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Programa de parálisis cerebral

Programa de parálisis cerebral
Laboratorio de la marcha
Terapias
Ortopedia, bragueros y yesos
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Tratamiento Médico
Cerebral palsy arises when there has been injury to the developing brain. The common set of symptoms in children who have cerebral palsy are abnormal muscle tone and difficulty with muscle coordination and movement.

The term cerebral palsy reflects a wide range of different types of brain injury. As a result, cerebral palsy can look very different from child to child. In some children, only the legs are involved (diplegia); in others, only the left or right side of the body (hemiplegia). In others, the entire body is affected (quadriplegia). Muscle tone may be high (spastic), or it may be low, resulting in difficulty with balance (ataxia). Involuntary or dyskinetic muscle movements may be present. Sometimes a child's arms or legs may feel rigid. This is called dystonia.

Quite often, children with cerebral palsy have one or more associated medical conditions. While the injury that causes cerebral palsy doesn't progress over time, the symptoms a child has may change. The following is a list of the most commonly associated medical conditions:
  • Developmental delay
  • Seizure disorders
  • Feeding and swallowing disorders
  • Reflujo gastroesofágico
  • Estreñimiento
  • Poor nutrition
  • Aspiration
  • Drooling
  • Asma
  • Airway difficulties
  • Difficulty with urination
  • Visual impairment
  • Pérdida de la audición
  • Communication impairment
Monitoring and managing these medical conditions requires expertise. New patients seen through the Cerebral Palsy Program at Children' are initially evaluated by a developmental pediatrician to determine the range of his or her medical issues and developmental abilities.

Depending on a child's need and in consultation with the child's family and primary physician, referrals may be generated to any number of subspecialists. Additionally, families are provided access to a full range of support services, including social work, educational materials and community resources.

Orthopedic Management
Children with CP often cannot exercise or stretch their muscles by running, walking or playing. Cerebral palsy can interfere with and lead to poor muscle and bone growth. Weakened and unbalanced muscle do not adequately support the bone and joint structures which can lead to secondary conditions including scoliosis, hip dislocation and foot and ankle deformities, such as clubfoot, and flat foot

These secondary conditions can be prevented or treated by managing spasticity. The goal of treatment is to prevent bone and joint deformity by balancing muscles forces about the joint.

Treatment for managing spasticity or muscle contractures can be broken down into several stages.

Stages include:
  • Fisioterapia y terapia ocupacional
    Physical therapy alone, or in combination with special braces (sometimes called orthotic devices), works to prevent this complication by stretching spastic muscles.

  • Braces and Orthotic Devices
    Orthotics can help to control dynamic deformities by maintaining a stable joint position, or substitute for weak muscle groups.

  • Surgical lengthening
    While not always necessary, surgery may be recommended when contractures are severe enough to cause problems with your child's movement, balance and coordination.

    Surgery can help to reduce spasticity in the legs by elongating or releasing the contracted muscles and tendons that are too short.

Orthopedic surgeons assume a major role in the care of your child. After careful examination and review of each child's developmental progress, they will outline a course of therapy on an individual basis.
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