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Cerebral Palsy with Spastic Diplegia

Cereb Pals+spas Dipleg


Presentation

  • In the past three years he has made presentations on the application of HBOT to autism and chronic neurological conditions to the U.S.[hbot.com]
  • CASE REPORT 0The present case is presented to show the effect of physical therapy on severely affected child using GMFCS as measurement scale pre- and post-therapy. The patient was a 9-year-old boy with spastic diplegia functioning at GMFCS Level V.[ijcpjournal.org]
  • […] been associated with genetic abnormalities; congenital brain malformations; maternal infections or fevers; and/or injury before, during or shortly after birth. [1] [3] [4] There is no cure, and treatment options vary depending on the signs and symptoms present[rarediseases.info.nih.gov]
  • The feet and ankles present more problems than the knees due to a short tight Achilles tendon, which can lead to toe walking. There is risk that the hips may become dislocated and for this reason, the child’s hips must be closely monitored.[originsofcerebralpalsy.com]
  • Certain medical conditions and factors may increase the risk of a child having cerebral palsy and spastic diplegia: Maternal infection or high fever during pregnancy; Complicated labor and delivery; Breech presentation; Rh (blood type) incompatibility[birthinjurysafety.org]
Hunting
  • Looking for such people is like hunting for unicorns. All that said, this comment thread features several older people with CP chiming in. I also found a few scattered forum posts from people in their 60s and 70s living with CP.[health.stackexchange.com]
Scissoring Gait
  • Other signs and symptoms may include delayed motor or movement milestones (i.e. rolling over, sitting, standing); walking on toes; and a "scissored" gait (style of walking). [1] [2] As with other types of cerebral palsy, spastic diplegia is usually caused[rarediseases.info.nih.gov]
  • People with spastic diplegia often walk with a “scissor gait” caused by tight muscles in the hips and legs. The muscles become so tight the legs want to turn inward and sometimes cross over each other at the knees.[cerebral-palsy-information.com]
  • They may walk on their toes, or walk with a scissored gait. Fortunately, although symptoms may change as the child grows older, spastic diplegia does not worsen over time.[birthinjurysafety.org]
  • Standing chair can be used.For scissors gait, You should use physio ball to reduce that position. 29-07-2008 11:49 AM #6 Forum Member Array Re: Cerebral Palsy - spastic diplegia...help!!![physiobob.com]
  • There are a host of ways that specialists use to correct the “scissor gait” of patients diagnosed with Spastic Diplegia.[medicalook.com]
Muscle Spasticity
  • Cerebral palsy surgery is also a suggested option for muscle spasticity control Advanced technologies help individually for their mobility for example wheelchair.[trishlafoundation.com]
  • Bohannon RW, Smith MB (1987) Inter-rater reliability of a Modified Ashworth Scale of muscle spasticity. PhysTher 2: 206-208.[omicsonline.org]
  • The motor disorder may range from difficulties with fine motor control to severe spasticity (see MUSCLE SPASTICITY) in all limbs.[fpnotebook.com]
  • ) Spasticity in the muscles of one or both legs may affect a person’s ability to Stand upright Sit upright Transfer from one position to another Move and reposition in bed Walk and run Effect on speech Spasticity can also be present in smaller muscles[cerebralpalsy.org.au]
  • .,- to determine the inter rater reliability of manual tests of elbow flexor muscle spasticity graded on a Modified Ashworth Scale was significant and the reliability was good and believe them to be positive enough to encourage further trials of the Modified[ukessays.com]
Acute Low Back Pain
  • ., [2003]-Conducted a study on effects of MET in patients with acute low back pain. The results showed that MET was effective in decreasing disability and improving function in patients with acute low back pain.[ukessays.com]
Chest Deformity
  • His body was completely stiff with marked asymmetrical spasticity in lower limbs, truncal dystonia, and chest deformity with cardio respiratory complications.[ijcpjournal.org]
Clonus
  • During testing we observed clonus only in gastrocnemius and soleus muscles.[omicsonline.org]
  • Signs & symptoms (spastic) Hypertonia Exaggerated reflexes & ve barbinskis Clonus Poor voluntary movement Scissoring gait Low intelligence & loss ofmemory Epilepsy Synergistic pattern Contracture, deformity& wasting Adduction & IR ofshoulder[slideshare.net]
Hyperreflexia
  • Classification Physiologic Classification Spastic (most common) Velocity-dependent increased muscle tone and hyperreflexia with slow, restricted movement due to simultaneous contraction of agonist and antagonist muscles.[orthobullets.com]
Abnormal Gait
  • Common patterns can be seen in people with Cerebral Palsy and movement-limiting symptoms can include: Contractures, or joints will not extend fully Movements can be exaggerated Abnormal reflexes Abnormal gait Crossed knees Walking on tiptoes Quick links[cerebralpalsy.org.uk]
Limb Weakness
  • A child with athetoid CP has low muscle tone/looseness, which makes limbs weak and floppy. Athetoid CP causes uncontrolled and involuntary movements of the entire body.[orthoinfo.aaos.org]

