MARIA FARMAN

SUNDAS SULTAN
CEREBRAL PALSY
CEREBRAL PALSY
Definition :
A disorder primarily of movement control and p
osture resulting from non progressive lesion to
an immature brain occurring in utero near tim
e of delivery or within ist three years of life .

CEREBRAL mean brain

PALSY mean disorder of movement .
Continue ..
It is a leading cause of childhood disablitiy with an inci
dence of two to three per thousand .
Brain injury resulting in CP is limited to prenatal and
postnatal .

CHARATERISTICS ;

It is characterized by inability to fully control the motor fu

nction particularly muscle control and coordination .
It is not curable not communicable and not progressive
although education therapy and applied technology ca
n help a person with CP lead productive life .
SIDE EFFECTS :
Mental retardation

Vision lost

Hearing lost

Language impairment

Speech problem
CLASSIFICATION :
The modified neurological classification sys
tem divides patients into the following cat
egories ;

SPASTIC CP

DYSKINETIC CP

MIXED TYPES
SPASTIC CP ..

Most common type result in hypertonia wh

ich means increase in muscle tone and it
occur about 75% of all cases .
Further divide as :
DIPELGIA

HEMIPLEGIA

QUADREPLEGIA
DYSKINETIC CP
DYS mean abnormal
Kinetic mean motion
Change in the motion pattern occur due to
the abnormal motion of muscles.

MIXED TYPE CP
Athetoid CP : abrupt sudden
involuntary movement of extremities resul
t in difficulty in maintaining posture.
MANAGEMENT
Therapy and adaptive equipment are the primary tre
atment protocol for CP and individual may also req
uired drug therapy and surgical interventions . The
main goal s for those with CP is to ;
1= optimize mobility
2 = manage primary condition
3= control pain
4 = maximize independence
5= social and peer interactions
6= foster self care
7= ability to communicate
8= maximizing learning potientials
9= quality of life
ROLE OF PHYSICAL THERAPIST
1 = soft tissue mobilization
2= joint mobilization
3= specialized exercises
4 = stretching
5= endurance exercises
EXERCISE EQUIPMENTS
Exercise often include the use of equipment
such as ;

1= weights
2= exercise machines
3= bands
4= rollers
5= balance ball
6= hot and cold packs
7= ultrasound technology
THERAPUTIC EXERCISE METHODS
1= DEAVER ;
Use extensive bracing limiting all, but two motions
of an extremity

2 = DOMAN AND DELACATO ;

series of set patterns repeated many times during the
day attempting to train cerebral dominance and
mobilization of function.
3= ROOD
Emphasizes sensory and motor system equally activ
ating muscles through sensory receptors .

4= BOBATH ; ( MOST WIDELY USED)

NEURODEVELOPMENT TREATMENT TO NORMALIZE
TONE INHIBIT ABNORMAL PRIMITIVE REFLEX PATTE
RNS AND FACILITATE AUTONOMIC REACTIONS AND
SUBSEQUENT NORMAL DEVELOPMENT
5= VOJTA-EUROPEAN METHOD;
Activate postural development and equilibriu
m reactions to guide normal
Development

6= SPASCITIY MANAGAMENT

Mainstay of treatment is through the application of

modalities primarily therapeutic exercise ,rang of motio
n , hot and cold applications ,as well as casting and
splinting .
7= nerve / motor point blocks

Indicated for spascity affecting specific muscle group

.

They are commonly done to decrease scissoring due

to adductor spascity and equinovarus foot deformity
during gate and hamstring tightness

Potential benefits include prevention of deformity and

improved function by facilitations of therapies etc etc