Managing Cerebral Palsy, a lifelong disorder

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Managing Cerebral Palsy, a lifelong disorder

– the condition affects the movement centres of the brain
– cerebral palsy causes movement problems, but also a range of other difficulties (including epilepsy3seizure
– it is a spectrum condition affecting movement, and it occurs on a range from severe to less severe impairment
– management plans therefore need to outline both personal strengths & symptoms/areas of difficulty
– medications (neurotoxins such as botox) for muscle stiffness & mediating the large number of neuronal signals (which are too many in fact) to the person’s muscles
[notes: Botox: 1) it does not travel far in the body; 2) it stimulates muscles & blocks the release of acetylcholine from the neurons][used only for spastic cerebral palsy][3. Can also be used for drooling
[Baclofen – medication – is used when a large number of muscles are stiff]
[note: there is no medication for ataxic cerebral palsy characterised by physical shakiness & instability]
– muscles which are weak, stuck or twisted in abnormal positions can lead to joint dislocations, as well as muscle, tendon, or bone damage that may require corrective surgery (sometimes surgery is performed to lengthen muscles & tendons shortened due to stiffness & prolonged contraction)
– therefore management plans involve use & stretching exercises to prevent damage from disuse or abnormal positions
– regular physiotherapy should form part of a management plan for a person with cerebral palsy
– anticonvulsants for epilepsy

Source: Khan Academy @ https://www.khanacademy.org/science/health-and-medicine/mental-health/neurodevelopmental-disorders/v/managing-cerebral-palsy

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