Our educational series continues with this virtual event featuring a multi-disciplinary panel discussion on spasticity management and related issues for adults with Cerebral Palsy!
Cerebral palsy refers to a group of conditions that are caused by problems in brain development and that affect how movement and motor control happen in children. Problems with walking and talking are often the way people start a conversation about cerebral palsy.
As your child with CP is becoming a teenager, there are a couple of things you may want to think about.
It's important for all of us who are imposed with certain physical boundary conditions to push those boundary conditions as far as possible and maintain as much independence as absolutely possible.
All adolescents and young adults experience some peer pressure to engage in drinking or other risky behaviors. Adolescents with cerebral palsy engage in risky behaviors just like other teenagers. Some families find it helpful to sign what's called, a Contract for Life, or a Contract for Safety, with their child. The parent agrees not to yell in the moment and to have a conversation about it the next day. That's one way that adolescents and parents can create some zone of safety around drinking.
Children with cerebral palsy have more complex self-management and self-care demands than children who are typically developing. They have to learn how to deal with medications and they may have to deal with medical equipment. At some point, they're going to have to learn about medical appointments.
I have cerebral palsy spastic diplegia. So it affects my legs and sometimes my fine motor skills. I walk with two canes. I do things a little slower, but I get things done.
One thing that parents can say to start a conversation with their kids is, "Let's talk".
As we all know, becoming a teenager means significant upheaval, not only physically, but in terms of friendships, in terms of learning, and life outlook. This is also true for adolescents with cerebral palsy and other developmental disabilities. We know that whilst we may of spent a lot of time focusing on their physical abilities and other difficulties it is not the only part of their life.
I spent many years and many hours learning how to make the body work better, how to bring it out of pain. But that's not the human being alone.
One of the things that was identified through research is that patients with cerebral palsy have higher rates of depression and anxiety than you would see in the general population.
Cerebral Palsy can be described by the way it affects movement and motor function, the part of the body affected and by how severe the impact is.
For some the day-to-day problems faced by children and adults with cerebral palsy, and their carers, are not motor ones alone. It is important that you discuss other areas of your child's development if you have concerns.
It is important to understand the brain injury for each individual person, because they can be really different. Where the injury is can give us important clues to what motor problems that individual will have. The time you have the biggest risk to having a stroke is as a baby, not as an adult so it is important to understand what may be happening in the infants brain.
There are some medical conditions or events that can happen during pregnancy, delivery, or shortly thereafter that may increase a baby's risk of being born with cerebral palsy.
Cerebral Palsy affects body movement, muscle control, muscle coordination, muscle tone, reflex, posture and balance. Depending on the part of the brain that is injured depends on how someone’s muscle tone will be effected. For people with spastic CP they have increased muscle tone because of the part of the brain that's injured. If causes very tight muscles which in turn effects the movement of the joints and of the limbs. For others who have dyskinetic CP they lose the ability to have voluntary control over their muscles, and they can have jerky and uncontrolled movement patterns.
Although the brain injury that causes cerebral palsy is nonprogressive, adults with CP can experience a variety of symptoms as they age which often depend on the type of CP they have, as well as the level.
Infants with CP frequently have developmental and motor delays, in which they are slow to reach milestones such as learning to roll over, sit, crawl, or walk. The symptoms of CP differ in type and severity from one person to the next, and may even change in an individual over time.
Cerebral Palsy is the most common motor disability in children caused by abnormal development or damage to the motor area of the brain’s outer layer (called the cerebral cortex), the part of the brain that directs muscle movement. This damage can occur before, during, or shortly after birth.
CP is the most common lifelong physical disability. Globally over 17 million people have cerebral palsy.
The specific motor types present in CP are determined by the extent, type, and location of the brain injury.
CP describes a spectrum of conditions that affects individuals in many different ways. Your care team may use the term GMFCS which stands for Gross Motor Function Classification Scale and is used to describe what mobility aids your child may need to complete certain tasks.