises 2- Range of motion exercises
3- Strengthening exercises 4- Balancing exercises
5- Postural exercises 6- Gait training
7- Coordination exercises 8- Tone normalization exercises

6. Stretching Exercises
Self stretch Manual stretch

7. Range of motion exercises

8. Strengthening exercises

9. Balancing exercises

10. Postural exercises

11. Gait training

12. Coordination exercises

13. Tone normalization exercises
(Facilitatory and inhibitory techniques)
• The quick stretch : To increase Tone
• Prolonged and firm stretch : To decrease tone
• Rapid vibration : To increase Tone
• Slow Vibration : To decrease tone
• Brief icing : To increase Tone
• Prolonged icing : To decrease Tone
• Rapid approximation or compression: To increase
tone
• slow approximation or compression: To decrease
tone

14. Aqua therapy :
- Is the use of water and water physical proprieties to improve physical function.
- Aqua therapy is one of the best environments for a child with Cerebral Palsy to
improve physical functioning, especially if the child is not ambulatory.
Physical principles of Water:
 Buoyancy, The Archimedes Principle ( Assistive : upward, resistive : Downward)
 hydrostatic pressure ( The more depth, the more support)
 Surface tension (Resistance when strike the surface)
Viscosity.( The more viscosity, the more resistance )

15. Advantage of Aqua therapy
1. Avoid Injury
2. Improve self-esteem
3. Empower
4. Increase confidence
5. Enhance quality of life
6. Encourage relaxation
7. Provide comfort
8. Increase socialization

16. Examples:

17. ASSISTIVE DEVICES
For Exercises:
1. Balls
2. Wedges
3. Rolls
4. Springs
5. Stands
6. Wall bar
7. Spider
8. Weights
9. Stepper
10. Parallel bar

18. For Daily live activities:
1. Wheelchairs (Manual and electrical )
2. For Walking (walker, crutches, Canes)
3. Bath chairs
4. Adaptive equipment for ADL activities (writing, eating,
hygiene…etc.)

19. Electrical WheelchairManual Wheelchair

20. For Walking (walker, crutches, Canes)

21. Bath chairs
CP children who have difficulty sitting independently often need extra support in
the bathtub. A bath or shower chair is a waterproof chair that is designed to go
inside the bathtub or (more likely) the shower.

22. Advantages of Bath chair:
1- Safety
2- Comfort
3- Independence
4-Water-proof Convenience
5- Easy to use
6- self- confidence

23. - There are a variety of Bath chairs from simple to complete power bath/ transfer
chairs
Simple bath chairs:

24. Bath/ transfer chair

25. Electrical bath/ transfer chair

26. Adaptive equipment for ADL activities (writing, eating, hygiene…etc.)

27. ORTHOSIS:
GOALS:
1. To correct and/or prevent deformity
2. To provide a base of support
3. To facilitate training in skills
4. To improve the efficiency of gait

28. 1- Upper limb orthoses

29. lower limb orthoses

30. Spinal orthoses