CEREBRAL PALSY
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It is a non progressive neuromuscular disorder inflicting gentle to severe disabilities throughout life.This condition is manifested as a group of persisting qualitative motor disorders that seem in young kids due to wreck to the brain during delivery or thanks to some pathological conditions in the intrauterine life.The neuroligical problems are multiple but non progressive in nature.Approximately two per 100 live birth has this problem.This disease has no hereditary tendency.
Causes of cerebral palsy:
one) Injury to the brain during delivery.
2) As a complication of forceps delivery.
three) Lack of oxygen provide to the baby throughout delivery.
four) Infections throughout delivery.
Signs and symptoms of cerebral palsy:–
The signs and symptoms could not be similar in all babies affected.Relying upon the injury to the brain there may be mild to severe lesions.
Delicate cases:- 20% kids can have delicate disability.
Moderate cases:-fifty% cases are having moderate disability.The affected youngsters require self help for aiding their impaired ambulation capacity.
Severe cases:-Concerning 30% of the affected children are totally incapacited and bedridden and that they allways would like care from others.
Abnormal findings in cerebral palsy:-
1,Abnormal neonatal reflexes.
two,Stiffness of all muscles with awkward motion.
three,Extention of extremities on vertical suspension of the infant.
4,Scissoring of the lower limbs thanks to spasm of the adductor muscles of the thigh.
five,In severe cases the back bend backwards like and arch.
half-dozen,Might have total or partial paralysis.
7,Arrest of neurological and behavioral developement.
8,Swallowing might be tough in some cases.
9,Drooling of saliva.
10,Mild to severe mental retardations.
11,Abnormal movements are seen in some cases.
twelve,Tremors with typical movements.
13,If cerebellum is affected there can be loss of muscle tone with issue in walking.
fourteen,Complete or partial loss of hearing.
fifteen,Speech might be affected.
sixteen,Squint and alternative visual issues might be associated.
seventeen,Convulsions may be seen in some children.
Cerebral palsy is diagnosed by detailed clinical examination and by eliminating different similar diseases like brain tumour, progressive atrophy ect.All investigations like CT scan,MRI and routine investigations are needed to ruleout other diseases.
Management of carebral palsy:–
General management:
This includes correct nutrition and private care. Symptomatic medicines are required to reduce convulsions and muscle stiffness. Diazepam will scale back spasticity and athetosis.
Dantrolene sodium helps to relax skeletal muscles.
Physiotherapy:
Here massage,exercise, hydrotherapy and ect are needed.Special training is given to train walking,swallowing and talking.The affected youngsters are also trained to carry articles for routine activities.
Rehabilitation:
Moral and social support should be given to these children.They must be send to special faculties where special coaching can be given by trained staff.Mentally retarded children would like special training.Relying up on the disabitity special instruments and machines are given for locomotion and to assist their daytoday activities.
Occupational therapy:
This is given by occupational therapists.They train the disabled folks to try and do some suitable works therefore that these folks can have their own income.
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