Cerebral palsy (CP) is a developmental disorder caused by brain injury before or after birth during a child’s developmental years. It is commonly associated with low-birth-weight babies, prematurity, jaundice, genetic disorders, maternal infections, and intracranial bleeding.
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Meet Dr. Amit Agarwal
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Cerebral palsy (CP) is a developmental disorder caused by brain injury before or after birth during a child’s developmental years. It is commonly associated with low-birth-weight babies, prematurity, jaundice, genetic disorders, maternal infections, and intracranial bleeding.
CP can affect one or both hands and/or lower limbs, leading to spasticity, muscle tightness, stiff joints, limited mobility, an abnormal gait, toe-walking, and contractures.
Hand deformities often result from spasticity and can hinder a child’s daily activities. They are typically diagnosed if a child has:
Early detection of hand deformities is crucial for better management. However, these deformities are challenging to recognize in the initial years due to delayed developmental milestones. Diagnosis typically occurs around the age of five.
Children with CP may also have associated disabilities, such as communication impairments, vision and hearing issues, and mental impairments, along with a history of seizures. All these aspects need to be considered when assessing a child with a spastic hand.
The goal of treating a spastic hand in children with CP is to develop and maintain hand manipulation skills, coordination, and basic hand functions. This includes holding objects for feeding and play. In older children, the focus extends to skills like writing, manipulation, activities of daily living, and social interactions.
Treating a spastic hand is a team effort that involves parents, surgeons, physiotherapists, pediatricians, occupational therapists, nurses, and psychologists.
For older children, an intensive therapy program is developed, incorporating physical and occupational therapy along with splints. Botox injections may be administered to relax spastic and contracted muscles, making them more amenable to physical therapy.
If hand deformities persist or do not improve after Botox injections, surgery is considered. The ideal age for surgery in children with CP is typically between 8 to 12 years, although it can be performed in adults as well. Surgery can lead to significant improvements in hand function and the quality of life for both children and their parents.
For children with CP to be eligible for surgery, they should meet certain prerequisites:
Surgical planning for children with CP depends on the child’s intellectual capacity, hand usage, and sensations:
Various surgical procedures are performed to address hand deformities in children with CP:
Properly planned and performed surgeries significantly enhance the quality of life for children with CP, enabling them to lead more independent lives.
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