Cerebal Palsy

What is Cerebral Palsy?

Cerebral palsy (CP) refers to a group of disorders that affect muscle movement and coordination. In many cases, vision, hearing, and sensation are also affected.
The word "cerebral" means having to do with the brain. The word "palsy" means weakness or problems with body movement.
CP is the most common cause of motor disabilities in childhood. According to the Centers for Disease Control and Prevention (CDC), it affects at least 1.5 to 4 out of every 1,000 children worldwide.

What are the symptoms of cerebral palsy?

The symptoms of CP vary from person-to-person and range from mild to severe. Some people with CP may have difficulty walking and sitting. Other people with CP can have trouble grasping objects.
The symptoms can become more severe or less severe over time. They also vary depending on the part of the brain that was affected.

Some of the more common signs include:
  • delays in reaching motor skill milestones, such as rolling over, sitting up alone, or crawling
  • variations in muscle tone, such as being too floppy or too stiff
  • delays in speech development and difficulty speaking
  • spasticity, or stiff muscles and exaggerated reflexes
  • ataxia, or a lack of muscle coordination
  • tremors or involuntary movements
  • excessive drooling and problems with swallowing
  • difficulty walking
  • favoring one side of the body, such as reaching with one hand
  • neurological problems, such as seizures, intellectual disabilities, and blindness
Most children are born with CP, but they may not show signs of a disorder until months or years later. Symptoms usually appear before a child reaches age 3 or 4.
Call your doctor if you suspect your child has CP. Early diagnosis and treatment are very important.

What causes cerebral palsy?

Abnormal brain development or injury to the developing brain can cause CP. The damage affects the part of the brain that controls body movement, coordination, and posture.

The brain damage usually occurs before birth, but it can also happen during birth or the first years of life. In most cases, the exact cause of CP isnโ€™t known. Some of the possible causes include:
  • asphyxia neonatorum, or a lack of oxygen to the brain during labor and delivery
  • gene mutations that result in abnormal brain development
  • severe jaundice in the infant
  • maternal infections, such German measles and herpes simplex
  • brain infections, such as encephalitis and meningitis
  • intracranial hemorrhage, or bleeding into the brain
  • head injuries as a result of a car accident, a fall, or child abuse

Who's at risk for cerebral palsy?

Certain factors put babies at an increased risk for CP. These include:
  • premature birth
  • low birth weight
  • being a twin or triplet
  • a low Apgar score, which is used to assess the physical health of babies at birth
  • breech birth, which occurs when your baby's buttocks or feet come out first
  • Rh incompatibility, which occurs when a mother's blood Rh type is incompatible with her baby's blood Rh type
  • maternal exposure to toxic substances, such as methylmercury, while pregnant

What are the different types of cerebral palsy?

There are different types of CP that affect various parts of the brain. Each type causes specific movement disorders. The types of CP are:

Spastic cerebral palsy

Spastic CP is the most common type of CP, affecting approximately 80 percent of people with CP. It causes stiff muscles and exaggerated reflexes, making it difficult to walk.
Many people with spastic CP have walking abnormalities, such as crossing their knees or making scissorlike movements with their legs while walking. Muscle weakness and paralysismay also be present.
The symptoms can affect the entire body or just one side of the body.

Dyskinetic cerebral palsy

People with dyskinetic CP have trouble controlling their body movements. The disorder causes involuntary, abnormal movements in the arms, legs, and hands.
In some cases, the face and tongue are also affected. The movements can be slow and writhing or rapid and jerky. They can make it difficult for the affected person to walk, sit, swallow, or talk.

Hypotonic cerebral palsy

Hypotonic CP causes diminished muscle tone and overly relaxed muscles. The arms and legs move very easily and appear floppy, like a rag doll.
Babies with this type of CP have little control over their head and may have trouble breathing. As they grow older, they may struggle to sit up straight as a result of their weakened muscles. They can also have difficulty speaking, poor reflexes, and walking abnormalities.

