Cerebral Palsies

Cerebral Palsy (CP)

  • ‘CP’ refers to a group of conditions that affect movement, posture and co-ordination
  • CP is caused by an insult to the brain before, during or soon after birth
  • Timing of the diagnosis depends on the severity, usually diagnosed between 2-4 years
  • There are four main types of CP: Spastic, Dyskinetic, Ataxic and Mixed
  • Depending on the parts of the body affected, CP is classed as Hemiplegia, Diplegia, Quadriplegia. The doctor can explain more regarding these at your consultation
  • Symptoms of CP can be wide and varied. CP could present as: delayed milestones, stiff or floppy limbs, weak limbs, jerky or clumsy movements, tip toe walking
  • A child with CP can also have problems with drooling, swallowing, speaking, vision, hearing, learning, muscles, joints, spine, bowel/bladder function, seizures
  • Treatments are available to help child with CP to be as active and independent as possible
  • Treatments could include: Physiotherapy, Occupational Therapy, Speech
  • Therapy, Medications, Surgery, Aids, Equipment, Access arrangements, Mobility devices etc.
  • Impact CP has on learning, general health, well-being, mobility, relationships, burden/stress on the family, employment, life outcomes, could be modified/minimised or prevented
  • Easy to book appointments without waiting lists
  • Comprehensive assessments covering all systems and aspects of functioning
  • Detailed diagnostic report that can help you in getting the right help, support and services
  • Referral/liaison with other professionals e.g. OT, SLT, Orthopaedics, as required
  • Early detection and intervention mean better outcomes for your child
  • I review reports from all settings e.g. neonatal care, nursery or school
  • Carry out detailed history covering pregnancy, delivery, neonatal care if any, past medical history, developmental, social and family history
  • Neurodevelopmental assessment for children under 8 years
  • Carry out full physical examination including neurology, growth
  • Inspect for associated conditions e.g. drooling, LD, constipation, etc.
  • Review information from tests e.g. CT, MRI
  • Build a picture of your child’s strengths, weaknesses and needs
  • Provide you with a clear diagnostic report confirming all the medical problems
  • Child may need to be seen more than once before a diagnosis of CP is made
  • Arrange/recommend investigations e.g. MRI Brain scan
  • Liaise with other therapists/professionals as required e.g. PT, OT, Orthotics
  • Offer medications to address problems e.g. drooling, muscle tightness, constipation
  • Offer you information about local and national sources of support and information
  • Give you ideas to promote your child’s activities, comfort and independence
  • Give you information regarding CP and things to monitor
  • You could use medical report e.g. to gain extra support at school, apply for EHCP, request special school placement where required, claim allowances/benefits, apply for respite, request social care input, access leisure activities
  • You will feel empowered to enable your child from this holistic assessment and action plan
  • Present you with an option for follow-up