Dealing with nutrition problems in children with cerebral palsy

Maintaining nutrition in children with cerebral palsy is not so easy task. The difficulties are multiple; it can be because of constipation, unbalanced diet, under nutrition or overfeeding, difficulty in chewing and swallowing, hyper or hyposensitivity to touch around mouth.

Parents have to make sure that they should make child sit for defecation at the same time everyday even if they don’t pass stool for few days. This sets their biological clock. They should be comfortable while sitting on commode otherwise they can be afraid to it. diet should include more fiber to facilitate defecation and care should also be taken for sufficient fluid intake.  Besides this we have to be very vigilant about a balanced diet containing all the nutrients in right proportion like cereals, pulses, green vegetables, fruits etc.if the child is undernourished then he/she shall have low immunity and if overweight then it will further make mobility difficult.  Since these children are mostly confined to homes they are very much prone to develop rickets/ osteomalacia. Exposure to sunlight and supplementation of Vit D are also essential for its prevention. Dental care is very important because many times it lead to dental carries, cavity which eventually affects chewing. So brushing twice daily has to be ensured. oro-pharyngeal exercise(like blowing balloons) helps a lot in swallowing and chewing.  if child is sensitive to touch then make sure to use brush with soft bristles. Apart from this hypersensitive child reacts touching of food around mouth and hyposensitive does not feel it. We have to be cautious that with hypersensitive child touch should be very soft and conversely and temperature also should be normal not too hot nor too cold. avoid spilling of food material. On the other hand with hyposensitive child we have to introduce touching with different temperature and texture  food items at a time for example solid to liquid, hot to cold.

most important thing is that parents /caregiver must be very calm while dealing with these children otherwise their anxiety, only increases the problems than to decrease. They should be confident that there is solution to their problem. more update about latest development in mx of cerebral palsy log to http://www.trishlafoundation.com & you tube trishla foundation cerebral palsy

 

Focussing on abilities not a disabilities in children with cerebral palsy

children with cerebral palsy are definitely not commonly having mental retardation. it is found that more than 60% of them are having normal or even above normal intelligence. only thing is that their intelligence is masked because of their motor problem and less interaction with social environment. Most of them try hard to cope with their environment and also have talent and interest in many activity like singing , sculpture playing game like carrom, chess and even some outdoor game requiring limited mobility and many other activity. these children with nearly normal IQ also do much better in schooling because of their concentration which remain unbroken because of limited mobility. severe mental retardation are found only in children with severe disability. Now days we are more focussing on inclusive education in which all these children are allowed to go mainstream schooling, which boost up their confidence and improve their personality tremendously. so we should identify those hidden talent and encourage them that boost up their morale and speeds up recovery along with therapy and other management. it is needed that we should start paying attention to their ability now. more update about latest development in mx of cerebral palsy log to http://www.trishlafoundation.com & you tube trishla foundation cerebral palsy

Cerebral Palsy Treatment Surgery pediatric orthopedics rehab center minor orthopedic clinic

Cerebral Palsy Treatment Surgery pediatric orthopedics rehab center minor orthopedic clinic

Do you know what is Cerebral Palsy? Are you affected or your known one affected from Cerebral Palsy then you really need to read this and share it and make aware to all about Cerebral Palsy http://www.samvednatrust.com/cerebral-palsy/
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Cerebral palsy awareness is very much needed in countries India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka

Cerebral palsy treatment India

Cerebral palsy treatment India

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

We really need to get ware about it. Read this complete blog here http://www.samvednatrust.com/cerebral-palsy-awareness-is-very-much-needed-in-countries-india-us-uae-europe-pakistan-nepal-bangladesh-sri-lanka/

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BEHAVIOR MANAGEMENT in Cerebral Palsy Children

BEHAVIOR MANAGEMENT in Cerebral Palsy Children

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.

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ORTHOSIS MANAGEMENT IN CHILDREN WITH CEREBRAL PALSY

A multidisciplinary team including an orthotist, physical therapist and an orthopedist can advance a child with cerebral palsy along the continuum of care throughout his development. This team, coordinating with a family-centered approach to care, should encourage optimal use of an orthosis within the prescribed treatment plan.

