Cerebral palsy

Summary

Cerebral palsy (CP) is a disease with an early impairment of movement and other co-morbidities. It is caused by non-progressive damage of the immature developing brain during the pre-, peri- and postnatal period. Prevalence is reported approximately 2 in 1000 newborns. The highest incidence occurs in children of an extremely low birth-weight. Cerebral palsy is caused mainly by prematurity, birth asphyxia or traumatism. Other causes include infections, developmental impairment and vascular problems. According to clinical neurological findings we divide cerebral palsy into most frequent spastic (quadriparesis, hemiparesis and diaparesis), dystonic-dyskinetic and atactic forms. It is possible to classify the functional level by GMFCS (Gross Motor Function Classification System). It is not possible to cure the cerebral palsy, to achieve a normal condition. The therapy is effective in a team and it is not aimed at motor skills only (physiotherapy, botulinum toxin, orthopaedic treatment) but also at the sensoric development (opthalmology, phoniatrics), the treatment of epilepsy, care for the psychological and social development, development of speech and education.

Key words:
cerebral palsy (CP) – CP classification – causes of CP – CP diagnostics – complex CP therapy