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A Look into Cerebral Palsy…

A Look into Cerebral Palsy…. What is Cerebral Palsy (CP)?. CP is a disorder of movement and posture. It is caused by a brain injury that may have occurred before, during or shortly after birth. The injury affects the brain’s ability to control the muscles of the body in their natural state.

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A Look into Cerebral Palsy…

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  1. A Look into Cerebral Palsy…

  2. What is Cerebral Palsy (CP)? • CP is a disorder of movement and posture. • It is caused by a brain injury that may have occurred before, during or shortly after birth. • The injury affects the brain’s ability to control the muscles of the body in their natural state. • There are 4 MAIN classifications of CP: Spastic, Athetoid, Ataxic, and Mixed.

  3. Spastic CP • #1 most commonly diagnosed type • Stiffness or tenseness of the muscles • Inaccurate voluntary movements • Difficulties in walking and getting around in a daily routine

  4. Athetoid CP • 2nd most commonly diagnosed type • Floppiness or lack of muscle tone • “Normal” intelligence, merely physical • Trouble walking, sitting, speaking, facial expressions, drooling

  5. Ataxic CP • Least commonly diagnosed type • Abrupt, involuntary movements • Poor balance • Poor coordination • Trouble with fine motor skills • Tying shoes, buttoning clothes, cutting with scissors • May develop a “tremor”

  6. Mixed CP • Mixed CP occurs when 2 or more of the categories are combined. • Mixed CP is quite common. • When a doctor is not able to place a child into one distinct category- the doctor will “label” the child as Mixed.

  7. What Causes CP? • 80 – 90% of diagnosed cases of CP occur BEFORE or DURING birth. • Reasons: neonatal infections, maternal infections, low oxygen levels during birth, stroke due to low blood flow, head trauma during birth, Rh incompatibilities, low birth weight, premature birth • 10 – 20% of diagnosed cases of CP result from brain injuries AFTER birth. • Reasons: meningitis, jaundice, head injury (hard falls and motor vehicle accidents), child abuse…

  8. CP & Education • CP is OFTEN, but not always, accompanied by additional disabilities- due to the injury being within the brain. • Those who have CP may also have hearing impairments, visual impairments, speech and language problems, emotional or behavioral disorders, etc.

  9. What Are the Options? IEP- Individualized Education Plan 504 Plan • IEP- • Federally funded plan • Student must exhibit impairments that effect the ability to learn in school • Developed to meet the individual academic AND physical needs • 504 Plan- • Not federally funded • Only provides physical accommodations • Does not entitle student to continuous assessments

  10. Possible Services… (IEP) • After the student, who has CP, has been carefully assessed- the student may qualify for the following services: • Physiotherapy (gross motor); PT • Occupational Therapy (fine motor); OT • Speech and Language services • Adaptive PE instruction

  11. What is Physiotherapy? • Nonmedical treatment for CP • Uses exercise, massage, heat, and other external means of treatment • Aids in developing gross motor skills • Walking, sitting, wheelchair use, getting around comfortably with little to no assistance • Improves balance and movement

  12. Which Setting is Appropriate? General Education Classroom Special Education Classroom • Larger class size • Inclusion • General Ed. Curriculum • Less individualized program • More structured and routine • Smaller class size • With other students who require special services • Individualized curriculum • Allows time for integrated and “pull-out” services • PT • OT • Speech and Language

  13. No two cases of Cerebral Palsy are the same… • 1 in every 278 births results in CP • More than 500, 000 Americans are living among us with CP. • The lifetime cost of a person with CP is well over one million dollars.

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