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There
is no cure for cerebral palsy, as the damage to the brain
cannot be reversed. What can be done however is that it
can be managed. There are limitations to the amount of improvement
that can be brought about, so the best thing that can be
done is to teach children to achieve their maximum potential.
This is easier said than done, for it requires patience
on the part of the parents and children and the cooperation
of doctors, nurses and therapists. Motivation is a key factor
and this has got to stem from within. To make that happen
there has to be external motivation. Play,
outdoor games are an important
factor which children enjoy. The dual benefit of learning
and having fun at the same time can be achieved.
Almost
all cases of cerebral palsy require physiotherapy in some
form or the other. The parts of the body that are not affected
need to be exercised regularly to increase their function
and the parts which are affected have to be exercised to
optimize their functioning capacity.
Vocation and occupational therapy have got to be an integrated
part of any management program, for it caters to the daily
needs of the individual.
Brushing, dressing, practicing
to hold objects, listening to music and
nursery rhymes and doing daily chores help the children
to have a sense of independence.
Speech Language Therapy is essential for constructive communication.
Where the muscles of the tongue, mouth and throat are affected,
swallowing is a problem. Speech is also difficult. Speech
therapy can help to make it less difficult.
Educational
Therapies
In order to fit in with the real world, education in some
form is a must. Conductive education focuses on all aspects
of learning--- Developing motor skills, and acquiring social
and emotional skills. The BOBATH therapy is aimed at optimizing
co-coordinated movements. The FELDENKARAIS therapy is a
form of somatic education that focuses on improving coordination
between the muscles.
Drugs
are an inevitable part of managing cerebral palsy. They
could be in the form of anticonvulsant drugs, muscle relaxants
or anticholinergic drugs are used to control bladder movements.
Acupressure, acupuncture and massage, help in controlling
muscle spasms. When the child experiences difficulties because
of muscle contractions, surgery may be resorted to. The
nature of surgery would be to lengthen the tendons or to
transfer tendons from one area to another. The elbows, backs
of the heel or the shoulders are areas of the body where
this procedure is done. In cases where the child cannot
eat, liquid feeding tubes are inserted.
As
a prerequisite to treatment, prevention and early diagnosis
are key factors that reduce the incidence of cerebral palsy.
Nullifying Blood incompatibility in pregnant women, adequate
prenatal care, treating jaundice in newborns with photo
therapy and educating parents on protecting children from
brain injury. CAT scans and MRI help to identify lesions
in the brain of children and this helps to diagnose cerebral
palsy early. In spite of doing all this, it takes months
or years sometimes to diagnose a case of cerebral palsy.
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