Cerebral Palsy

60 %
40 %
Information about Cerebral Palsy

Published on September 26, 2007

Author: joelogs

Source: slideshare.net

CEREBRAL PALSY Presentation prepared by: Jawen Caguioa EDSP 202

Historical Background WILLIAM LITTLE 19 TH CENTURY Senior physician at the London Hospital Founder of the Royal Orthopedic Hospital 1853 1862 (Obstetrical Society of London) Paper entitled “The Influence of Abnormal Parturition, Difficult Labor, Premature Birth and Asphyxia in Relation to Deformities”

WILLIAM LITTLE

19 TH CENTURY

Senior physician at the London Hospital

Founder of the Royal Orthopedic Hospital

1853

1862 (Obstetrical Society of London)

Paper entitled “The Influence of Abnormal Parturition, Difficult Labor, Premature Birth and Asphyxia in Relation to Deformities”

Little’s Disease Approx 200 cases studied Outline of characteristics and traits Causes Fundamental approach to treatment and mgt

Approx 200 cases studied

Outline of characteristics and traits

Causes

Fundamental approach to treatment and mgt

In the US in Early 1940’s : Cerebral Palsy

Cerebral Palsy

Definition (history of) PERLSTEIN (1949) CP is a condition characterized by paralysis, weakness, incoordination or any other aberration of motor function due to pathology of the motor centers of the brain. DENHOFF (1951) CP is a condition in which interferences with the control of the motor system arise as a result of lesions occurring from birth trauma.

PERLSTEIN (1949)

CP is a condition characterized by paralysis, weakness, incoordination or any other aberration of motor function due to pathology of the motor centers of the brain.

DENHOFF (1951)

CP is a condition in which interferences with the control of the motor system arise as a result of lesions occurring from birth trauma.

SWARTZ (1951) CP is an aggregate of handicaps: emotional, neuromuscular, sensory caused by damage or absent brain structures. CROTHERS and PAINE (1959) A term which covers individuals who are handicapped by motor disorders which are due to non-progressive abnormalities of the brain.

SWARTZ (1951)

CP is an aggregate of handicaps: emotional, neuromuscular, sensory caused by damage or absent brain structures.

CROTHERS and PAINE (1959)

A term which covers individuals who are handicapped by motor disorders which are due to non-progressive abnormalities of the brain.

CEREBRAL PALSY A disorder in the movement and posture caused by an injury to the immature brain. Movement Posture Immature brain

A disorder in the movement and posture caused by an injury to the immature brain.

Movement

Posture

Immature brain

 

Causes/Etiology Prenatal causes (before birth) Maternal characteristics Perinatal causes (at the time of birth to 1mo) Postnatal causes (in the first 5 mos of life)

Prenatal causes (before birth)

Maternal characteristics

Perinatal causes (at the time of birth to 1mo)

Postnatal causes (in the first 5 mos of life)

Prenatal causes Hemorrhage/bleeding Infections Environmental factors

Hemorrhage/bleeding

Infections

Environmental factors

Maternal Characteristics Age Difficulty in conceiving or holding a baby to term Multiple births History of fetal deaths/miscarriages Cigarette smoking >30 sticks per day Maternal alcoholism and drug addiction Social status; mother with MR Mother’s medical condition

Age

Difficulty in conceiving or holding a baby to term

Multiple births

History of fetal deaths/miscarriages

Cigarette smoking >30 sticks per day

Maternal alcoholism and drug addiction

Social status; mother with MR

Mother’s medical condition

Perinatal Causes High or low BP Umbilical cord coil Breech delivery Oversedation of drugs Trauma i.e. forceps or vacuum delivery *** complications of birth

High or low BP

Umbilical cord coil

Breech delivery

Oversedation of drugs

Trauma i.e. forceps or vacuum delivery

*** complications of birth

Postnatal Causes Trauma, head injury Infections Lack of oxygen Stroke in the young Tumor, cyst

Trauma, head injury

Infections

Lack of oxygen

Stroke in the young

Tumor, cyst

Types of CP ** CP depends on the 1. extent of the brain damage 2. which part of the brain is damaged

** CP depends on the

1. extent of the brain damage

2. which part of the brain is damaged

Types of CP Spastic CP stiffness Flaccid SP floppy Athetoid CP Fluctuating tone Ataxic CP Unsteady; incoordinated Mixed CP Most common is spastic athetoid

