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Physio Therapy

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Cerebral Palsy

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  • Heterogeneous group of motor disorders that result from injury to the developing brain.
  • Injury can occur in the prenatal, perinatal or postnatal period.
  • It is non progressive although clinical picture changes with time.
  • It is not single disease
  • It is not inherited (Childhood disability update 2005)

Gross Motor Function Classification System (GMFCS).
It is for 6 to 12 years child.

Level – I Children walk indoor & outdoor and climb stairs without limitation. Gross motor skill includes running, jumping but speed balance & co-ordination are impaired.
Level – II Child walk outdoor, indoor climb stair holding onto a railing but having limitation during walking on uneven surfaces & inclines & walking in crowds or confined space. (Minimal disability in Gross Motor function).
Level – III Child walk assistive mobility device, child may climb stair holding onto a railing, child may propel wheel chair manually.
Level – IV Children may continue to walk for short distance on walker or rely or more on wheeled mobility at home & school and in community. Child may achieve self mobility, using a power wheel chair.
Level – V Physical impairment restrict voluntary control of movement & ability to maintain antigravity head & trunk postural. All areas of motor function are limited.

CLASSIFICATION OF CEREBRAL PALSY.

  • Spastic (↑muscle tone) (60-70%)
  • Ataxic (Balance & Co-ordinal 10-15%)
  • Athetoid (Involuntary / uncontrolled – 10-20% mixed type)
  • Hypotonic & Atonic deleted (From current classification)

Zep is having all types of kids with spasticity, other kid with Autism, Attention Defecate Hyper Active Disorder, Pervasive Developmental Disorder, Down Syndrome are also coming to school.

Everyday either Occupational Therapy or Physio Therapy is given to the kids.

For therapy we have all latest variety of instruments.

      1. Disc swing For vestibular or motor development.
      2. Bolster/Balance Board Again for balancing vestibular development
      3. Boll-Pool Tactile inputs.
      4. Ball-75, small-45 NDT Therapy
      5. Spike Ball – 65 Sensory inputs
      6. Ladder Dynamic motor control
      7. Hand Exercise For Fine-Motor control & strength development
      8. Thera bands Motor strength development

We try to give counseling for walking aids, assistive devices, Botox etc & orthosis i.e.

      1. AFO Ankle foot orthosis
      2. Push-Knees
      3. Hand splint etc.

For fine motor development, we have lots of games & activities.