Spastic Cerebral Palsy Treatment

Spastic cerebral palsy is the commonest variety of Cerebral Palsy. More than 70% of children with CP are affected by Spastic Cerebral Palsy. This problem occurs due to damage of cerebral cortex in the brain. Spastic Cerebral Palsy is defined as the condition, where the muscle in the body is stiff and lack of flexibility. Spasticity means increase tone in muscle & hypertonia. it inhibits coordinated movement in the body. when joint move, one side of muscle opposes function of other side muscle due to lack of coordination & spasticity. This condition will not be completely cured in patient’s lifetime but there can be a progressive improvement in functional capability by cerebral palsy therapy treatment. Children suffering from Spastic CP face difficulties in simple day to day tasks.

Spastic Cerebral Palsy Types

Spastic cerebral palsy can affect from one extremity to all four extremities and eventually in some cases the whole body. the severity of the problem can range from a minor problem in gait to sever disability. First is Spastic Monoplegia, It is a form of paralysis where only one extremity of the body is affected. Second is Spastic Hemiplegia, where one side of the body is affected. in this variety, one side upper & lower limb is affected. The severity of upper or lower extremity is varied. Third is Spastic Diplegia Cerebral Palsy, It primarily affects the lower part of the body including both legs. the upper limb will have an only functional problem. The fourth is Spastic Quadriplegia, it is severe condition of Spastic Cerebral Children. In this case, both arms and legs are affected. The patient can not stand, walk and sit properly without taking any help from someone else. the fifth one is triplegia in which both lower limb and one upper limb is affected. this classification is only defined a number of extremities involved. severity and extent of disability are based on extent & site of lesion in the brain.

Spastic Cerebral Palsy Diagnosis

Diagnosis of cerebral palsy is based on clinical assessment & history. diagnosis can be made earliest at the age of 3-6 month if not showing normal development milestone. history of high-risk factor like premature delivery < 32 weeks of pregnancy, Low birth weight <1.5kg, history of maternal infection, hypothyroidism, intake of toxic drugs, history of asphyxia, sever jaundice, encephalitis etc increase the chances of a child affected with cerebral palsy. history of abnormal response during birth, lack of social smile, no use of any extremity, the abnormal tone of the body, stiffness, palsy .dribbling of saliva, difficulty in sucking & swallowing, delayed milestone, history of convulsion, speech problem, and other associated medical problem etc helps in making a diagnosis of palsy.Investigation like MRI, CT scans and ECG are required to supplement the clinical diagnosis, to see extent of lesion, severity of problem and to rule out other possible cause of delayed milestone .




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