#Physiotherapy_for_Cerebral_Palsy: Cerebral Palsy is a non progressive motor disability resulted from damage to the growing brain before or during birth or in postnatal period and associated with abnormalities of speech, vision, intellect and seizure disorder. #Causes: 1. Before Birth Intra uterine infection Congenital malformation Intra ventricular hemorrhage 2. During Birth Birth asphyxia Birth trauma 3. After Birth Meningitis Kernicterus Hypoxic ischemic encephalopathy #Signs_and_symptom_of_the_following: Mental retardation Growth development delays Difficult in speech Convulsion Sensory deficits GI dysfunction Respiratory issues Visual disorders Hearing Loss #Diagnosis: The diagnosis is based on finding a pattern of abnormalities, not a single deficit. Therefore, CP is attributed to multifactorial causes, injuries sustained pre/post pregnancy, and often of unknown causes. 1. Multifactorial Causes include: * Perinatal Asphyxia (lack of oxygen within the body due to problems with breathing) * Prematurity (multiple causes) * Intracranial Malformations (brain bleeds, strokes, incomplete brain development) * Encephalopathy (toxins and infections affecting brain) * Congenital Anomalies (condition at birth results in developmental delays) * Intrauterine infection 2. Fetal injury * Prenatally (before pregnancy) * Perinatally (during pregnancy) * Postnatally (after delivery) 3. Unknown Causes Diagnostic testing include MRI, metabolic testing, Genetics Studies, hearing and vision evaluations, EMG and EEG studies. #Treatment: Optimal benefit is realized with early intervention and when the physician is an advocate in collaborative work with service agencies throughout entire process. Preventive measures include appropriate prenatal care to reduce preterm labor, and avoiding any potential body insults that will effect pregnancy or cause premature delivery. #Physiotherapy: Mainstay of management Stretching Range of motion activities Keeping balance Walking Sitting Alternative modes of movement #Speech_Therapy Directed at improving communication skills #Medication_and_Surgery 1. Goal is to reduce symptoms and to increase function and learning capabilities Medications to reduce spasticity include: Baclofen, Dantrolene, Diazepan, Botulinum toxin 2. Special Equipment Braces, custom splints, adaptive toys, walkers, wheelchairs Electrical stimulation used to increase muscle strength. Dr Ayaz Physiotherapy weight loss hair and skin clinic For appointment call 8080292950