CEREBRAL PALSY
What is Cerebral Palsy?
• Causes: An Ischemic stroke (a blood clot of a blood vessel in the brain) in the fetus/infant is believed to be the main cause of CP because of the damage it can cause on the brain. This type of stroke can occur in the child during pregnancy or soon after birth. Wide range in severity
• Effects muscle movements
• Voluntary movements: becomes difficult starting and stopping
• Muscles become stiff and rigid
• Involuntary movements
• It does not progressively get worse.
• https://www.youtube.com/watch?v=Rsk3VQ-gr34
Types of Cerebral Palsy
• Where the stroke in the brain occurs determines what areas of the body are affected.
o Hemiplegia: left or right appendages are affected.
o Diplegia: upper or lower appendages are affected.
o Quadriplegia: all four appendages are affected.
• Spacitiy—(86% affected) stiff and tight muscles that make general voluntary muscle movement difficult. (Eating, talking, walking, etc) Degrees of severity vary.
• Dysikonetic or dyskinesia: (6% effected) is to involuntary movements of different parts of the body and is more noticeable when individuals are excited, agitated or tired.
o Dystonia: twisting and/or repetitive movements of part(s) of the body.
o Athetosis: slow, continuous, involuntary movements that are present at rest and get worse when moving voluntarily.
• Ataxia: (5%) ataxia means without order or incoordination. Interruption of muscle control causing unsmooth movements that can look clumsy, causing lack of balance and coordination
Statistics
• Most common motor disability in childhood
• 1:323 children has cerebral palsy (America)
• More common in boys than girls
• 1.7 times more common in black than white children; white and Hispanic numbers are the same.
• 58% are able to walk on their own
• Those with CP have an increased chance of having another disability (60%)
o Intellectual disability: 40%+
o Epilepsy: 35%
o Vision Impairment: 15%
o Autism Spectrum Disorder: increased risk, depends on the severity of CP.
• Almost a quarter of children with CP also have both epilepsy and an intellectual disability.
Ankle Foot Orthosis, Wheelchairs and Walkers Aid in Mobility
Treatment
• Optimize mobility
o Surgery (Ben and Jacob)
• Manage primary conditions
• Control pain
• Prevent and manage complications, associative conditions and co-mitigating factors
• Maximize independence
• Enhance social and peer interactions
• Foster self-care
• Optimize ability to communicate
• Maximize learning potential
• Provide quality of life
o From cerebralpalsy.org
Therapeutic Recreation Implications
• Develop a sense of self and positive self-image
• Become aware of community resources
• Maintain adequate fitness levels
• Engage in fall-prevention exercises
• Maintain proper posture
• Expression (arts)
Things I Learned From My Friend Jacob:
• The everyday simple things most people do without thinking are often the most difficult (i.e. getting out of bed, going to the bathroom, etc.) Tasks are broken down into a process of steps.
• Do you feel different?
o Yes, wheelchair sticks out in a crowd and is easily noticeable and identifiable for other people.
o May be labeled as different by those who don’t know me. If they give me a chance come to appreciate and befriend me.
• General
o More patience
o Different perspectives creates different opportunities (i.e. inability to play sports created interest in other things such as politics which became a big passion)
o I am not defined by my disability. It’s okay that I am disabled. That part is not going to change.
o All people want to be included and to have friends. All situations are adaptable. Find that way to adapt to situations to allow full inclusion.
Videos
Mat-https://www.youtube.com/watch?v=VUtJ9VTTK_g
Jordan-https://www.youtube.com/watch?v=Eaai1_iOPRo
Matt Woodrum Run-https://www.youtube.com/watch?v=VcHjUW8suIc
Supernanny USA- https://www.youtube.com/watch?v=k9oALbLMy1I
Maysoon Zayid- https://www.youtube.com/watch?v=buRLc2eWGPQ
Mother with Cerebral Palsy becomes Bodybuilder- ttps://www.youtube.com/watch?v=vMIma5A9GxQ
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