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Cerebral palsy

Paralysis cerebralis infantilis · Dětská mozková obrna

What it is

Permanent movement disorder from an early brain injury; the injury does not progress but the body does.

Symptoms & signs

  • Spasticity
  • contractures
  • scissoring gait
  • poor fine control
  • often normal intelligence

🚩 Get help if…

  • call 112 / 911 now Seizure lasting over 5 minutes
  • call 112 / 911 now Choking, or fever and cough after food goes down the wrong way
  • see a doctor soon Loss of skills the child already had
  • see a doctor soon Painful hip, or weight loss from feeding trouble

Where it strikes

Medical treatment

  • Physiotherapy
  • botulinum toxin
  • baclofen (oral or pump)
  • selective dorsal rhizotomy
  • orthoses
  • tendon surgery

Natural & lifestyle

  • Constraint-induced movement therapy
  • hippotherapy
  • aquatic therapy
  • stretching programme

Emerging & experimental

  • Stem-cell (cord blood) trials
  • robotic gait training
  • neuroprosthetics

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Hyperbaric oxygen — trials found no benefit over slightly pressurised air not confirmed in trials
  • Suit therapy (TheraSuit, Adeli suit) — small studies early / small studies
  • Stem-cell clinics abroad — unproven and costly anecdotal / traditional

ICD codes