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Cerebral Palsy

Cerebral Palsy . Rebecca Roy REH 277 Douglas Dunlap Fall 2009. “To be yourself in a world that is constantly trying to make you something else is the greatest accomplishment.” Ralph Waldo Emerson. Outline . What is it? Population Prevalence & Course Diagnostic Criteria

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Cerebral Palsy

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  1. Cerebral Palsy Rebecca Roy REH 277 Douglas Dunlap Fall 2009

  2. “To be yourself in a world that is constantly trying to make you something else is the greatest accomplishment.” Ralph Waldo Emerson

  3. Outline • What is it? • Population • Prevalence & Course • Diagnostic Criteria • Differential Diagnostic • Intervention • Treatment • Information and Advocacy • Works cited

  4. Nature of Disability • Group of disorders that affect a person's ability to move and to maintain balance and posture • Wide variety of signs and symptoms, ranging from mild to severe. • Cerebral palsy is classified into four broad categories: Spastic, Athetoid (or dyskinetic), Ataxic, and Mixed. • Spastic cerebral palsy affects 70 to 80 percent of patients and is characterized by stiff or permanently contracted muscles • Athetoid cerebral palsy affects 10 to 20 percent of patients and is characterized by uncontrolled, slow, writhing movements • Ataxiccerebral palsy is a rare form that affects 5 to 10 percent of patients. This form of cerebral palsy affects the sense of depth and perception and results in poor coordination and difficulty with quick or precise movements . • Mixedcerebral palsy occurs when a patient has symptoms of two or more of these forms. Many combinations are possible, but the most common mixed form is a blend of the spastic and athetoid forms . Cerebral Palsy Source

  5. Caused by injuries or abnormalities of the brain. • Most of these problems occur as the baby grows in the womb, • Can happen at any time during the first 2 years of life, while the baby's brain is still developing. (Medline)

  6. Population • The United Cerebral Palsy Associations estimate that more than 500,000 Americans have Cerebral Palsy. • In the United States,10 to 20 percent of the children acquire the disorder after birth (Cerebral Palsy Source) • The U.S. exceeds 750,000. • Currently there are more than 160,000 children with cerebral palsy • More than 10,000 new cases occur each year. (Cerebral Palsy Magazine)

  7. Prevalence & Course • Most of these problems occur as the baby grows in the womb • They can happen at any time during the first 2 years of life, while the baby's brain is still developing. • About 2-3 children per 1,000 have cerebral palsy • Severe cerebral palsy might be unable to walk and need extensive, lifelong care

  8. Prognosis • Cerebral palsy is a lifelong disorder • Does not affect expected length of life(Medline) • Many adults are able to live in the community, either independently or with different levels of help. • Severe cerebral palsy might be unable to walk and need extensive, lifelong care • Mild cerebral palsy might be only slightly awkward and require no special assistance. (NINDS)

  9. Diagnostic Criteria • Test an infant’s motor skills • Look carefully at the infant’s medical history • Check for slow development, abnormal muscle tone, and unusual posture • Medical tests MRIs, CTs, and ultrasounds to look at pictures of the infant’s brain • Reflex Test • Hand Preference Test (4mychild)

  10. Differential Diagnosis • Linked to a variety of infectious diseases • Congenital abnormalities • Strokes • Severe jaundice • Common in newborns, severe cases of untreated jaundice can harm the brain permanently and may result in cerebral palsy. Mayo Clinic

  11. Intervention • Cerebral palsy can’t be cured • Treatment will often improve a child's capabilities.   • Treatment may include • Physical and occupational therapy • Speech therapy • Drugs to control seizures • Relax muscle spasms • Alleviate pain • Surgery to correct anatomical abnormalities or release tight muscles; • braces and other orthotic devices; wheelchairs and rolling walkers; and communication aids such as computers with attached voice synthesizers.  NINDS

  12. Professional Associations • National Institute of Neurological Disorders and Stroke • http://www.ninds.nih.gov/disorders/cerebral_palsy/cerebral_palsy.htm • Cerebral Palsy Source • http://www.cerebralpalsysource.com/About_CP/index.html • United Cerebral Palsy • http://www.ucp.org/

  13. Consumer & Family Associations • 4MyChild Help and Hope for Life • http://www.cerebralpalsy.org/what-is-cerebral-palsy/diagnosis/ • 1-800-4MyChild (1-800-469-2445) • Cerebral Palsy Family Support Network • http://www.cpfsn.org/

  14. Professional Journals • Cerebral Palsy Magazine • Developmental Medicine and Child Neurology • American Journal Of Epidemiology

  15. Works Cited • Brody , J. (2005). Cerebral palsy source . Retrieved from http://www.cerebralpalsysource.com/About_CP/index.html • Hoch, D. (2009, September 16). Cerebral palsy . Retrieved from http://www.nlm.nih.gov/medlineplus/ency/article/000716.htm • Koscielny, I. (2009, September). Cerebral palsy magazine. Retrieved from http://www.cerebralpalsymagazine.com/ • (2009, November 14). Cerebral palsy . Retrieved from http://www.mayoclinic.com/health/cerebral-palsy/DS00302 • (2009, October 30). Ninds cerebral palsy information page. Retrieved from http://www.ninds.nih.gov/disorders/cerebral_palsy/cerebral_palsy.htm#What_is_the_prognosis • (2009, November 1). 4mychild help and hope for life. Retrieved from http://www.cerebralpalsy.org/what-is-cerebral-palsy/

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