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Pediatric Orthopedics: Cerebral Palsy and Neuromuscular Conditions Treatment
What is Cerebral Palsy (CP)?
Cerebral Palsy is a group of neurological disorders that affect muscle movement, coordination, posture, and balance. It is caused by damage to the developing brain — either during pregnancy, childbirth, or early infancy.
Common Neuromuscular Conditions in Children
Muscular Dystrophy
Spinal Muscular Atrophy (SMA)
Peripheral Neuropathy
Myasthenia Gravis These disorders affect muscles and nerves, causing weakness, mobility issues, and developmental delays.
Symptoms of Cerebral Palsy and Neuromuscular Disorders
Delayed milestones (sitting, crawling, walking)
Muscle stiffness or floppiness
Poor coordination and balance
Abnormal gait or toe walking
Involuntary movements (spasticity)
Speech or swallowing difficulties
Seizures (in some cases)
Joint deformities due to muscle contractures
How is it Treated?
Treatment is customized and multidisciplinary, aiming to improve function and quality of life. It may involve:
1. Physical and Occupational Therapy
Strengthening and stretching exercises
Mobility training and gait correction
Daily activity and motor skill enhancement
2. Medications for Spasticity
Oral meds: Baclofen, Diazepam
Botulinum Toxin Injections (Botox) for targeted muscle relaxation
3. Surgical Treatments
Orthopedic Surgery (Tendon lengthening, joint stabilization)
Hip Reconstruction for dislocations
Spinal Surgery for scoliosis
Selective Dorsal Rhizotomy (SDR): Neurosurgery to reduce spasticity
4. Assistive Devices
Ankle-foot orthoses (AFOs), walkers, wheelchairs
Communication aids (AAC devices)
5. Speech and Language Therapy
Helps with speaking, swallowing, and social communication
6. Nutritional & Psychological Support
Addresses feeding difficulties and emotional well-being
Hospital Stay & Treatment Duration
Therapy sessions: Ongoing (weekly/monthly based on need)
Minor surgeries: 3–5 days hospital stay
Major surgeries (hip/spine/SDR): 5–10 days stay + 6–12 weeks recovery
Long-term rehabilitation: May continue for years with regular evaluations