Cerebral Palsy: Fauziah Rudhiati, M.Kep., Ns - Sp.Kep - An

Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
You are on page 1of 16

CEREBRAL PALSY

Fauziah Rudhiati, M.Kep., Ns.Sp.Kep.An


According to the
WHO cerebral palsy
(CP) is a disorder of
muscle control that
leads to difficulty in
movement,
positioning of the
body, and
performance of
motor skills
CP is typically caused by an injury or the
damage to the motor control center before,
during or shortly after birth.
• Causes before birth:
Infections
Differences between the blood of mother and
child (Rh incompatibility).
Problems of the mother, such as diabetes or
toxemia of pregnancy.
Inherited
No cause can be found in about 30% of the
children.
• Causes around the time of birth:
Lack of oxygen (air) at birth.
Birth injuries from difficult births.
Prematurity.
• Causes after birth:
Very high fever
Brain infections (meningitis, encephalitis).
Head injuries.
Lack of oxygen from drowning, gas
poisoning, or other causes.
Poisoning
Bleeding or blood clots in the
brain, often from unknown
cause.
Brain tumors.
Communication difficulties
Difficulties in taking care of the child
Feeding Problem

A baby with CP typically has abnormal


muscle tone. The muscles may be either:
• Stiff (hypertonic)
• Floppy (soft, flaccid)
Types of CP
• Spastic (50-60%)
a. diplegia
b. hemiplegia
c. quadriplegia
• Athetoid / Athetoid
(25-30%)
• Ataxic (5%)
• Mixed type (5%)
TYPES OF CEREBRAL PALSY
1. MUSCLE STIFFNESS OR
'SPASTICITY'
The child who is 'spastic' has
muscle stiffness, or 'muscle
tension'. This causes part of
his body to be rigid, or stiff.
MUSCLE STIFFNESS
OR
'SPASTICITY'
MUSCLE STIFFNESS
OR
'SPASTICITY'
Parts of the body affected

DEPENDING ON WHICH LIMBS ARE INVOLVED, THERE ARE 3 TYPICAL PATTERNS:


TYPES OF CEREBRAL PALSY
2. UNCONTROLLED MOVEMENTS
These are slow,
OR 'ATHETOSIS'
wriggly, or sudden
quick movements of
the child's feet, arms,
hands, or face
muscles.
TYPES OF CEREBRAL PALSY
3. POOR BALANCE OR 'ATAXIA'

The child who has


'ataxia', or poor
balance, has
difficulty beginning
to sit and stand.
TYPES OF CEREBRAL PALSY

4. Mixed

• Combination of any type


• Results in severe degree of physical
impairment
To reduce or overcome these problems, the
following physiotherapy, occupational therapy
and speech therapy techniques are used.
Therapy aims at:
• Relaxing muscles
• Training in movement which encourages normal
body postures
• Facilitating development of delayed milestones
• Training in activities of daily living. This involves
working closely and effectively with the child,
mother and family (Occupational therapy +
Physiotherapy)
• Developing normal muscle tone and bulk (avoid
disuse atrophy)

You might also like