Children with Cerebral Palsy

Diagnosing Cerebral Palsy

CP may be diagnosed very early in an infant known to be at risk for developing the condition because of premature birth or other health problems. Doctors, such as pediatricians and developmental and neurological specialists, usually follow these kids closely from birth so that they can identify and address any developmental delays or problems with muscle function that might indicate CP.

In a baby carried to term with no other obvious risk factors for CP, it may be difficult to diagnose the disorder in the first year of life. Often doctors aren't able to diagnose CP until they see a delay in normal developmental milestones (such as reaching for toys by 4 months or sitting up by 7 months), which can be a sign of CP.

Abnormal muscle tone, poorly coordinated movements, and the persistence of infant reflexes beyond the age at which they are expected to disappear also can be signs. If these developmental milestones are only mildly delayed, the diagnosis of CP may not be made until the child is a toddler.

Preventing Cerebral Palsy

In many cases the causes of CP are unknown, so there's no way to prevent it. But if you're having a baby, you can take steps to ensure a healthy pregnancy and carry the baby to term, thus lowering the risk that your baby will have CP.

Before becoming pregnant, it's important to maintain a healthy diet and make sure that any medical problems are managed properly. As soon as you know you're pregnant, proper prenatal medical care is vital. If you are taking any medications, review these with your doctor and clarify if there are any side effects that can cause birth defects.

Controlling diabetes, anemia, hypertension, seizures, and nutritional deficiencies during pregnancy can help prevent some premature births and, as a result, some cases of cerebral palsy.

Once your baby is born you can lower the risk of brain damage, which could lead to CP. Never shake an infant, as this can lead to shaken baby syndrome and brain damage. If you're riding in a car, make sure your baby is properly strapped into an infant car seat that's correctly installed — if an accident occurs, the baby will be as protected as possible.

Be aware of lead exposure in your house, as lead poisoning can lead to brain damage. Remember to have your child get his or herimmunizations on time — these shots protect against serious infections, some of which can cause brain damage resulting in CP.

How Cerebral Palsy Affects Development

Kids with CP have varying degrees of physical disability. Some have only mild impairment, while others are severely affected.

Associated medical problems may include visual impairment or blindness, hearing loss, food aspiration (the sucking of food or fluid into the lungs), gastroesophageal reflux (spitting up), speech problems, drooling, tooth decay, sleep disorders, osteoporosis (weak, brittle bones), and behavior problems.

Seizures, speech and communication problems, and mental retardation are also common among kids with the severe form of CP. Many have problems that may require ongoing therapy and devices such as braces or wheelchairs.

Treatment of Cerebral Palsy

Currently there's no cure for cerebral palsy, but a variety of resources and therapies can provide help and improve the quality of life for kids with CP.

Different kinds of therapy can help them achieve maximum potential in growth and development. As soon as CP is diagnosed, a child can begin therapy for movement, learning, speech, hearing, and social and emotional development.

In addition, medication, surgery, or braces can help improve muscle function. Surgery can help repair dislocated hips and scoliosis (curvature of the spine), which are common problems associated with CP. Severe muscle spasticity can sometimes be helped with medication taken by mouth or administered via a pump (the baclofen pump) implanted under the skin.

A team of professionals will work with you to meet your child's medical needs. That team may include therapists, psychologists, educators, nurses, and social workers.

Many resources are available to help and support you in caring for your child. Talk to your doctor about finding those in your area.