Cerebral Palsy Treatment: Exercise, Physical Therapy, and BOTOX …

Posted: Published on November 8th, 2013

This post was added by Dr Simmons

Cerebral palsy is incurable, but there are therapies available that can make life easier and more productive. There is no cerebral palsy therapy that works on every patient. Each case is unique and therefore will require different types of cerebral palsy treatment, from physical therapy to exercise to BOTOX injections. A physician must work together with a team of health care professionals to determine the proper course of cerebral palsy treatment.

The cerebral palsy treatment team should be composed of health care experts from various backgrounds. Members should include the following health care professionals:

The aim of physical therapy is three-fold. First, the therapist seeks to avoid muscle atrophy. Muscle atrophy is the deterioration of muscular tissue from lack of use. The second goal is too avoid muscle contracture. Contracture occurs when muscles become frozen in an abnormal position. Third, a therapist will seek to improve the motor skills of a cerebral palsy patient. The physical therapy will include a cerebral palsy exercise program designed to improve the child's condition.

This type of therapy utilizes psychological techniques to improve physical, mental, and communicative skills. The activities used vary greatly according to age and disability. Some will be used to discourage destructive behavior, others to encourage self-sufficiency. Ultimately, a behavioral therapist will act as a coach to the patient and family, suggesting ways to improve behavior, as most of the work will be done in the home.

Cerebral palsy drug therapy is usually prescribed to control seizures associated with cerebral palsy. Different drugs are prescribed, as the seizures can have various causes. Because each case is unique, some drugs will work and some will not. A combination of medications may be prescribed to limit or stop the seizures altogether.

Drugs may also help in controlling spasticity. The three drugs commonly used to control spastic behavior are diazepam, baclofen, and dantrolene. These drugs work by altering or inhibiting the chemical processes of the central nervous system. All have certain side effects that should be discussed with a physician.

Surgery is often recommended when the patient is suffering from extreme contractures that are unresponsive to other forms of cerebral palsy therapy. Severe contractures will inhibit movement, balance, and coordination. Doctors can fix contractures by surgically lengthening tendons and muscles. Pre-operative analysis is the key to a successful surgery.

Because movements like walking require more than 30 different muscles working in unison, it is important that the proper tendons and ligaments be adjusted. Analysis of a patient's gait when walking, using special computers, can help the cerebral palsy specialist to pinpoint muscles that need help. Research is currently underway to find new, more effective ways to use surgical measures in treating cerebral palsy.

For the past 10 years, BOTOX injections have been used to treat some of the effects of cerebral palsy. BOTOX injections have been used in a range of ways in the past decade due to its paralyzing effects on the muscles. When BOTOX is injected into the muscle, it causes it to relax. This causes a reduction in muscle spasms and stiffness, allowing therapists to work with cerebral palsy patients in stretching the muscles. BOTOX injections are not a cure for cerebral palsy, and treatment typically needs to be repeated every three to six months. Talk to a medical professional to learn more about BOTOX treatment and cerebral palsy.

In order to increase the independence of individuals with cerebral palsy there are a number of different mobility aids used. Learn more about those mobility aids.

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