Definition of Cerebral Palsy? Cause , Classification , Management, Prevention.

Definition Of Cerebral palsy(CP): 

Abnormal control of motor movement due to a nonprogressive lesion of the immature brain.

Cause/ Etiology: 

•  Uknown 70%
• Prematurity
• Perinatal Asphyxia
• Birth Trauma.
• Meningoencephalitis.
• Metabolic Hypoglycemia
• Congenital Malformation of the brain.

Classification:

• Clinical Type: 3

1. Spastic - Tightness of muscle.
2. Athetoid- Uncontrolled Of body Movement.
3. Ataxic - Poor Balance.

• Based on Severity:

1. Mild- Ambulatory
2. Moderator- Treated at Outpatient level.
3. Severe- Bed Ridden

Clinical Features:

1. Decrease spontaneous Mobility.
2. Abnormal Movement.
3. Constant fisting after 2 months of age.
4. Primitive reflexes persisting beyond 6 months.
5. Reduce head circumference.
6. Delay social Smile.
7. Delay milestone of development.
8. Persistent asymmetry in posture, movement & reflexes.
9. Excessive extensor tone.
10. Nystagmus, persistent squint, no visual flowing.
11. Lack of auditory response.
12. Speech problem.
13. Behavior problem, mental retardation, seizures.

Treatment:

1. Physiotherapy.
2. Occupational Therapy.
3. Speech Therapy.
4. Education Therapy.
5. Social Therapy.
6. Rehabilitation.
7. Parental counseling.

Prevention: By better obstetric and neonatal care.

Created By: Shekhar Halder( Physiotherapist)