Ataxic cerebral palsy

Ataxic CP is the least common type of CP. Ataxic CP is characterized by voluntary muscle movements that often appear disorganized, clumsy, or jerky.
People with this form of CP usually have problems with balance and coordination. They may have difficulty walking and performing fine motor functions, such as grasping objects and writing.

Mixed cerebral palsy

Some people have a combination of symptoms from the different types of CP. This is called mixed CP.
In most cases of mixed CP, people experience a mix of spastic and dyskinetic CP.

How is cerebral palsy classified?

Cerebral palsy is classified according to the Gross Motor Function Classification System (GMFCS). The World Health Organization (WHO) and the Surveillance of Cerebral Palsy in Europe developed the GMFCS as a universal standard for determining the physical capabilities of people with CP.
The system focuses on:
  • the ability to sit
  • the capability for movement and mobility
  • charting independence
  • the use of adaptive technology
The five levels of the GMFCS increase with decreasing mobility:

Level 1 cerebral palsy

Level 1 CP is characterized by being able to walk without limitations.

Level 2 cerebral palsy

A person with level 2 CP can walk long distances without limitations, but they canโ€™t run or jump.
They may need assistive devices, such as leg and arm braces, when first learning to walk. They also may need to use a wheelchair to get around outside of their home.

Level 3 cerebral palsy

A person with level 3 CP can sit with little support and stand without any support.
They need handheld assistive devices, such as a walker or cane, while walking indoors. They also need a wheelchair to get around outside of the home.

Level 4 cerebral palsy

A person with level 4 CP can walk with the use of assistive devices.
Theyโ€™re able to move independently in a wheelchair, and they need some support when theyโ€™re sitting.

Level 5 cerebral palsy

A person with level 5 CP needs support to maintain their head and neck position.
They need support to sit and stand, and they may be able to control a motorized wheelchair.

How is cerebral palsy diagnosed?

A doctor will diagnose CP by taking a complete medical history, performing a physical exam that includes a detailed neurological exam, and evaluating the symptoms. Additional testing can also be performed:
  • An electroencephalogram (EEG) is used to evaluate the electrical activity in the brain. It may be ordered when someone is showing signs of epilepsy, which causes seizures.
  • An MRI scan uses powerful magnets and radio waves to produce detailed images of the brain. It can identify any abnormalities or injuries in the brain.
  • A CT scan creates clear, cross-sectional images of the brain. It can also reveal any brain damage.
  • A cranial ultrasound is a relatively quick and inexpensive method of using high-frequency sound waves to get basic images of the brain in young infants.
  • A sample of blood may be taken and tested to rule out other possible conditions, such as bleeding disorders.
  • vision loss and impairment, such as blurred vision in one or both eyes
  • deafness
  • speech delays
  • intellectual disabilities
  • movement disorders

What other conditions are associated with cerebral palsy?

People with CP may have other problems, such as:
  • communication difficulties, including speech and language disorders
  • drooling
  • spinal deformity such as scoliosis (curvature), lordosis (saddle back) and kyphosis(humpback)
  • osteoarthritis
  • contractures, which occur when the muscles get locked in painful positions
  • incontinence
  • osteopenia, or poor bone density that can make bones easily breakable
  • dental problems

How is cerebral palsy treated?

The goal of treatment is to improve limitations and prevent complications. Treatment may include assistive aids, and medications

Assistive aids

Assistive aids include:
  • eyeglasses
  • hearing aids
  • walking aids
  • body braces
  • wheelchairs

Medications

Oral anticonvulsants and muscle relaxants are commonly used as first-line treatments for CP. Your doctor might prescribe:
  • diazepam (Valium)
  • dantrolene (Dantrium)
  • baclofen
  • tizanidine (Zanaflex)
Your doctor might also suggest local injections of botulinum toxin type A (Botox) or intrathecal baclofen therapy, where the drug is delivered by an implantable pump.