Spastic CP

stiffness

Flaccid SP

floppy

Athetoid CP

Fluctuating tone

Ataxic CP

Unsteady; incoordinated

Mixed CP

Most common is spastic athetoid

Classification of CP Topographical Classification (based on the location of the motor disability) 1. quadriplegia 2. diplegia 3. paraplegia 4. triplegia 5. hemiplegia 6. hemiplegia 7. monoplegia 8. double hemiplegia

Topographical Classification (based on the location of the motor disability)

1. quadriplegia

2. diplegia

3. paraplegia

4. triplegia

5. hemiplegia

6. hemiplegia

7. monoplegia

8. double hemiplegia

Perlstein 1949, 1952 Degree of Severity 1. Mild CP 2. Moderate CP 3. Severe CP

Degree of Severity

1. Mild CP

2. Moderate CP

3. Severe CP

5 CLINICAL SIGNS OF CP 1. Abnormal tone 2. abnormal posture 3. presence of primitive reflexes 4. delays in motor skills 5. difficulty in executing movement

1. Abnormal tone

2. abnormal posture

3. presence of primitive reflexes

4. delays in motor skills

5. difficulty in executing movement

Associated Clinical Conditions Mental retardation Seizures HI, VI Sensory integration problems Feeding problems Behavioral/emotional difficulties

Mental retardation

Seizures

HI, VI

Sensory integration problems

Feeding problems

Behavioral/emotional difficulties

Diagnostic Procedures MRI CT Scan EEG Laboratory and radiologic work up Physical evaluation Interview Assessment tools i.e. Peabody Development Motor Skills, Bruininx

MRI

CT Scan

EEG

Laboratory and radiologic work up

Physical evaluation

Interview

Assessment tools i.e. Peabody Development Motor Skills, Bruininx

Treatment strategies and interventions Physical, occupational, speech therapy Special education Feeding management Orthosis Surgery Pharmacologic i.e botox injection, anti spasticity drugs Family and patient counseling program Vocational and functional training program Others: acupuncture, hyperbaric thx, thera suit

Physical, occupational, speech therapy

Special education

Feeding management

Orthosis

Surgery

Pharmacologic i.e botox injection, anti spasticity drugs

Family and patient counseling program

Vocational and functional training program

Others: acupuncture, hyperbaric thx, thera suit

prognosis

“ A disabled child has the right to enjoy a full and decent life, in conditions which ensure dignity, promote self-reliance and facilitate the child’s active participation in the community.” - UN Convention on the Rights of the Child. 1989.

“ A disabled child has the right to enjoy a full and decent life, in conditions which ensure dignity, promote self-reliance and facilitate the child’s active participation in the community.”

- UN Convention on the Rights of

the Child. 1989.

Add a comment

Related presentations

Related pages

Cerebral palsy - Wikipedia

Cerebral palsy is due to abnormal development or damage occurring to the developing brain. This damage can occur during pregnancy, delivery, the first ...
Read more

Infantile Zerebralparese – Wikipedia

Freeman Miller, Steven J. Bachrach: Cerebral Palsy. A Complete Guide for Caregiving. 2. Auflage. Johns Hopkins University Press, Baltimore MD 2006, ...
Read more

dict.cc | cerebral palsy | Wörterbuch Englisch-Deutsch

Übersetzung für cerebral palsy im Englisch-Deutsch-Wörterbuch dict.cc.
Read more

Definition of Cerebral Palsy - What is CP? | CerebralPalsy.org

Whether you suspect your child has cerebral palsy, or your child was recently diagnosed you may want to know the definition of cerebral palsy.
Read more

What is cerebral palsy? | Cerebral Palsy Alliance

Cerebral palsy (CP) is an umbrella term that refers to a group of disorders affecting a person’s ability to move. It is a permanent life-long condition ...
Read more

CerebralPalsy.org | Help, Resources for Children with CP

CerebralPalsy.org is your ultimate resource for everything Cerebral Palsy. Contact us today for assistance and help for your child living with CP!
Read more

Facts | Cerebral Palsy | NCBDDD | CDC

Types of Cerebral Palsy. Doctors classify CP according to the main type of movement disorder involved. Depending on which areas of the brain are affected ...
Read more

Cerebral Palsy: MedlinePlus

Cerebral palsy, CP happens when areas of the brain that control movement and posture do not develop correctly or get damaged. Treatment can improve.
Read more

Cerebral Palsy Information Page: National Institute of ...

Cerebral palsy information page compiled by the National Institute of Neurological Disorders and Stroke (NINDS).
Read more

Cerebral Palsy - Causes, Symptoms, Treatment, Diagnosis ...

Cerebral palsy is a name given to a group of different nervous system disorders that are present at birth or appear in the first 3 years of life. What ...
Read more