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Cerebral Palsy = Brain Paralysis

Cerebral Palsy = Brain Paralysis. Definition Prevalence Etiology Classifications Clinical Presentation Treatments Substantially Disabling. COMPLICATIONS OF NEURODEVELOPMENTAL DISORDERS. Cognitive Dysfunction. Motor Dysfunction. Seizures. Behavior Dysfunction.

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Cerebral Palsy = Brain Paralysis

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  1. Cerebral Palsy = Brain Paralysis • Definition • Prevalence • Etiology • Classifications • Clinical Presentation • Treatments • Substantially Disabling

  2. COMPLICATIONS OF NEURODEVELOPMENTAL DISORDERS Cognitive Dysfunction Motor Dysfunction Seizures Behavior Dysfunction

  3. Cerebral Palsy: Definition • Cerebral palsy is a static encephalopathy • Encephalopathy = Brain Injury that is non-progressive disorder of posture and movement • Variable etiologies • Often associated with epilepsy, speech problems, vision compromise, & cognitive dysfunction

  4. Cerebral Palsy: Prevalence • 2-4/1000; 7-10,000 new babies each yr • 150 years ago described by Dr. Little an orthopedic surgeon and known as Little’s Disease • During past 3 decades considerable advances made in obstetric & neonatal care, but unfortunately there has been virtually no change in incident of CP

  5. Cerebral Palsy: Classification • Various classifications of Cerebral Palsy • Physiologic • Topographic • Etiologic

  6. Cerebral Palsy: Physiologic • Athetoid • Ataxic • Rigid-Spastic • Atonic • Mixed

  7. Cerebral Palsy: Topographic • Monoplegic • Paraplegic • Hemiplegic • Triplegic • Quadraplegic • Diplegic

  8. Cerebral Palsy: Etiologic • Prenatal (70%)Infection, anoxia, toxic, vascular, Rh disease, genetic, congenital malformation of brain • Natal (5-10%)Anoxia, traumatic delivery, metabolic • Post natalTrauma, infection, toxic

  9. Cerebral Palsy: Clinical Presentation • Remember that motor developmental progression is from….Head to Toe

  10. Spasticity Weakness Increase reflexes Clonus Seizures Articulation & Swallowing difficulty Visual compromise Deformation Hip dislocation Kyphoscoliosis Constipation Urinary tract infection Cerebral Palsy: Complications

  11. Cerebral Palsy: Management • Neurologic and Physiatric • OT and PT • Speech • Adaptive equipment • Surgical • Rhizotomy, Baclofen pumps, Botoxin

  12. What is substantially disabling Cerebral Palsy? Mobility Communication Learning Self Care Self Direction Independent Living Economic Sufficiency Cerebral Palsy

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