Cerebral Palsy Treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

Cerebral Palsy Treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

 

Cerebral Palsy Treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

Surgery in cerebral palsy is one of the techniques of management which is used very often many times, with unpredictable outcome and is not without side effects. If it is not executed properly then walker children can become non walker. Surgery in the cerebral palsy can be neurosurgical or orthopedic surgery. In cerebral palsy, neurosurgery also has been used but not always with successful outcome. Selective dorsal rhizotomy and selective neurectomy are two neurosurgical procedures which are used commonly.

Selective dorsal rhizotomy – In selective dorsal rhizotomy, about 20-40% dorsal nerve rootlets are sacrificed by laminectomy / laminoplasty from L1 to S1. SDR is indicated in patient with Spasticity and not useful in patient with contracture and fixed deformity. Orthopedic surgery is often required after SDR. Complications rate is very high as selection of affected nerve root is difficult. Some centers claim good outcome with this procedure but in most of the hands, may not give expected outcome.

Complication- this surgery is associated with complications like sensory disturbance, spinal deformity, and permanent weakness of extremity by loss of antigravity stability and bladder dysfunction. Once this procedure has been executed then is not reversible by any means.

Selective Neurectomy – This technique is also used at some centers; most commonly performed on obturater & tibial nerve. Identification of nerve fiber requires per-operative electromyography assessment of affected nerve root distribution. Some time it can cause fibrosis of muscle & tendon that lead to progressive deformity and permanent paresthesia.

Orthopedic Surgery – Orthopedic surgery has been used since long time. This surgery is being used to correct the deformity present in body but it is being done in staged manner, and usually done in elder children. In Routine surgeries, tendon lengthening, tendon transfer and bony surgery were done. But by this concept most of the deformity correction cannot give good functional recovery and ultimately child remains disable. Few procedures are very common in this concept like tendoachilis lengthening, adductor tenotomy, hamstring lengthening. Child usually requires admission many times for surgery even 6-8 times in some cases. Unfortunately some times walker children become non walker with this surgery. Also with this concept loss of antigravity action can occur, selective control of spasticity is not possible, and child is often left out with deformity despite repeated surgery. It is not helpful in severely affected patient.

Delayed surgery leads to development of non correctable deformities like Genu Recurvatum, crouch gait, permanent neglect of hand function and plano-valgus feet.

Cerebral palsy treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka
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Dr. Jitendra Kumar Jain
jjain999@gmail.com
09453039213
http://www.samvednatrust.com

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Behaviour Management Cerebral Palsy Treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

Behaviour Management Cerebral Palsy Treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

Behaviour Management Cerebral Palsy Treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

BEHAVIOR MANAGEMENT

Behavior management is similar behavior modification. It is a less intensive version of behavior therapy. In behavior modification the focus is on changing behavior, while in behavior management the focus is on maintaining order. Behavior management skills are of particular importance to teachers in the educational system. Behavior management include all of the actions and conscious inactions to enhance the probability people, individually and in groups, choose behaviors which are personally fulfilling, productive, and socially acceptable.

Behavior management is applied at the group level by a classroom teacher as a form of behavioral engineering to produce high rates of student work completion and minimize classroom disruption. In addition, greater focus has been placed on building self-control.

In general behavior management strategies have been very effective in reducing classroom disruption. In addition, recent efforts have focused on incorporating principles of functional assessment into the process.

Group therapy is very useful in the behavior management. Childs with behavior problems are usually very aggressive. They have no control how to initiate and complete the movement. So in group these children can be competitor with each other, by this they can learn more and can do the activity more clearly. We can make a special class for them in which they have much different work to do, such as painting, drawing, building blocks, picture management, etc. These types games are used increase their activity and too their concentration level.

In behavior management we have some time also work on psychological aspects so these should also be managed. Behavior problem may be related to psychological way also so should be managed in that way also. Child must be trained in different way how to manage their speed, accuracy, starting and end point. How they have reach out, how they should go, how to end with the things. What they should do what should not. What can harm them what not. All these things they must learn.

Exercises should be done in such situations. Blowing exercise/ sucking exercise throw respirometer. Reading & writing/ picture coloring/ matching & tracing etc. Using pictures and drawings for communication. Phonation exercises throw mirror. Lip syllable development. Developing concepts rotated to body parts & ADL.

One should work on concentration of the child. Concentration & memorizing exercises are must to increase brain power. Intelligence quotient can be checked in these children and can be increased. Increasing IQ is according to the age.
Behaviour Management Cerebral Palsy
Cerebral palsy treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

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Dr. Jitendra Kumar Jain
jjain999@gmail.com
09453039213
trishlaortho.com
www.samvednatrust.com

Support for Parents of Children with Cerebral Palsy Treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

Support for Parents of Children with Cerebral Palsy Treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

Support for Parents of Children with Cerebral Palsy Treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

Support for Parents of Children with Cerebral Palsy

An active role of parents in all phases of program for child with cerebral palsy is preferable and important. Parents must be included as integral participates. First, the program must focus on the child’s and family’s needs and priorities. They should be encouraged to tell which activities they would like to improve firstly and which activities are more stressful or time- consuming. Second, parents must be included in goal setting which may prevent unrealistic expectations and frustrations of both parents and therapists. Third, the program must be adapted to family’s capabilities, situation, and daily schedule. The therapist must always do counseling of child’s attendant they can be mother, father, caretaker and family members because child always copies skills of his parents and also influenced by his or her atmosphere .Copying skill of parents, child interacts and involves functional outcomes, such as independence in self care, mobility and communication of child, should be quantified and measured.

