Cerebral Palsy (cont.)
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- Cerebral palsy facts
- What is cerebral palsy?
- What are causes of cerebral palsy?
- What are symptoms and signs of cerebral palsy?
- What are the types of cerebral palsy?
- What is spastic cerebral palsy?
- What is dyskinetic cerebral palsy?
- What is ataxic cerebral palsy?
- What is dystonic cerebral palsy?
- What is choreoathetoid cerebral palsy?
- What is hypotonic cerebral palsy?
- What is mixed cerebral palsy?
- What other conditions are associated with cerebral palsy?
- How is a child evaluated for cerebral palsy?
- How is cerebral palsy treated?
- What are specific treatment plans for cerebral palsy?
- What is the long-term outlook for patients with cerebral palsy?
How is cerebral palsy treated?
Most of the causes of cerebral palsy do not have specific, curative treatments. However, children with cerebral palsy present many medical problems that can be treated or prevented. The initial stage of treatment involves an interdisciplinary team, consisting of a pediatrician, preferable one with experience in neurodevelopmental disorders, a neurologist (or other neurological practitioner), a mental health practitioner, an orthopedic surgeon, a physical therapist, a speech therapist, and an occupational therapist. Each member of the team has important, independent contributions to make in the care of the affected child.
- The physical therapist evaluates muscle tone, strength, and gait (walking).
- The occupational therapist reviews the child's ability to perform tasks of self-help and care -- from feeding to manual dexterity.
- The speech therapist evaluates the child's ability to speak and understand speech.
Most children with neurological impairment have significant emotional distress and also require therapy from a mental health practitioner.
Virtually all states have federally-mandated programs for the assessment and treatment of children with cerebral palsy and other developmental conditions. In many states, these programs are termed "Regional Centers" and can be found in local phone books. Also Children's Hospitals usually have special clinics with experience with children with cerebral palsy. Furthermore, when a child reaches the age of 3 years, the school district may become formally involved in the review of at-risk children. These programs protect children up to the age of 21 years.
At the present time there is a vacuum in the provision of medical care for adults (young and old) with cerebral palsy living in the community settings. There are a limited number of services in adult hospitals geared to the treatment of adults with cerebral palsy or developmental disabilities.
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