Other treatment

Other types of treatment for CP include:
  • speech therapy
  • physical therapy
  • occupational therapy
  • recreational therapy
  • counseling or psychotherapy
  • social services consultations
Although stem cell therapy is being explored as a potential treatment for CP, research is still in the early stages.

How can cerebral palsy be prevented?

The majority of problems that cause CP can't always be prevented. However, if you're pregnantor planning on becoming pregnant, you can take certain preventive measures to minimize complications.
It's important to get vaccinated against diseases that can cause fetal brain damage, such as rubella. It's also crucial to receive adequate prenatal care. Attending regular appointments with your doctor during pregnancy can help prevent premature birth, low birth weight, and infections.

What's the long-term outlook for people with cerebral palsy?

There's no cure for CP, but the condition can often be treated and managed effectively. The specific type of treatment varies from person to person. Some people with CP may not need very much assistance, and others might need extensive, long-term care for their symptoms.

Regardless of the severity of the condition, treatment can improve the lives of those with CP. The following can help many people enhance their motor skills and ability to communicate:
  • assistive aids
  • medications
  • therapy
We proudly Thanks to m/s: healthline.com
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Dedicated staff and doctor. One the best center in madurai.
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My child has been attending therapy session at this centre for a fear months now and I can already see significant improvements in my child mental health and well-being.this therapist and the staff are empathetic, knowledge and genuinely invested in helping children to achieve their goals.the centre's warm and welcoming atmosphere makes it early to open up and feel comfortable.highly recommend
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I'm really happy to be a Part of bright school. They have well experienced and qualified teachers and they are friendly with our children as well as parents too. The environment is very good for our children to learn and they gave therapies like physiotherapy, speech therapy, OT, behavioural therapy have made an improvement in my child development and I'm very grateful for bright school
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9 hours ago
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If you are looking for a autism centre or school truly cares about your child's growth and we'll being. Bright children special school and centre is definitely worth considering.
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The staffs are truly amazing, they are not just educators, they are advocates for our children. The program my child has made is nothing short of miraculous. From improved communication skills to increased independence, Bright children madurai has been a game- changer. We are so grateful to be part of this community.
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7 days ago
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7 days ago
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1 week ago
In this educational and therapy centre and school the variety of therapies offered such as occupational, speech therapy , ABA therapy, behavioural therapy have made a huge difference in my child's development just in 6 months. I thank to all therapists and caring lovely staffs and especially sir ( Sathish Babu ) very much.
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2 weeks ago
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2 weeks ago
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2 weeks ago
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Renuga Devi V
Renuga Devi V
4 weeks ago
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Anitha Margret
Anitha Margret
4 weeks ago
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Lavanya Rajadhanasekar
16 August 2023
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Renuka Devi
16 August 2023
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Sathis Babu
16 August 2023
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Thamarai Selven
25 July 2023
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Shalini Shanmugam
