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13/Dec/2021

Cerebral Palsy – Types & Associated Conditions

 

In this modern world children born with developmental delay and cerebral palsy are increasing at an alarming rate. The main reasons of delayed identification of these cases are because of the lack of knowledge among common people thus not diagnosing this at an early stage.

Children show different issues depending on the part of the brain that got damaged. In some cases, all four limbs are affected and the child’s movement is restricted and will result in weak torso. In such case the child will show symptoms like difficulty in standing, holding things. Depending on the severity of the damage some children show the effects on three, two or one limb.

Types Of Cerebral Palsy

The most common type of cerebral palsy is known as spastic cerebral palsy happens due to the damage of the motor cortex damage. This causes the muscles to become stiff and tight.

Dyskinetic cerebral palsy also known as athetoid cerebral palsy occurs due to the basal ganglia damage. This causes the child to have involuntary movement of the body since the brain doesn’t have proper control over muscles.

Axatic cerebral palsy is another type that affects due to the damage of the cerebellum. This causes shaky movements and affects a person’s balance and sense of positioning in space.

Mixed cerebral palsy means that someone’s brain is injured in more than one location and they will experience symptoms from multiple types of CP.

Some of the associated conditions which are associated with cerebral palsy are pain, intellectual disability, behavioral disorder, bladder intolerance, sleep disorder, respiratory disability etc. Children with Cerebral Palsy often have impaired oral motor control, which means they have difficulty controlling the muscles in their mouth and throat. This can lead to problems with feeding (sucking, chewing, etc.) and dysphagia, or difficulty swallowing.

Though it is considered not curable, there is hope in cases with early diagnosis, scientific treatment and regular follow-up. Proper medical evaluation along with imaging studies like X-ray, CT scan, MRI scan or EEG can give the diagnosis along with blood tests and genetic tests if needed.

Studies are showing that most cases of CP children respond well to an integrated approach with Ayurveda medicines and Panchakarma when combined with other therapies. It also helps to reduce or nullify the probable adverse effects of many other medications, too.

At Jeevaniyam we do the early detection and intervention for young infants. Here many treatment modalities are used from time to time according to the clinical manifestation and conditions as discussed above and all the therapies are applied after proper evaluation and examination. This helps the kids to achieve their social smile.


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10/Dec/2021

Cerebral Palsy: What is Cerebral Palsy & How it is affecting kids?

 

what is Cerebral palsy (CP)?

Cerebral Palsy is a term used to describe a problem with movement and posture that makes certain activities difficult. It is otherwise known as Little’s disease, which is a common childhood disability disorder with dominated spasticity. Cerebral Palsy does not have a single cause like chickenpox or measles. There are many reasons why someone might have cerebral palsy. An unborn child might have suffered a brain injury, an infection, or abnormal development of the brain tissue. These are called “prenatal” causes, meaning they happened before birth. These causes are responsible for about 70% of the cases of cerebral palsy. Another 20% of cerebral palsy cases are caused by a brain injury that takes place during the birthing process (i.e., prenatal & Postnatal). There is no complete cure for the disease. Cerebral palsy is a congenital disease but is diagnosed probably later. it’s the most common lifelong physical disability in the world. There’s no single cause of cerebral palsy, though prematurity and stroke are two of the biggest causes.  It is estimated that two out of every 1,000 new-born children will develop cerebral palsy. And approximately 40% of those born with cerebral palsy will have a severe case.

There are many risk factors for cerebral palsy. They can include:  

  • Premature (early) birth 
  • Low birth weight 
  • Blood clotting problems 
  • Inability of the placenta to provide the developing fetus with oxygen and nutrients 
  • RH or A-B-O blood type incompatibility between mother and infant 
  • Infection of the mother with German measles or other viral diseases in early pregnancy 
  • Bacterial infection of the mother, fetus or infant that directly or indirectly attack the infant’s central nervous system 
  • Prolonged loss of oxygen during the birthing process 
  • Severe jaundice shortly after birth

Some of the early signs and symptoms that parents can notice in children are

  • Can’t sit up or independently roll over by 6 months
  • Feeding or swallowing difficulties
  • Preference to use one side of their body
  • Muscle spasms or feeling stiff
  • Poor muscle control, reflexes, and posture
  • Low muscle tone
  • Unable to hold up its own head while lying on their stomach or in a supported sitting position
  • Delayed development 
  • Holding own head up when lying flat in a bed at 3 months 
  • Sitting and rolling over by 6 months
  • Not walking by 12-18 months
  • Not speaking simple sentences by 24 months

In children it affects movement, coordination, muscle tone and control, reflexes, posture, and balance. Although the brain of toddlers/children with cerebral palsy remains injured, the injury does not get worse as they develop. Depending on the level of severity of their cerebral palsy, toddlers and children may experience difficulties with their physical development.

At Jeevaniyam we follow the Kottakal protocol for CP developed by Dr Dinesh KS, Head of the department of Kaumarabhruthya, Kottakal Ayurveda Medical college. It includes symptomatic management and conservative management. Our team of doctors & specialists check if your child is not reaching these milestones, or they display some of the signs of cerebral palsy. We can conduct an assessment as early as a 3 month old child. Early intervention & training helps the child to improve remarkably on their social skills and daily life activities from a very young age.  


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