It is not uncommon for the signs of cerebral palsy to be misdiagnosed as psychosis or dementia. It is important for parents to inform health practitioners of the signs of cerebral palsy. This will enable health practitioners to identify cerebral palsy and initiate appropriate assessments and treatment planning.
The most common treatments for cerebral palsy are orthopaedic procedures, physiotherapy, occupational therapy, and speech therapy. Children with moderate or severe impairment might benefit from early mobility training beginning at age 2, or some children with severe motor impairment might benefit from occupational therapy to improve function and participation in daily activities.
For children under one year old, the rate of cerebral palsy is 6.1 per 1,000 live births The rate for children aged one year and over reaches 13.7 per 1,000 live births. The relative rates of cerebral palsy vary from province to province in Canada. Rates range from 4.3 per 10,000 live births in Nunavut to 25.9 per 10,000 in Saskatchewan.
There is no evidence of a cure in anyone with cerebral palsy. We have the strongest evidence against curing anyone with severe motor impairments, or people who have progressive impairments. There is weak evidence of harm from intervention.
Different genes or multiple rare genetic mutations (or combinations of rare mutations) may be involved, and this is one of the many possible causes of cerebral palsy. In the case of hemispheric cerebral palsy, such genetic abnormalities manifest early in development of the brain, and the resulting abnormalities in the brain development cause a specific type of cerebral palsy. The genetic abnormality may be the consequence of an infection, prenatal exposure to an environmental chemical, or other factor, but it is not, in itself, the cause. However, many children affected by cerebral palsy have a combination of genetic factors, and these combined genetic abnormalities are sufficient to cause the most severe forms of the disease, and account for about 40 percent of affected children.
Cerebral palsy is a major neurological problem affecting about 3.3 million people in the United States each year and is the result of damage to, or impairment in, brain function.
Although the research area of cerebral palsy has expanded widely, there have been few advances in this field over the last 15 years. It is not clear why advances have been slow to be made. One theory is that the problem is that of insufficient funding.
Results from a recent clinical trial illustrate the difficulty faced by clinicians and researchers regarding the problem of designing and examining research on inheritance of CP. If an individual has CP, it is not always the same in all relatives or even when all relatives have the condition. Since a genetic connection to CP cannot be determined from these studies, the problem of researching CP is more complicated.
The authors concluded, “Children aged 3 to 5 years with [cerebral palsy](https://www.withpower.com/clinical-trials/cerebral-palsy) showed positive results with a new and simple training programme, involving playgait. Such exercise programme is feasible and can become part of the physiotherapeutic treatment in the standard practice of children with cerebral palsy.” In addition, the playgait training has been used to provide an effective treatment for children with CP aged 5 to 8 years old. There have also been no negative side effects, for which this programme had been recommended for use. Nevertheless, this programme is relatively new and further study is needed to confirm whether it is effective in children with cerebral palsy.
When a person was conceived, a congenital lesion was present from day one of life. The lesion caused the inability of the child to do things that are essential to live. In fact, the child was born with the inability to walk, chew and communicate. Sometimes, the brain never recovers. If the lesion occurs in utero, it causes irreversible brain damage before birth. If it occurs in the first 24 hours of life and causes injury and damage to the brain, it can lead to chronic brain deterioration. A sudden lesion that occurs while the infant is still in the womb, a stroke, can also cause cerebral palsy.
While this small study is preliminary, it highlights the value of playgait as a rehabilitation intervention for children with CP. Findings from a recent study provides an entry point to examine the impact of playgait on physical disability, leisure-time physical activity, self-efficacy and quality of life.
There are many diagnoses that can be missed in children with CP. The initial diagnosis is crucial to treatment, but often a child is misdiagnosed due to inconsistent speech patterns, unsteadiness, or ataxia, which can lead to the use of medications that are often insufficient. We do not use medications for the treatment of ‘normal’ people, but we use them for people with disabilities in order to treat the underlying condition. We use gait training to improve function in those children who are not able to walk independently, and in cases of developmental delay due to a CP-like condition.