CEREBRAL PALSIES

Supporting the unique abilities and talents of individuals with Cerebral Palsies to build brighter futures

Cerebral palsy (CP) is a group of disorders that affect a person’s ability to move and maintain balance and posture. CP is the most common motor disability in childhood. Cerebral means having to do with the brain. Palsy means weakness or problems with using the muscles. CP is caused by abnormal brain development or damage to the developing brain that affects a child’s ability to control his or her muscles.

The symptoms of CP vary from person to person. A person with severe CP might need to use special equipment to be able to walk, or might not be able to walk at all and might need lifelong care. A person with mild CP, on the other hand, might walk a little awkwardly, but might not need any special help. CP does not get worse over time, though the exact symptoms can change over a person’s lifetime.
All children with CP have problems with movement and posture. Many also have related conditions such as intellectual disability; seizures; problems with vision, hearing, or speech; changes in the spine (such as scoliosis); or joint problems (such as contractures).
Boy with cerebral palsy sitting next to his sister.

Spastic Cerebral Palsy

The most common type of CP is spastic CP. Spastic CP affects about 80% of people with CP. People with spastic CP have increased muscle tone. This means their muscles are stiff and, as a result, their movements can be awkward. Spastic CP usually is described by what parts of the body are affected.

Spastic diplegia/diparesis

In this type of CP, muscle stiffness is mainly in the legs, with the arms less affected or not affected at all. People with spastic diplegia might have difficulty walking because tight hip and leg muscles cause their legs to pull together, turn inward, and cross at the knees (also known as scissoring).

Spastic hemiplegia/hemiparesis

This type of CP affects only one side of a person’s body; usually the arm is more affected than the leg.

Spastic quadriplegia/quadriparesis

Spastic quadriplegia is the most severe form of spastic CP and affects all four limbs, the trunk, and the face. People with spastic quadriparesis usually cannot walk and often have other developmental disabilities such as intellectual disability; seizures; or problems with vision, hearing, or speech.

Dyskinetic Cerebral Palsy

People with dyskinetic CP have problems controlling the movement of their hands, arms, feet, and legs, making it difficult to sit and walk. The movements are uncontrollable and can be slow and writhing or rapid and jerky. Sometimes the face and tongue are affected and the person has a hard time sucking, swallowing, and talking.

Ataxic Cerebral Palsy

People with ataxic CP have problems with balance and coordination. They might be unsteady when they walk. They might have a hard time with quick movements or movements that need a lot of control, like writing. They might have a hard time controlling their hands or arms when they reach for something.

Institute of Child Neurosciences Highlights

Bihar Technical Support Program by CARE India to Facility Healthcare Quality Improvement

Child Neurology OPD

All 7 days a week

CARE India NGO Working With the Government of Bihar in Implementing a Nurse Mentoring Program

Neurophysiology Lab

24 hours functional lab

CARE India - NGO Promoting Sustainable Methods of Family Planning in Bihar

Neurocritical Care

Advanced tertiary care unit

CARE India - NGO Promoting Sustainable Methods of Family Planning in Bihar

Child Development Center

To manage Motor to Social Challenges

Bihar Technical Support Program by CARE India to Facility Healthcare Quality Improvement

Neurosurgery

Supported by 24 hours post op and critical care PICU

CARE India NGO Working With the Government of Bihar in Implementing a Nurse Mentoring Program

Parent Education

For effective parenting

CARE India - NGO Promoting Sustainable Methods of Family Planning in Bihar

Neuroradiology

Advanced imaging services

CARE India - NGO Promoting Sustainable Methods of Family Planning in Bihar

ICONic Workforce

Employment program for special needs individuals

Know more about Cerebral Palsy

The signs of CP vary greatly because there are many different types and levels of disability. The main sign that a child might have CP is a delay reaching motor or movement milestones (such as rolling over, sitting, standing, or walking). Following are some other signs of possible CP. It is important to note that some children without CP also might have some of these signs.



His head lags when you pick him up while he’s lying on his back
He feels stiff
He feels floppy
When held cradled in your arms, he seems to overextend his back and neck, constantly acting as if he is pushing away from you
When you pick him up, his legs get stiff and they cross or scissor
In a Baby Older Than 6 Months of Age
She doesn’t roll over in either direction
She cannot bring her hands together
She has difficulty bringing her hands to her mouth
She reaches out with only one hand while keeping the other fisted
In a Baby Older Than 10 Months of Age
He crawls in a lopsided manner, pushing off with one hand and leg while dragging the opposite hand and leg
He scoots around on his buttocks or hops on his knees, but does not crawl on all fours



Teacher and students walking in the corridor at school, including a student with a disability Diagnosing CP at an early age is important to the well-being of children and their families. Diagnosing CP can take several steps:



Developmental monitoring (also called surveillance) means tracking a child’s growth and development over time. If any concerns about the child’s development are raised during monitoring, then a developmental screening test should be given as soon as possible.



During developmental screening a short test is given to see if the child has specific developmental delays, such as motor or movement delays. If the results of the screening test are cause for concern, then the doctor will make referrals for developmental and medical evaluations.

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