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Cerebral Palsy

Chapters

What is Cerebral Palsy?

What is Spasticity and what are it's effects?

Spasticity and Age

What is Baclofen?

What is ITB Therapy?

The Test-Dose

The Surgical Procedure

The Follow-Up Procedure
including Refill

The Synchromed II Pump

 

Multiple Sclerosis

Spinal Cord Injury

Stroke

Traumatic Brain Injury

What is Cerebral Palsy?

Cerebral palsy affects 2.5 children per 1000 live births.

Cerebral palsy can be defined as a “persistent (but not unchanging) disorder of movement and posture, as the result of one or more non-progressive abnormalities in the brain, before its growth and development are complete.

Other clinical signs may be present as well”. (Cerebral Palsy: Problems and Practice, Griffiths M, Clegg M (eds). Human Horizons Series). Cerebral palsy affects each child individually and does not always cause severe disability,though some children may also be affected by other associated conditions, such as epilepsy, learning difficulties, hearing, vision, and speech and swallowing difficulties. The condition commonly appears in infancy, and children with CP are frequently slow to reach developmental milestones such as learning to roll over, sit, crawl, smile, or walk.

Several causal pathways of CP have been identified, such as kidney or urinary tract infections, metabolic disturbances, toxemia, jaundice, rhesus incompatibility, rubella (German measles), direct trauma and hypoxia.

Although CP is by definition a non-progressive condition, some people may experience developmental effects and some secondary ageing effects. Physical functioning does not always remain the same throughout life and CP is an example of a developmental disorder in which physical functioning can deteriorate with growth spurts, ageing, and as a result of poor mechanical efficiency.

CP AliBEGAN RECEIVING ITB THERAPY: Age 5

HISTORY: Cerebral palsy was a result of interventricular haemorrhage (bleeding in the brain) due to premature birth in 1987. Ali experienced severe spasticity and extreme stiffness as a result of the CP.

OUTCOME AFTER RECEIVING ITB THERAPY: Spasticity significantly reduced; increased comfort and range of motion; ability to sit comfortably; more independent now; easier for family to care for her; reduced startle reflex; happier and more confident attitude; improved social skills; pain caused by the spasticity reduced.

COMMENT: “For Ali, ITB Theray was a much better choice than a rhizotomy. She’s comfortable and relaxed, and she’s able to do so much more now. We’re definitely glad she has the pump.” — Debby, Ali’s mother