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If you encounter a pediatric patient with cerebral palsy chances you may find the solution to orthotics treatment with some customized adjustment. To make a truly useful orthosis for a child with cerebral palsy you may also need to know body mechanics and kinematics.

Spastic cerebral palsy is the common type cerebral palsy, found approximately in 80% of children with the disability. Although orthotics intervention has adjusted in small ways to accommodate new research in the body mechanics and gait, the overall goals are the same. The goal of lower limb orthotic management of cerebral palsy is to correct and/or prevent deformity; to provide a base of support to facilitate training in skills and to improve the efficiency of gait. Other goals include increasing range of motion, maintaining or improving levels of function and stability, maintaining length as the bone grow, and preventing and overcoming some the secondary effects of the disability leading into adulthood, no single treatment is appropriate for every child, but it is generally agreed that sooner the intervention is started the better the outcome. Orthoses prescribed to prevent or correct the deformities can pose addition activity limitation by restricting movement . normal functional development can be impeded by impairment of coordination and movement. Orthoses can maintain optimum biomechanical aligment of body segments enable children to overcome activity limitations by focusing training on unrestricted parts for their bodies over which they have better control.

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Treatment surgery center children symptom Mobility Exercises in Cerebral Palsy children Treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka Afghanistan Bhutan Russia Canada United States PR China Brazil Australia Argentina Kazakhstan Sudan Algeria Greenland Saudi Arabia Indonesia Mongolia Peru Niger South Africa Colombia Egypt Nigeria Venezuela Turkey Chile Zambia Ukraine Kenya France Thailand Spain Sweden Uzbekistan Morocco Iraq Japan Zimbabwe Germany Finland Malaysia Philippines Ecuador New Zealand Netherlands Switzerland Denmark Qatar
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Botox in cerebral palsy

Clinical use of botulinum was recognized by Bergen et al. in 1949 by identifying the effect of botulinum toxin on neuromuscular transmission. Once it was thought to be potent biological toxin to human body, now its potential is being utilized as therapeutic agent for different clinical problems specially spasticity & cosmetic purpose. In all variety of botulinum toxin, type A is used for the clinical application. This is being utilized in Mx of cerebral palsy since 20 years .This toxin is used as intramuscular injection at most condensed site of neuromuscular junction of affected muscle. This toxin block acetylcholine release from neuromuscular junction & causes local temporary chemo- denervation and effect last for 4-6 month .Even after disappearance of drugs, some modulation of nerve transmission has been seen, so effect persist beyond the time limit and dystonic posture also get corrected due to slight diffusion of drugs in systemic manner. It is being commonly used for spastic & dystonic cerebral palsy.
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Usually botulinum toxin injection are used in all affected muscle in a single setting and it is better to give it under anesthesia, because it require multiple injection puncture and is painful and it also save the toxin from wastage. Most commonly botulinum toxin is used in Gastrocnemius, Hamstring, Rectus Femoris, Adductor, Pronator Teres, and Flexor Digitorum. Injection can be repeated every three monthly but if proper postoperative therapeutic protocol has been taken into consideration it may not be so frequent. At Samvedna, we rarely require repetition of toxin due to good therapeutic protocol and use of braces. It reduces pain; facilitate therapy, better cooperation of child, better functional and motor gain .By the use of toxin, surgery also can be delayed till the maturity of gait. Antibodies to toxin have been one of the possible problems with repeated injection that can interfere in next injection of toxin. Otherwise it is well tolerated. Side effects are very -2 rare.

Botulinum toxin in cerebral palsy

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Treatment surgery center children symptom Mobility Exercises in Cerebral Palsy children Treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka Afghanistan Bhutan Russia Canada United States PR China Brazil Australia Argentina Kazakhstan Sudan Algeria Greenland Saudi Arabia Indonesia Mongolia Peru Niger South Africa Colombia Egypt Nigeria Venezuela Turkey Chile Zambia Ukraine Kenya France Thailand Spain Sweden Uzbekistan Morocco Iraq Japan Zimbabwe Germany Finland Malaysia Philippines Ecuador New Zealand Netherlands Switzerland Denmark Qatar
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jjain999@gmail.com
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