Cerebral Palsy Association of Newfoundland and Labrador
ABOUT CEREBRAL PALSY
What Interventions are Available for People with Cerebral Palsy?
The management of CP may require a multitude of different medical professionals and specialists in addition to specialized equipment which allows independence and/or support for the affected person.
The Cerebral Palsy Association of British Columbia lists several aids for mobility and communication which are frequently used by people with CP:
Mobility aids:
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Wheelchairs (manual, power, and sports)
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Scooters
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Specially made bicycles and tricycles
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Walkers and crutches
Communication devices:
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Symbol boards
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Voice synthesizers
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Head sticks and keyguards for computers
Daily living aids:
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Electronic door openers
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Large-handled eating utensils
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Grab sticks
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Environmental control systems
As for medical and therapeutic intervention, the Cerebral Palsy Alliance lists many types of treatment that a person with CP may receive to help alleviate impairments:
Movement difficulties:
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Medication: may be administered orally, by injection, or through implanted pump to help with muscle spasticity and/or pain.
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Surgical procedures: Selective Dorsal Rhizotomy (SDR) may help children with spasticity in the legs.
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Physiotherapy and occupational therapy: may help with day-to-day movement skills.
Muscle, bone, and joint difficulties:
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Surgical procedures: orthopedic surgeries may correct joint and muscle deformities to improve impairments and reduce pain.
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Casts, splints, and muscle strengthening: physiotherapists use these to prevent movement impairments.
Communication issues:
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Speech pathology: helps to improve communication skills, sometimes involving signing, communication boards, and speech generating devices.
Intellectual disability and learning difficulties:
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Assessments, special education and learning strategies: psychologists, occupational therapists, and special educators can help develop strategies to improve and facilitate learning.
Epilepsy:
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Medication: epilepsy and seizures may be controlled with prescribed antiepileptic medication.
Pain management:
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Medication: pain may be alleviated by using medication and by determining the underlying cause of the pain.
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Cognitive-behavioural therapy: chronic pain may be managed with cognitive-behavioural therapy through a psychologist.
Sleep disorders:
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Medication: prescribed medication may be used to treat sleep issues.
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Behaviour therapy: behaviour therapy may be used to treat sleep issues.
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Sleep systems: occupational therapists and physiotherapists may prescribe sleep systems to increase comfort in bed.
Behaviour and emotional issues:
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Behaviour therapy and counselling: psychologists may be able to offer therapy and counselling to a person with CP and their family to improve behavioural and emotional issues.
Issues with eating, digestion, and nutrition:
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Medication and surgery: severe digestion issues such as gastro-oesophageal reflux (GOR) may require medication and/or surgery, and potentially non-oral feeding through a tube inserted in the stomach or small intestine.
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Speech pathology: Speech pathologists can help with eating/drinking/swallowing by helping someone with CP learn to better use the mouth muscles, or by using special utensils and positioning the body in a certain way.
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Dietary advice: dietitians can help with balancing and improving nutrition.
Issues with saliva control (dribbling and drooling):
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Speech pathology: speech pathologists may be able to help with facial muscle control and may suggest clothing protection.
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Medication: Botulinum Toxin Type A may be used temporarily, through injection into the salivary glands, to reduce the secretion of saliva.
Hearing and vision impairment:
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Much like the general population, these issues are managed by ophthalmologists, optometrists, audiologists, and other medical professionals.
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Types of interventions may include corrective eye wear (e.g., glasses or contact lenses) for vision impairment, hearing aids for hearing impairment, and sometimes medication or surgery.