CEREBRAL PALSY--HELP

[carephysio]

HELLO,
i got a case of cerebral palsy. HIS CASE HISTORY:
age:9 yrs/male
cause :unknown: may be because of infection.
no spasticity....weak joints...no bowel and bladder control... no neonatal reflexes.
auditory and visual input absent.
there is nothing that the patients understand about.
how a physiotherapist can intervene...in this situation?

any help is highly appreciated...

regards
carephysio

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[onfourwheels]

hello i know it can be frustrating but do your best.

[daniel_sadana80]

it's alot of treat child with cp..like bbath, si ayres, snoozelen...

[Kersh Iyer]

Hi all....I've just started working at a special needs school. I have no NDT training but i have over the years worked with CP kids. I would really appreciate some advise on when does one stop treatment (even if goals are reached)....

Kersh

[estherderu]

Dear Kersch,
The questions seems so easy to answer but it is not.
You need to consider:
-what are your treatment goals
-what are the reasons for wanting to stop
-what are the parents/childs goals and/or their reasons for wanting to stop treatment
-do you both agree?
-has treatment ever been stopped before
-how old is the child, (motor- sensor development)
-what do others think (teachers,family members, schoolboard)
-what is considered normal in your culture?

In Holland many children are not treated for periodes of 6 weeks in holiday time and that time has been found to be acceptable. The childs situation does not really change in that periode.

On a whole, stopping treatment for a while can be a goal in itself, giving therapist and child and parents a change to "get away from it all"
for a periode of time. The most important thing I can say is communicate, ask the parents and child what they think and want and come to an agreement. Do some simple testing as a last therapy session and repeat this after a .... month interval to see if anything has changed for the better or not. In come cases a child can do just as well by being the member of a local sports team.

Esther