Tuesday, April 9, 2013

CEREBRAL PALSY

It is a non progressive fibre bundle disorder inflicting gentle to severe disabilities throughout life.This condition is manifested as a gaggle of dogging qualitative motor disorders that seem in young kids as a result of harm to the brain throughout delivery or as a result of some pathological conditions within the intrauterine life.The neuroligical issues square measure multiple however non progressive in nature.Approximately a pair of per a hundred nascency has this downside.This unwellness has no hereditary tendency. Causes of cerebral palsy: 1) Injury to the brain throughout delivery. 2) As a complication of obstetrical delivery. 3) Lack of chemical element offer to the baby throughout delivery. 4) Infections throughout delivery. Signs and symptoms of cerebral palsy:-- The signs and symptoms might not be similar all told babies affected.Depending upon the harm to the brain there could also be gentle to severe lesions. Mild cases:- two hundredth kids can have gentle incapacity. Moderate cases:-50% cases square measure having moderate incapacity.The affected kids need self facilitate for aiding their impaired walk capability. Severe cases:-About half-hour of the affected kids square measure wholly incapacited and sick and that they allways want care from others. Abnormal findings in cerebral palsy:- 1,Abnormal babe reflexes. 2,Stiffness of all muscles with awkward motion. 3,Extention of extremities on vertical suspension of the child. 4,Scissoring of the lower limbs as a result of spasm of the striated muscle muscles of the thigh. 5,In severe cases the rear bend backwards like and arch. 6,May have total or partial disfunction. 7,Arrest of neurologic and behavioural developement. 8,Swallowing could also be tough in some cases. 9,Drooling of spittle. 10,Mild to severe mental retardations. 11,Abnormal movements square measure seen in some cases. 12,Tremors with typical movements. 13,If neural structure is affected there'll be loss of tonicity with problem in walking. 14,Complete or partial loss of hearing. 15,Speech could also be affected. 16,Squint and alternative visual issues could also be associated. 17,Convulsions could also be seen in some kids. Cerebral palsy is diagnosed by careful clinical examination and by eliminating alternative similar diseases like tumour, progressive atrophy shock treatment.All investigations like CT scan,MRI and routine investigations square measure required to ruleout alternative diseases. Management of carebral palsy:-- General management: This includes correct nutrition and private care. Symptomatic medicines square measure required to cut back convulsions and muscle stiffness. benzodiazepine will scale back jerkiness and nervous disorder. Dantrolene metallic element helps to relax skeletal muscles. Physiotherapy: Here massage,exercise, treatment and shock treatment square measure required.Special coaching is given to coach walking,swallowing and talking.The affected kids also are trained to carry articles for routine activities. Rehabilitation: Moral and social support ought to run to those kids.They should be send to special faculties wherever special coaching is given by trained employees.Mentally retarded kids want special coaching.Depending informed the disabitity special instruments and machines square measure given for locomotion and to help their daytoday activities. Occupational therapy: This is given by activity therapists.They train the disabled folks to try to to some appropriate works in order that these folks will have their own financial gain.

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