She is Ela. 7 Years old.She can’t move her arms, legs.She can’t eat without getting help.She has difficulty moving her head.

- WHY?

CEREBRAL PALSYSeher Yıldırım

1866458

GPC

METU NCC

CEREBRAL PALSY = BRAIN PARALYSIS

• Definition

• Prevalence

• Etiology

• Classifications

• Clinical Presentation

• Treatments

• Substantially Disabling

COMPLICATIONS OF NEURODEVELOPMENTAL DISORDERS

Cognitive Dysfunction Motor Dysfunction

Behavior DysfunctionSeizures

CEREBRAL PALSY: DEFINITION

• Cerebral Palsy is a static encephalopathy (Brain Injury)

• Cerebral: Brain and Palsy: disorder of movement or posture

• It is non progressive

• There are various etiologies that causes the CP

• Often associated with epilepsy, speech problems, vision compromise, & cognitive dysfunction

• Can occur before, at or soon after birth.

CEREBRAL PALSY: PREVALENCE

• %10 of the world's population Cerebral Palsy (stroke) patient.

• The number of people with this disease in Turkey about 8 million.

• 7-10,000 new babies each year

• 150 years ago it was described by Dr. Little

• During past 3 decades considerable advances made in obstetric & neonatal care, but unfortunately there has been virtually no change in incident of CP

CEREBRAL PALSY: CLASSIFICATION

• There are various classifications of CP -Physiologic -Topographic -Etiologic

CEREBRAL PALSY: PHYSIOLOGIC

• 3 Main Types of Cerebral Palsy

• Spastic

*Stiff and difficult movement

*Most commont type of CP

• Atheoid *Involuntary and uncontrolled movement

*Second most common

• Ataxic

*Disturbed sense of balance and depth perception

*Effected part of brain: Cerebellum

CEREBRAL PALSY: TOPOGRAPHIC

• Arm and leg on one side: Hemiplegic

• Both Leg Only: Paraplegic or Diplegic

• Both arm and both leg: Quadriplegic

ETIOLOGIC AND CAUSES

• Prenatal (70%)Infection, anoxia, toxic, vascular, Rh disease, genetic, congenital malformation of brain

• Natal (5-10%)Anoxia, traumatic delivery, metabolic

• Post natalTrauma, infection, toxic

• Often occurs due to brain damage from lack of oxygen before or during birth

CEREBRAL PALSY: SIGNS

• Depending on which areas in the brain have been damaged, someone with

Cerebral Palsy may experience

*Muscle tightness or spasm

*Involuntary movement

*Abnormal sensation and perception

*Seizures (sudden and abnormal activity in the brain: Epilepsy)

TREATMENT: BENEFIT AND RISK OF EXERCISE

• Benefit: Slow streching, warm external temparature

and good positioning can help decrease the dynamic

condition found the spasticity form of CP

• Risk: quick movements, cold external temparature and emotional stress can increase a spastic dynamic condition

• Increased effort and emotional stress can increase the involuntary and uncontrolled movements.

• Use adaptive equipment.

SOME EQUIPMENTS

SOME EQUIPMENTS

SPECIAL EDUCATION

• Depending on the type of cerebral palsy and the degree of its severity, the current trend is to “mainstream” the child, or place the disabled child into regular classes with non-disabled children. Social-emotional development.

• Make certain that properly trained staff are available to meet the needs of your child and to manage interactions with other children.

• The degree of severtiy they can be seperated from others who aren’t with CP

• For children with CP, the first special school in Turkey is SEMA.

• It was opened in 2006.

• Teachers, doctors, physiotherapists, social workers, psychologists, nurse partners should work together for effective treatment and education.

REFERENCES

• http://www.engelliler.biz/forum/archive/index.php/t-403.html

• http://cerebralpalsy-educationandsociety.com/03-education.html

• www.about-cerebralpalsy.org

• ACSM (2010). Guidelines for exercise testing and prescription. Baltimore, MD: Lippincott, Williams & Wilkins.