Educate yourself. The more you know about cerebral palsy, the more tools you will have to help your child. Ask your child’s doctor and therapist about resources available from his or her office and on the internet. Many non-profit organizations offer information on cerebral palsy; keep up-to-date with current research.

Build a support system. Seek out local groups and parent network organizations for families of children with disabilities. Ask your doctor or specialist for referrals. Join an online chat group for parents of children with cerebral palsy.

Take care of your relationships. Find a babysitter whom you like and trust, so you and your partner can have private time together. And don’t forget your other children; make sure to keep up with their activities and try to have special one-to-one time with them as often as possible because child is copying all activities.

Take care of yourself. You can’t help your child if you are disturbed and worried. Make plans to do things you enjoy, such as taking time out to have a night out, parties with friends or family. Planning ahead so that the situation at home is safe for your child prior to going out makes this possible and more beneficial. It is so important to “recharge the batteries.”

Get help. If you or your partner is consistently depressed, or if you are not getting along, take help. Having a disabled child can be extremely stressful; it can also put your relationship at risk. Your doctor can refer you to a qualified individual, family, or  therapist. It may also be that you are still at an early stage in understanding your child’s condition and the services that are available to help. Finding out more may give an enormous boost to your ability to cope.

Support for Parents of Children with Cerebral Palsy
Cerebral palsy treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka
For More details
Dr. Jitendra Kumar Jain
jjain999@gmail.com
09453039213
http://trishlaortho.com/
http://www.samvednatrust.com/

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Constraint-Induced Movement Therapy Cerebral Palsy Treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

Constraint-Induced Movement Therapy Cerebral Palsy Treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

Constraint-Induced Movement Therapy Cerebral Palsy Treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

Constraint-Induced Movement Therapy Cerebral Palsy Treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

Constraint Induced means induced with pressure or without permission. It is a type rehabilitation that increases activity of the upper extremity. Typically CIMT used to restart the unaffected arm in the patient with cerebral palsy (spastic hemiplegic) for most of the time while involving affected limb in a range of everyday living activity.

CIMT basically a technique applied when the child stops using his affected limb due to its unexpected activities. Child with spastic hemiplegic has less power on one side then other. He just doesn’t use his affected side due to its clumsy response and this neglecting behavior towards affected side make it more and more suppressed in activity. CIMT seeks to reverse this process.

As the result of engaging patient in repetitive activity of the affected limb brain develops new neural pathways. This change referred as cortical reorganization. This CIMT is more important in cerebaral palsy with the child whose one limb is more affected then other.

CIMT may work on the damaged motor network. Although, due to the intensity of this treatment, patient who have suffered profound upper extremity paralysis from their condition are normally not eligible for constraint-induced upper extremity training.

Constraint-Induced Movement Therapy child Cerebral Palsy
Cerebral palsy treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka
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Dr. Jitendra Kumar Jain
jjain999@gmail.com
09453039213
http://trishlaortho.com/
http://www.samvednatrust.com/

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Cerebral palsy awareness is very much needed in countries India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

Cerebral palsy awareness is very much needed in countries India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

Cerebral palsy awareness is very much needed in countries India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

I am father of Abhishek from Pratapgarh Uttar Pradesh. My child is suffering from cerebral palsy. Firstly we were never heard about this problem. We had shown him to so many doctors at several places. Some of our relatives and doctors said that he has polio and has no treatment. We took him to Polio research centre at Vishakhapattanam. First of time, I was told that he is suffering from cerebral palsy not polio. So due to lack of our knowledge, we were late for his proper treatment. They perform first surgery and after removal of the plaster cast physiotherapy was done for 15 days only. Then we returned back to home. After that surgery he had improved but with growing age again his problem started. His both of knees started to bend. He was losing his balance and started taking maximum support. He was 19 years old and we were very much worried because at this age he was not independent and his studies were getting interrupted. Then one day I took my son to a physiotherapist in Pratapgarh. He referred my son to Samvedna and to meet Dr. Jitendra Kumar Jain sir an orthopedic surgeon at Allahabad. We took him in 2011 and again surgery had done by Dr. J.K. Jain. We were staying there in CP Home. There we met to so many parents and there children suffering from the same case. I talked to all of them they were very much satisfied with the surgery and the physiotherapy treatment. He undergone surgery in both lower limb by osscs concept and physiotherapy was started after 2 weak of surgery was continuous for 2 months only. Whole team of Samvedna is doing very well in Samvedna. It was unbeliable to see my own child that he became nearly normal and have good gait pattern. I was advised to perform therapy along with sport activity at home, it shown good path for bright future ahead. I am heartly thankful to whole team of Samvedna. I am 100% sure that one day Samvedna and its team will be famous not only in India although in all over world. Thanking you……..
Cerebral palsy awareness is very much needed in countries India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