Shalini Shanmugam
11 July 2023
Right place to see improvements in ASD kids
ARAFA HEALTH CARE
ARAFA HEALTH CARE
11 July 2023
Excellent center in madurai
Vaani Vaani
Vaani Vaani
11 July 2023
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USHA RANI
USHA RANI
10 July 2023
Good๐Ÿ‘
ABDUL KHAN S
ABDUL KHAN S
10 July 2023
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leka bhavani
leka bhavani
10 July 2023
Specially cares the children who need more attention and develop their mental abilities and make them feel independent.
Suresh Purushothaman
Suresh Purushothaman
9 July 2023
Very nice place and kind staff
SIVAKUMAR N
SIVAKUMAR N
9 July 2023
Best place for special kids....
s karthik
S Karthik
9 July 2023
Got a good experience here. Thanks to Mr. Sathish sir who deserve take care of kids. Thanks once again.
Dr. KCh. Rajachenguttuvenn K. Chandrasekaran
Dr. KCh. Rajachenguttuvenn K. Chandrasekaran
9 July 2023
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Rajamanikandan RSM
Rajamanikandan RSM
9 July 2023
Excellent school in Madurai.
Pandiya Rajan
Pandiya Rajan
9 July 2023
Very good service ...
Rathakrishnan R
Rathakrishnan R
9 July 2023
Prompt and hygienic school
VDK love VDK love
VDK love VDK love
9 July 2023
Very good school I strongly recommend this school not a money mind organisation very very nominal monthly contribution.
Padmanaban S
Padmanaban S
9 July 2023
One of the best special schools in Madurai..Filled with caring staff members and helpers.Parents need not worry about their children once they are up here..
Ambika Ramanathan
Ambika Ramanathan
9 July 2023
Good services are provided here in Madurai.
Ihshana Ismail
Ihshana Ismail
9 July 2023
Personally got benefitted from this school and especially from the care and love they show towards the children.
Vairavel Prakash
Vairavel Prakash
9 July 2023
Dedicated centre...affordable fees, Hygienic environment
Pujukku Pujukku
Pujukku Pujukku
8 July 2023
Best School in Madurai. They give all the necessary training to the children and make the students excel in it.
Deepak Vicky
Deepak Vicky
8 July 2023
Service is excellent. Staff members are caring and committed to the well-being and growth of their students. Their passion for education was evident, and it created an encouraging and nurturing environment. The facilities are specifically designed to serve unique needs of the students. The classrooms are well-equipped, and thoughtfully arranged to ensure an optimal learning experience. It was evident that they took the time to know each student individually, tailoring their teaching methods to accommodate their specific strengths and challenges.
K M
K M
8 July 2023
Wonderful place for kids who is affected by Autism spectrum disorder. Well trained therapist and strict management which is what we needed to achieve our goal in developing kids from ASD.
I have a 4 year old son diagnosed with ASD, I joined him at Bright children special school about an year ago, I could see him with lot of improvements over the past year and I have a hope that he will be at mainstream school in an year or so. Bright children school has US based 1 on 1 therapy session which will help to understand kids specific needs and area of improvement. They have a process of set up monthly goal and working towards that.
I strongly recommend Bright children school to parents who is looking for good therapy center for their autistic kids.
Guide Muthu
Guide Muthu
8 July 2023
Best school for children Mr.sateesh is dedicated and helping mind.
ARAFA Health Care
ARAFA Health Care
7 July 2023
Really super center
Ramarethinam .k
Ramarethinam .k
25 June 2023
Children are supported by dedicated staffs,who enable children to reach their full potential.commitment from the staffs are superb.probably one of the best special needs school in madurai
Abinaya2006
Abinaya2006
24 June 2023
I was a parent at bright children special school.I thought the support was absolutely brilliant fantastic atmosphere It just made me feel welcome thank you so much bright you are ever number one.
Durgadevi Ravichandran S.R
Durgadevi Ravichandran S.R
24 June 2023
A amazing school out standing every way. My daughter was supported by the dedicated staff to enable him to teach his full potential .I would recommend bright school to any one. A top class special school
Bhuvana Ramanathan
Bhuvana Ramanathan
24 June 2023
