Cerebral Palsy is the commonest physical disability in childhood. It is not a disease but is a group of disorders causing problem in muscle power,posture and movements. Any damage to developing brain; before,during or after birth can be the cause. Common causes are maternal infections in pregnancy,difficult labour,brain infections in early years.Rarely, problem in normal brain development may cause Cerebral palsy
The damage is non progressive but symptoms change as child grows. Child with CP may have minor muscle weakness in group of muscles or may be severe enough to cause inability to move in bed.
Other common medical problems associated with CP are attention deficit disorders, epilepsy, mental retardation, speech and language difficulty, hearing impairment, squint.
Early clues to the diagnosis are sleep problems,feeding difficulty, vomiting,abnormal posture,excessive irritability or docility,lack of normal development as smile ,head control. Its usually diagnosed around 2 yrs of age. Early diagnosis and interventions affects the outcome, so its necessary to screen high risk children at regular intervals to give them the chance for best outcome. Managing cerebral palsy involves a team approach with parents,physiotherapist,occupation therapist,speech therapist,special educator, orthopedician, child neurologist, paediatrician etc.