SPASTIC CEREBRAL PALSY THERAPY PATTERNS


THERAPEUTIC INTERVENTION 

FOR 

"SPASTIC CEREBRAL PALSY"




1. Therapy Program for Spastic Cerebral Palsy 

Stretching occupies a very important place while providing therapy in spastic cases. After performing appropriate stretching exercises, the small muscles are pulled back to their original position and stiffness around the joints is reduced. Hence proper stretching helps in reducing the deformity in the limbs and prepares the child to do self mobility activities.


2. What are the benefits of a daily stretching program  

• This prevents the muscles from shortening.

• It reduces the stiffness around the joints and thereby increases mobility in the limbs.

• Reduces joint pain due to stiffness.

• This gradually improves the position of the body and prepares the child for proper mobility.

• This prepares the child to balance the body against gravity.

• It brings coordination to move objects around him and enhances self-care activities.


3. Therapy program for Spastic cerebral palsy 

a. Stretching exercises for tight muscles of the thighs and legs

  • Calf Muscles (Achilles Tendon) Stretching Exercises
  • Hamstring Stretching Exercises
  • Quadriceps (front thigh muscles) stretching exercise
  • Adductor (inner thigh muscles) stretching exercise

  • Gluteus muscle stretching exercise


b. Exercises for stiffness of the limbs and body

  • Bilateral hip and knee exercises


  • Hip rotation exercise
  • Come to sit from supine position
  • Kneeling


  • Half Kneeling
  • Chest raise in prone position


c. Bolster Therapy

  • balancing with Bolster
  • Squatting with bolster

  • Supine to sitting on bolter


d. Ball Therapy

  • Supine to sitting activity on ball
  • Ball side rolling
  • Trunk strengthening therapy with ball


f. Mat Activities Exercises

  • Bridging 


  • Supine to sitting


  • Kneeling
  • Sitting to standing


g. Hand activities

  • Open and close the bottle cap of different sizes
  • Painting  a picture
  • Clay modelling
  • Peg-board activities
  • Hand clapping





h. Neuro-Developmental Therapy

  • Teach baby to roll on tummy and back
  • Teach baby to crawl with arms and legs
  • Teach baby to sit
  • Teach baby to kneel
  • Teach baby to squat
  • Teach baby to stand up from squatting
  • Teach baby to walk with the help of a rollator
  • Teach baby to walk independently
  • Walking  in parallel bar


i. Daily Living Training Activity Skills

  • Teach oneself to feed
  • To bathe
  • To make enable for donning and doffing
  • To make enable for sitting, standing and walking
  • Enabling control of bladder and bowel functions


4. Conclusion 

Cerebral Palsy is a diverse group characterized by delayed body function, disorders and neurological that is non-progressive. Although the clinical picture may change as the brain matures. There is a need to know the associated signs and symptoms. Diagnosis and thorough testing is needed to know the exact problem in a child affected by cerebral palsy.
Cerebral palsy children require a complex health care team for identification, assessment, therapy intervention and follow-up with these children that gives them the best quality of life they can have.
Early physiotherapy and occupational therapy interventions provide an opportunity for the child to practice functional activities, body positions and develop proper gait pattern. By practicing meaningful and effective skills in a variety of environments, the child will have the opportunity to acquire skills that encourage them to be more independent with the activity of daily living and to increase their level of participation in society.
Therefore, effective therapy plan for children with cerebral palsy focuses on promoting functional independence and preventing further muscle weakness by applying needful exercises according the condition.

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