Cerebral palsy
It is a non progressive neuromuscular disorder that gently causes severe disability during life. This condition manifests itself as a group of qualitative movement disorders that appear in young children due to damage to the brain during delivery or some pathological conditions in intrauterine life. Neuroscience problems are essentially multiple, but non-progressive. About 2 100 students are this problem. There is no genetic tendency in this disease.
Causes of cerebral palsy:
1) Injury to the brain during delivery.
2) As complication of forceps delivery.
3) Lack of oxygen supply to the baby during delivery.
4) Infection during delivery.
Symptoms and symptoms of cerebral palsy: -
Signs and symptoms are not the same in all infants affected. Damage to the brain may have severe injury to mild.
For mild cases: -20% of children will have minor obstacles.
Moderate cases: -50% of cases have moderate disability. Affected children demand self help to help their damaged ambulation capacity.
Severe cases: - Approximately 30% of the affected children are completely incompetent and bedridden, and they always need care from others.
Unusual findings of cerebral palsy: -
1 abnormal neonatal reflections.
2 Stiffness of all muscles using difficult-to-move movements.
Extention of the tip of the vertical suspension of 3 infants.
Lower limb Scissoring due to convulsions of the thigh adductive muscle of 4.
5, in a severe case arching when turning back like a back arch.
6, General paralysis about all or part.
7 Neurological, inhibition of behavioral development.
8, it may be difficult to swallow.
9, Saliva drooling.
10, calm to a tough mental retardation.
11 abnormal movements are sometimes seen.
Tremor using 12 typical movements.
13, if the cerebellum is affected, there will be difficulty walking and loss of muscle tone.
14, complete or partial loss of hearing.
15, voice may be affected.
16, narrowing eyes and other visual problems may be associated.
17, convulsions can be seen in some children.
Cerebral palsy is diagnosed by detailed clinical examination and elimination of other similar diseases such as brain tumor, progressive atrophy ect. All studies like CT scan, MRI and routine survey are necessary for ruleout other diseases.
Management of cerebral palsy: -
General administration:
This is proper nutrition and personal care. Symptomatic medicine is necessary to reduce convulsions and muscle stiffness. Men can reduce spasticity and athetosis.
Dantrolene sodium helps relax skeletal muscle.
Physical therapy:
Massage, practice, water treatment and ect are necessary here. Special training is given to train walking, swallowing, speaking. Affected children will also be trained to hold articles for regular activities.
Rehabilitation:
Moral and social support should be given to these children. They are new projects with expertise that special education schools that can be considered capable can specialize. Mental retarded children need special training. Tsutsu Tsutsuzuzu, Tsutsu Hakutsu Tsutsu each one is needed and it is necessary to make it one by one.
Occupational therapy:
This is given by an occupational therapist. They train people with disabilities to do the proper work so that these people can earn their own income.
It is a non progressive neuromuscular disorder that gently causes severe disability during life. This condition manifests itself as a group of qualitative movement disorders that appear in young children due to damage to the brain during delivery or some pathological conditions in intrauterine life. Neuroscience problems are essentially multiple, but non-progressive. About 2 100 students are this problem. There is no genetic tendency in this disease.
Causes of cerebral palsy:
1) Injury to the brain during delivery.
2) As complication of forceps delivery.
3) Lack of oxygen supply to the baby during delivery.
4) Infection during delivery.
Symptoms and symptoms of cerebral palsy: -
Signs and symptoms are not the same in all infants affected. Damage to the brain may have severe injury to mild.
For mild cases: -20% of children will have minor obstacles.
Moderate cases: -50% of cases have moderate disability. Affected children demand self help to help their damaged ambulation capacity.
Severe cases: - Approximately 30% of the affected children are completely incompetent and bedridden, and they always need care from others.
Unusual findings of cerebral palsy: -
1 abnormal neonatal reflections.
2 Stiffness of all muscles using difficult-to-move movements.
Extention of the tip of the vertical suspension of 3 infants.
Lower limb Scissoring due to convulsions of the thigh adductive muscle of 4.
5, in a severe case arching when turning back like a back arch.
6, General paralysis about all or part.
7 Neurological, inhibition of behavioral development.
8, it may be difficult to swallow.
9, Saliva drooling.
10, calm to a tough mental retardation.
11 abnormal movements are sometimes seen.
Tremor using 12 typical movements.
13, if the cerebellum is affected, there will be difficulty walking and loss of muscle tone.
14, complete or partial loss of hearing.
15, voice may be affected.
16, narrowing eyes and other visual problems may be associated.
17, convulsions can be seen in some children.
Cerebral palsy is diagnosed by detailed clinical examination and elimination of other similar diseases such as brain tumor, progressive atrophy ect. All studies like CT scan, MRI and routine survey are necessary for ruleout other diseases.
Management of cerebral palsy: -
General administration:
This is proper nutrition and personal care. Symptomatic medicine is necessary to reduce convulsions and muscle stiffness. Men can reduce spasticity and athetosis.
Dantrolene sodium helps relax skeletal muscle.
Physical therapy:
Massage, practice, water treatment and ect are necessary here. Special training is given to train walking, swallowing, speaking. Affected children will also be trained to hold articles for regular activities.
Rehabilitation:
Moral and social support should be given to these children. They are new projects with expertise that special education schools that can be considered capable can specialize. Mental retarded children need special training. Tsutsu Tsutsuzuzu, Tsutsu Hakutsu Tsutsu each one is needed and it is necessary to make it one by one.
Occupational therapy:
This is given by an occupational therapist. They train people with disabilities to do the proper work so that these people can earn their own income.
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