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Indications
of cerebral palsy are often noticed first by the parents.
These symptoms manifest usually before the child is 18 months
old, but if it is a severe case of cerebral palsy, indications
are visible even before three months. Motor skills may be
affected to the extent that the common "developmental
milestones" like sitting, crawling, rolling over, smiling
and walking are all delayed. Some children are impassive;
others do not react to noises while some children experience
difficulty in following the movement of objects. Irregular
breathing, difficulty in sucking and feeding and limited
range of motion is also evident.
A
few children are mentally retarded while some have superior
intellect. Because there is no control of the muscles in
the throat and mouth, there could be an abnormality in speech.
As the motor areas are most likely to be affected, even
swallowing saliva could be very difficult. When swallowing
is affected, eating is a problem and the risk of inhaling
liquids into the lungs is great. Behavioral, learning and
reading problems are also triggered off by cerebral palsy
and the situation could become really difficult. Children
tend to throw more tantrums than usual and could become
violent and difficult to control.
While
motor movements are affected there could also be a loss
in muscle tone. Hypotonia refers to loose and flaccid muscles
while hypertonia refers to muscles that tend to become stiff
and rigid. In both conditions, the muscles cannot be used
optimally. Sometimes it is very hard to detect CP. The muscles
on one side only may function so well that the defect on
the other side goes unnoticed for a very long time. Walking
on the toes could also be indicative of CP. Uncoordinated
and uncontrolled jerky motions of limbs, clenched fists;
unusual postures may also be seen. Changing from one position
to another is also difficult for the child. In some cases,
muscle tone is affected to such an extent that the feet
are turned inwards while walking. Since the limbs cross
at the knees, the gait is often referred to as "scissors
gait".
It
is often found that the limbs are shorter on one side and
non-intervention could lead to curvature of the spine itself.
Difference in muscle tone on both sides could lead to unequal
pressures on joints, which could later stiffen. Most children
with cerebral palsy experience seizures, but these seizures
are not evident because of so many other abnormalities.
Defects
in tooth enamel and an inability to brush their teeth properly
make the children with cerebral palsy prone to dental cavities.
Thus children suffering from cerebral palsy could have different
symptoms. On an average it is seen that no two children
experience the same symptoms. There is no cure for cerebral
palsy, but with early detection of CP, it can be made more
manageable.
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