24/04/2024
Cerebral Palsy Management
- Strengthening exercises: These aim to increase the power of weak muscle groups to support better function, such as the achievement of developmental milestones and fine and gross motor skills.
- Functional training: This involves therapeutic exercises and activities to enhance your child’s ability to complete functional tasks, such as walking, jumping, transferring, and climbing stairs.
- Aerobic exercise: Exercises that raise the heart and breathing rate over a sustained period (such as walking, cycling and swimming) can help to improve your child’s fitness and ability to participate in sport and recreational activities.
- Stretching: Muscle spasticity (increased tension) is a common characteristic of CP. Stretching techniques may be used to improve or maintain range of movement, reduce the risk of muscle shortening and contractures, and improve functional ability (e.g. walking ability).
- Casting and splinting: These may be used to provide gentle stretching over a longer period, with a goal of reducing contracture and spasticity and increasing range of motion. Serial casting is a specialised technique which involves repeated applications of a cast, usually every one to two weeks, to gradually increase range of motion.
- Pain management: Pain is another common feature of CP. In a 2020 study involving 3545 children and adolescents with the condition, 44% of participants reported experiencing pain, with 36% of these reporting that pain disturbed their sleep, and 61% their daily activities. Over time, physiotherapy may help to relieve pain as range of motion and joint alignment improve. Physiotherapy techniques such as hydrotherapy and heat and cold therapies may also help with pain management.