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She is Ela. 7 Years old . She can’t move her arms , legs . She can’t eat without getting help . She has difficulty moving her head . WHY ?. CEREBRAL PALSY. Seher Yıldırım 1866458 GPC METU NCC. Cerebral Palsy = Bra I n Paralys I s. Definition Prevalence Etiology
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She is Ela. 7 Yearsold. • Shecan’tmove her arms, legs. • Shecan’teatwithoutgettinghelp. • She has difficultymoving her head. • WHY?
CEREBRAL PALSY Seher Yıldırım 1866458 GPC METU NCC
Cerebral Palsy = BraIn ParalysIs • Definition • Prevalence • Etiology • Classifications • Clinical Presentation • Treatments • Substantially Disabling
COMPLICATIONS OF NEURODEVELOPMENTAL DISORDERS Cognitive Dysfunction Motor Dysfunction Behavior Dysfunction Seizures
CEREBRAL PALSY: dEFINITION • CerebralPalsy is a staticencephalopathy(Brain Injury) • Cerebral: Brain andPalsy:disorder of movementorposture • It is nonprogressive • Therearevariousetiologiesthatcausesthe CP • Often associated with epilepsy, speech problems, vision compromise, & cognitive dysfunction • Can occurbefore, at orsoonafterbirth.
Cerebralpalsy: Prevalence • %10 of the world's population Cerebral Palsy (stroke) patient. • The number of people with this disease in Turkeyabout 8 million. • 7-10,000 newbabieseachyear • 150 yearsago it wasdescribedby Dr. Little • During past 3 decades considerable advances made in obstetric & neonatal care, but unfortunately there has been virtually no change in incident of CP
CEREBRAL PALSY: CLASSIFICATION • Therearevariousclassifications of CP -Physiologic -Topographic -Etiologic
CEREBRAL PALSY: PHYSIOLOGIC • 3 Main Types of CerebralPalsy • Spastic *Stiffanddifficultmovement *Mostcommonttype of CP • Atheoid *Involuntaryanduncontrolledmovement *Second mostcommon • Ataxic *Disturbed sense of balanceanddepthperception *Effectedpart of brain: Cerebellum
Cerebralpalsy: Topographıc • Armandleg on oneside: Hemiplegic • BothLegOnly: ParaplegicorDiplegic • Botharmandbothleg: Quadriplegic
ETIOLOGIC AND CAUSES • Prenatal (70%)Infection, anoxia, toxic, vascular, Rh disease, genetic, congenital malformation of brain • Natal (5-10%)Anoxia, traumatic delivery, metabolic • Post natalTrauma, infection, toxic • Oftenoccursduetobraindamagefromlack of oxygenbeforeorduringbirth
Cerebralpalsy: sıgns • Depending on whichareas in thebrainhavebeendamaged, someonewith CerebralPalsymayexperience *Muscletightnessorspasm *Involuntarymovement *Abnormalsensationandperception *Seizures (suddenandabnormalactivity in thebrain: Epilepsy)
Treatment: Benefıt AND RISK of exercıse • Benefit: Slowstreching, warmexternaltemparature andgoodpositioning can helpdecreasethedynamic conditionfoundthespasticity form of CP • Risk: quickmovements, coldexternaltemparatureandemotionalstress can increase a spasticdynamiccondition • Increasedeffortandemotionalstress can increasetheinvoluntaryanduncontrolledmovements. • Useadaptiveequipment.
SPECIAL EDUCATION • Depending on the type of cerebral palsy and the degree of its severity, the current trend is to “mainstream” the child, or place the disabled child into regular classes with non-disabled children. Social-emotionaldevelopment. • Make certain that properly trained staff are available to meet the needs of your child and to manage interactions with other children. • Thedegree of severtiythey can be seperatedfromotherswhoaren’twith CP • Forchildrenwith CP, thefirstspecialschool in Turkey is SEMA. • Itwasopened in 2006. • Teachers, doctors, physiotherapists, social workers, psychologists, nurse partners should worktogetherforeffectivetreatmentandeducation.
REFERENCES • http://www.engelliler.biz/forum/archive/index.php/t-403.html • http://cerebralpalsy-educationandsociety.com/03-education.html • www.about-cerebralpalsy.org • ACSM (2010). Guidelinesforexercisetestingandprescription. Baltimore, MD: Lippincott, Williams & Wilkins.