Query Form

cerebral palsy

Cerebral palsy physiotherapy is defined as nonprogressive motor disorder of cerebral origin. Cerebral palsy includes group of clinical syndromes of variable severity ranging from minor motor disability to complete handicap.

Most of the cases have multiple neurological defecits.

Associated features

Eyes

Squint, cataracts, perceptual and refractive errors may be present.

Ears

Partial or complete loss of hearing

Speech

Aphasia, Dysarthria and misarticulation may be present.

Sensory defecit

Seizures

May have generalized or focal tonic seizures

Causes of cerebral palsy physiotherapy

Prenatal

Medical disease or infections to the mother during pregnancy like

  • Anemia
  • Uterine infections
  • Thyroid
  • Severe cardiac illness in mother
  • Uncontrolled diabetes mellitus in mother during pregnancy
  • Placental dysfunction
  • Fetal hypoxia and fetal distress
  • Increase or decrease amniotic fluid during pregnancy.
  • Multiple pregnancy
  • Complications of pregnancy eg placenta previa.
  • Congenital malformations
  • Breech presentation of baby

Antenatal

  • Complications occurring at the time of birth.
  • Severe blood loss during delivery
  • Prolonged labour
  • Forceps delivery
  • Vaccum delivery
  • Late baby cry after birth

Postnatal

  • Head injury
  • Jaundice
  • Severe infections occurring to baby after birth

PHYSICAL EXPECTATIONS FROM CHILD

 AT 1YR

 Physical and movement development

  • Stands alone
  • Walks with one hand held or walks independently

AT 2YR

 Physical and movement development

  • Stand on tiptoe
  • SKicks a ball
  • Begins to run
  • Climbs onto and down from furniture without help
  • Walks up and down the stairs holding bar

AT 3YR

 physical and movement development

child is able to

  • run
  • jump
  • climb stairs independently
  • plays small outdoor sports

 AT 5YR

 Physical development

  • Stands on one foot for 10 seconds or longer
  •  Hops; may be able to skip
  • Can do a somersault
  • Uses a fork and spoon and sometimes a table knife
  • Can use the toilet on her own
  • Swings and climbs