Cerebral Palsy

Pathophysiology

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Medication

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Interventions

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Pertinent Assessment Findings

Look closely at the child’s motor skills, muscle tone, reflexes, brain imaging scan, bloodwork and posture, and take a careful medical history from the parents.
The presence of abnormal muscle tone or movements may indicate CP, as may the persistence of infantile reflexes.

Patient Education

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The most common types of muscle relaxers prescribed to children with cerebral palsy include:

• Baclofen

• Dantrolene

• Tizanidine

• Flexeril

• Diazepam

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Botox injections: Botulinum toxins are injected directly into affected the muscles or nerves.

OnabotulinumtoxinA

Muscle relaxants: Oral drugs to relax stiff and contracted muscles.

Diazepam . Dantrolene . Baclofen

Cerebral palsy is defined as a group of permanent disorders of the development of movement and posture, causing activity limitation, that are attributed to nonprogressive disturbances that occurred in the developing fetal or infant brain. The motor disorders of cerebral palsy often are accompanied by disturbances of sensation, perception, cognition.

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• Assess the type of auditory, visual, motor, or intellectual deficit. This will help by knowing the type of deficit will aid in planning interventions appropriate for the child.
• Do a developmental assessment and note the development of milestones (such as stand with help, or walk when led). A client with cerebral palsy usually has delayed developmental milestones. If one skill is attained, interventions are changed in order to achieve the succeeding one.
• Facilitate activities in using fine and gross motor skills (such as giving a ball on hand to encourage throwing, holding a spoon). Most of the activities of daily living and play exercises hasten physical development.
• Allow the child to perform activities or care routines at his or her own pace. A child may have difficulty completing tasks in time compared to normal children.
• Encourage the child to rest between activities that are tiring. Given the limitations of the child’s ability, rest periods are given to maintain energy.

Special education for cerebral palsy patients promotes individuals to achieve a substantial degree of independence
Encourage the child’s efforts to work independently.
Discuss any apprehensions regarding your child’s health with your doctor