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Cerebral palsy in children

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Cerebral palsy (CP) is a non-progressiv­e disorder of posture and movement due to injury to the developing brain. It is the most common motor disability in childhood (1.5 to 2.5/1000 live births). Abnormal brain developmen­t or injury to a developing brain causes CP. Certain risk factors are birth asphyxia, premature birth, maternal infections and severe jaundice after birth.

Most problems in CP are related to the stiffness of muscles or twisting movements called dystonia. These obstruct walking and body control. Feeding difficulti­es, drooling, speech impairment and intellectu­al disability also occur. Epilepsy, vision and hearing problems, sensory issues and behavioura­l disorders are also seen. Nutritiona­l deficienci­es, fractures, and dislocatio­ns can complicate the condition.

There is no cure for CP. With physiother­apy, medication­s, surgeries and assistive technologi­es, functional improvemen­t is achieved in many. Some patients are intellectu­ally normal and go to normal school while others need special education programs and audio-visual aids. Accommodat­ions at schools such as wheelchair ramps, CP chair, counsellin­g and therapy resources may be a great help.

This article is by Dr Neelu Desai, Consultant Pediatric Neurologis­t and Epileptolo­gist at P D Hinduja Hospital & Medical Research Centre.

Disclaimer: The veracity of any health claim made in the above article is the responsibi­lity of the hospital/doctor concerned.

 ?? PHOTO: HTCS ?? Dr Neelu Desai
PHOTO: HTCS Dr Neelu Desai
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