Lovely school and lovely staff who seek to provide endless possibilities for all ensure that the pupils flourish and develop the best that they possibly can!
Shalini Sinagravel
Shalini Sinagravel
24 June 2023
Not just a special school but a family the care and attention given to the children.Hard working honest and friendly bright school really is a special place.
Padi Selvi
Padi Selvi
24 June 2023
My son has just finished bright special school and this year joined normal school they have done an amazing job giving him the best start possible I cannot thank then enough. The teaching staff are fantastic both loving and truly talented. Keep up the good work and a massive thank.
vairavel mahilan
vairavel mahilan
22 June 2023
Non profit organisation....with almost dedication and caring...Excellent training centre.๐Ÿ™
Mohammed Farook
Mohammed Farook
8 June 2023
The best
Mohamed Ali
Mohamed Ali
8 June 2023
Good coaching. Appreciate all the teachers for giving individual care
Nagendran Ganeshan
Nagendran Ganeshan
3 June 2023
This is one of the best therapy Center in Madurai and seen good improvement for my daughter.. appreciating all their staffs for taking care our daughter
Karthika R
Karthika R
30 May 2023
Completely satisfied with their service....
Music World
Music World
30 May 2023
Feeling positivity in this place . God bless these children always
Karthigai Selvan
Karthigai Selvan
29 May 2023
Good job. Keeping Rocking. Thank you.
MS Madhavan
MS Madhavan
29 May 2023
super therapy centre , nice staffes
meenaelangovan 2019
meenaelangovan 2019
29 May 2023
They set individual goal for each therapy very good class arrangements
Bala murugesh
Bala murugesh
29 May 2023
Mulaikada vidayum mulaika vaikirargal
KKV VI A Harini.R
KKV VI A Harini.R
7 April 2023
The best school for special children. They are treating well the student. Good improvement in the child condition
MR Rengaraju
MR Rengaraju
19 January 2023
Best place ever for special childrens
MARGARET FATIMA RANI AUGUSTIN
MARGARET FATIMA RANI AUGUSTIN
8 February 2022
A place where children are treated with dignity. Motherly care is given. Therapies are effective and helps the child's progress. Highly recommended.
gautham balaji
gautham balaji
3 August 2021
A good community with professional instructors and caretakers.Much suitable place for blessed specials.
Sayee Sri
Sayee Sri
3 August 2021
Special care is given for each and every kid individually
Srividya Dachepalli
Srividya Dachepalli
2 August 2021
Good school for overall development of the kids with special needs and schooling.
Thilaga Pandis
Thilaga Pandis
2 August 2021
Very good care and therapy
Rengaraju RajaDhanaSekar
Rengaraju RajaDhanaSekar
2 August 2021
Good Service For Special Childrens
digambar mane
digambar mane
2 August 2021
Best school autism children treatment
Ajith Kumar
Ajith Kumar
2 August 2021
Great Team Excellent Service Needed For Children. ๐Ÿ˜€๐Ÿ˜€๐Ÿ˜€๐Ÿ˜€๐Ÿ˜€ Carry on Your Great Service Good Care of Special Children ๐Ÿ‘
Jeba Shanthi
Jeba Shanthi
19 September 2020
Excellent
Baby coder T
Baby coder T
9 September 2020
The best.
Mahadass Saisanjay
Mahadass Saisanjay
5 September 2020
Just as their name suggests, they work together in helping the special children shine bright in day-to-day activities. They have a specialised skilled team giving good attention to each and every kid, working towards the progress of that kid.
SRC - The Source
SRC - The Source
4 September 2020
Centre is putting sincere efforts in the development of the special kids.
Keerthana Ashok
Keerthana Ashok
3 September 2020
A dedicated team of people taking good care of special children
Veerameena R
Veerameena R
25 November 2019
Good Service For Autism Children
vibu gokul
vibu gokul
26 September 2019
Good Service And Special Care for autism child
kalai chelvi
kalai chelvi
26 September 2019
Good Service
nava meena
nava meena
26 September 2019
Good Service And Special Care For Special Kids
Deepak
Deepak
26 September 2019
Good Service and Special Care for Special Child
esther antony
esther antony
26 September 2019
Good For Special Kids
Shalini Muthiah
Shalini Muthiah
4 May 2019
Good
Sureshbabu Srinivasan
Sureshbabu Srinivasan
4 May 2019
I knew Mr Satish since 2004. Visited the school on few occasions. Could sense the dedicated efforts of the team there. Wishing all of them the very best and thanking for thier services
Bala Murugan
Bala Murugan
9 November 2018
Good . . .