Treatment

  • Options for Cerebral Palsy Treatment Spastic diplegia cerebral palsy does not have any complete cure but the management in the condition of spastic CP is possible after some common treatments in patients.[trishlafoundation.com]
  • Experienced treatment teams for individuals with spastic diplegia CP can help determine the treatments which are best suited for them.[cerebralpalsylawdoctor.com]
  • Two approaches used for the treatment of children with physical disabilities are advanced physiotherapy treatment called Neuro developmental therapy (NDT) and muscle energy technique (MET).[ukessays.com]
  • Group A: Myofascial release and conventional PT treatment. Group B: conventional PT treatment. Both the groups received training for 4 weeks.[omicsonline.org]
  • There is no cure for cerebral palsy, but treatment can improve the lives of those who have it. Treatment includes medicines, braces, and physical, occupational and speech therapy.[icdlist.com]

Prognosis

  • With early intervention and proper treatment, the prognosis for children with spastic diplegia is favorable.[cerebralpalsyguidance.com]
  • Homeopathy Prognosis These children should be diagnosed early and treated as babies on neurological lines. The result of early treatment can be surprising.[icddelhi.org]
  • Diplegic Cerebral Palsy Prognosis Per the U.S. National Library of Medicine (NCBI), prognosis is favorable for children with diplegic CP. As previously mentioned, diplegic CP is the least invasive type of CP, affecting mainly the legs.[birthinjuryguide.org]
  • Guide to Physical Therapist Practice in Neuromuscular practice pattern 5C: Impaired Motor Function and Sensory Integrity Associated with Nonprogressive Disorders of the Central Nervous System-Congenital Origin or Acquired in Infancy or Childhood. 16 Prognosis[pediastaff.com]
  • Prognosis CP is not a progressive but the symptomscan become more severe over time Prognosis depends on intensity oftherapy during early childhood Tend to develop arthritis at a youngerage than normal because of pressureplaced on joints by excessively[slideshare.net]

Etiology

  • Traditionally prenatal etiology, prematurity, total growth retardation, perinatal asphyxia and other perinatal causes like trauma have all been implicated as risk factors for cerebral palsy. (National collaborative perinatal project NCPP data).[ukessays.com]
  • Several other classification systems exist based on the pathophysiology, etiology, and distribution of motor deficits [ 5 ].[omicsonline.org]

Epidemiology

  • Cerebral palsy: classification and epidemiology. Physical Medicine and Rehabilitation Clinics of North America, 20(3), 425-452. doi: 10.1016/j.pmr.2009.06.001 See abstract Paneth, N. (2008). Establishing the diagnosis of cerebral palsy.[cerebralpalsy.org.au]
  • The epidemiology of cerebral palsy: incidence, impairments and risk factors. Disabil Rehabil. 28(4): 183-91. Review. Pandyan AD, Gregoric M, et al. 2005. Spasticity: clinical perceptions, neurological realities and meaningful measurement.[theratogs.com]
  • Epidemiology The incidence of CP is about 2 per 1000 livebirths The incidence is higher in males than infemales Other associated problems include Mental disadvantage (IQ 50): 31% Active seizures: 21% Mental disadvantage (IQ 50) and not walking:20%[slideshare.net]
Sex distribution
Age distribution

Pathophysiology

  • Several other classification systems exist based on the pathophysiology, etiology, and distribution of motor deficits [ 5 ].[omicsonline.org]

Prevention

  • The CP prevention research was unveiled at the prestigious American Academy of Cerebral Palsy and Developmental Medicine Conference held in Orlando, Florida.[cpaustralia.com.au]
  • Minimizing the numbers of surgeries a child experiences is essential because it might prevent them from seeing themselves as being, 'sick.'[disabled-world.com]
  • The increased extensor spasm prevents the child from rolling over and the absence of body-righting reflexes prevents him from developing a reciprocal flexion and extension of the hips and knees to rollover smoothly.[icddelhi.org]
  • , and joint receptors. [11] Severe consequences in a cerebral palsy child can be prevented with early diagnosis and comprehensive physiotherapy intervention.[ijcpjournal.org]
  • B about fall prevention strategies and functional training, as well as environmental modifications. Note: The above-referenced clinical review is freely accessible to all readers of the EBSCO Health Rehabilitation Reference Center Newsletter.[health.ebsco.com]

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