Cerebral palsy (CP) is a group of neurological disorders that affect a person’s ability to move, maintain posture, and coordinate muscle activity due to damage to the developing brain, usually before, during, or shortly after birth. The condition is non-progressive, meaning it does not worsen over time, but its symptoms and impact on mobility and daily functioning can vary significantly among individuals.
CP primarily results from abnormal brain development or injury to the motor cortex which affects voluntary muscle control, the cerebellum which impairs balance and coordination and the basal ganglia which results to abnormal movement and posture. Common causes include oxygen deprivation during birth, premature delivery, low birth weight, maternal infections during pregnancy, or traumatic brain injuries in infancy.
Cerebral palsy is classified into four main types, based on the nature of the motor dysfunction. The most common type is spastic cerebral palsy, characterized by stiff and tight muscles, leading to difficulty in movement and coordination. Dyskinetic CP involves uncontrolled, involuntary movements, often making tasks like speaking or grasping objects challenging. Ataxic CP causes problems with balance and coordination, leading to unsteady movements and difficulty with tasks requiring precision. Mixed CP is a combination of symptoms from the above categories, often resulting in a more complex presentation.
Symptoms of CP typically manifest in infancy or early childhood and may include delays in reaching motor milestones (such as rolling, sitting, or walking), abnormal muscle tone (either too stiff or too floppy), poor coordination, and involuntary movements.
While there is no cure for CP, various treatments can help manage symptoms, improve quality of life, and maximize functional independence. These include: physical therapy, occupational therapy which focuses on enhancing daily living skills and improving hand-eye coordination. Speech therapy assists with communication challenges and feeding difficulties. In severe cases, surgery may be recommended to address muscle tightness, correct deformities, or improve mobility.