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Pediatric Rehabilitation Protocol in Spastic Cerebral Palsy

Spasticity management, stretching and gross motor function development program in children with CP.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Pediatric Rehabilitation Protocol in Spastic Cerebral Palsy?

Cerebral palsy (CP) is a permanent but non-progressive motor function disorder due to brain injury developing before, during or after birth. Spastic type (70-80%) presents as hemiplegic, diplegic or quadriplegic.

Rehabilitation goals are determined according to GMFCS (Gross Motor Function Classification System) level. In levels I-III, ambulation is optimized; in IV-V, positioning, transfer and ease of care come to the foreground. Gross Motor Function Measure (GMFM-88) is used in progress monitoring.

A multidisciplinary team (physiatrist, pediatric physiotherapist, occupational therapist, speech therapist, special education, family) works together. Bobath/NDT, conductive education, CIMT, hippotherapy, hydrotherapy and robotic gait training are modern approaches.

Symptoms

Increased muscle tone (spasticity)
Gross and fine motor delay
Imbalance and gait disturbance
Contractures
Need for orthosis
Dependence in activities of daily living

Risk Factors

Prematurity
Low birth weight
Perinatal asphyxia
Intraventricular hemorrhage
Maternal infection
Genetic factors

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • In motor developmental delay
  • In an asymmetric movement pattern
  • When abnormal tone is detected
  • When orthosis need arises
  • When surgery is considered

Treatment Methods

01
Goal setting according to GMFCS level
02
Bobath/NDT approach
03
Stretching and strengthening exercises
04
Botulinum toxin injections
05
AFO/KAFO orthosis use
06
CIMT and hippotherapy
07
Robotic gait training (Lokomat)
08
Multidisciplinary team approach

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.