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Dr. Jitendra Kumar Jain
jjain999@gmail.com
09453039213
http://www.samvednatrust.com/
http://www.trishlaortho.com/

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Feeding children with Spastic child Cerebral Palsy Treatment surgery center children symptom India Pakistan Nepal Bangladesh Sri Lanka

Feeding children with Spastic child Cerebral Palsy Treatment surgery center children symptom India Pakistan Nepal Bangladesh Sri Lanka

Feeding children with Spastic child Cerebral Palsy Treatment surgery center children symptom India Pakistan Nepal Bangladesh Sri Lanka

In cerebral palsy there are 3 biggest problems that the spastic children are – the body is in a poor position, the jaws are tight, the tongue pushes the food forward. Swallowing is difficult because of some reasons like head pushing back, jaw and lips are not closed, the bottom lips tend to bitten in by the top set of teeth or mouth is wide open, tip of tongue is down behind the teeth, the tongue cannot roll the food back to mouth or there can be chewing problem. There are also some problems with breast feeding or feeding by bottle. The child would push back his head and body and their legs and arms would get stiff. They cannot suck and swallow easily. So it is very important that the head and body should be in correct position, all the muscles of neck and jaw must be relaxed, jaw must be back and not clenched, the lips must be together and the tongue must be able to move the food from side to side in the mouth.

To breast feed or by a bottle a child with cerebral palsy the head must be in forward direction so that he can swallow more easily. The baby must be in half sitting position with hips bent and the mother must keep the shoulders of baby in forward direction by pushing firmly on the chest. In feeding by bottle the teat of bottle should be bigger in size so that it would not choke.

The therapist should concentrate to control jaw movement in the child. If the therapist teaches a child how to control his mouth, particularly his jaw, then sucking and swallowing, spoon feeding from plate and drinking from a cup can be improved. To teach a child the therapist should sit in a chair facing the child’s face. The therapist can put the child on his lap or on standing frame(it with simultaneously relax the muscles of whole body during feeding). The position of child should be decided according to child’s age and ability. The therapist should stabilize the head then clasp the jaw and the index finger should be kept on the jaw of the child. The therapist should push the jaw backward (not downward) and push the bottom lip up, as this is necessary for swallowing. The third finger is put under tongue, to help the tongue move. The other fingers are lifted away from the child’s face. To reduce the spasticity the therapist should use his right index finger and introducing inside the child’s mouth he should move the finger in semicircle on the top gum from middle to left then to right side. This is done firmly and not too fast. It is done 3 times and the child is encouraged to swallow by the 3rd finger of the left hand moving from forward to backward.

The therapist must also concentrate on hand activities (prehension and precision) to teach the child to hold plates and spoons to feed themselves. While teaching therapist must work on dominant as well as non-dominant hand. The non-dominant hand should be stabilized during activities of dominant hand and vice versa.
Feeding children with Spastic child Cerebral Palsy
Cerebral palsy treatment surgery center children symptom India Pakistan Nepal Bangladesh Sri Lanka
For More details
Dr. Jitendra Kumar Jain
jjain999@gmail.com
09453039213
http://trishlaortho.com/
http://www.samvednatrust.com/

Hand Exercise for Cerebral Palsy Children

Hand Exercise for Cerebral Palsy Children

Hand Exercise for Cerebral Palsy Children

 

Hand Exercise

The development of pre-programmed engrams is essential for finger activities and in the absence of these engrams, in co-ordination occurs even though each of the prime movers can be contracted voluntarily. The complex activities of pinch and grasp require multimuscular coordination for each digit. Power grasp performaned by approximating the four finger toward the thenar eminence is used in its various modification for about 20 percent of activities.

Exercise like pronation –supination, finger nose test, radial and ulnar grip, chuck, grip, grasp, opposition exercises, spring finger exerciser, ball exercise or use of cotton wool balls to practice grip, peg board exercise ,spiral test.

Sensory contours and shape objective: to build self confidence, increase the power of observation and build hand eye coordination. The objective is to create a disconnect between the logical or critical left side of the brain, and the creative side by physically distancing the eye from the hand, thereby disconnecting the ability for the brain to observe it’s own handwork. Once the patient is able to observe the shapes and record them without feeling the impulse to judge the work in progress, they have made a great leap past  the trap of the critical self.

The drawing exercises require not looking at the paper while the patient very slowly observes and records the shape of an object: (hand, shoe or face).these exercise should be repeated and the focus should be on observation, slowness, and not looking on the paper. It helps to tape the corners of the paper to the table so it won’t move. The patient should be able to turn completely away from the table to look at whatever they are drawing.

For More details
Dr. Jitendra Kumar Jain
jjain999@gmail.com
09453039213
http://trishlaortho.com/
http://www.samvednatrust.com/