Cerebral Palsy

DIAGNOSIS AND TREATMENT

17 millionWORLD
CEREBRA
people with cerebral PALSY
palsy
Cerebral palsy is a physical disability that DAY
affects movement and posture. worldwide 02.OCT.2013

DIAGNOSIS PROGNOSIS
Risks for Cerebral Palsy Cerebral palsy can affect different parts of the body:
Infant has risks for
cerebral palsy?
Risk Factor CP Risk

Ataxic/Other
Dyskinetic
Maternal Risks (thyroid, pre-eclampsia, bleeds,

Spastic
infection, IUGR, placental abnormalities,
No Yes multiples)+/- 24% 25% 23%
Born Premature 10.0% 76% 75% 77%
<28 weeks 5.0% 23%
99%
28-31 weeks 0.7% Quadriplegia
GMFCS IV-V Quadriplegia
31-37 weeks
CP
Infant has abnormal
motor development?
Term Born 12.0% 39%
Encephalopathy 0.1% Hemiplegia 1%
Healthy, no known risks GMFCS IV-V
38%
Assessing Motor Development WALKING Diplegia
No Yes Most children with
Age: <20 weeks Age 6-12 months cerebral palsy will walk
(corrected) 60% are independent
General Movements Developmental ambulators
Assessment. 95% predictive. Assessment of Young 10% walk with an aid
98% 2%
Children (DAYC). 30% use a wheelchair GMFCS IV-V
Infant has abnormal 83% predictive.
neuroimaging? Hammersmith Infant Hammersmith
Neurological Assessment Infant Neurological
LIFE-LONG SEVERITY

2
(HINE). Helps predict Assessment (HINE). Cerebral palsy is a Predictions of
10-20%
severity. 90% predictive. life long disability. severity are most
No Yes Disability may accurate at 2 years
Neuroimaging increase with age, of age.
Abnormal Neuroimaging % of all CP and ageing may
Not occur earlier.
Cerebral Periventricular white matter injury 19%
cerebral palsy
palsy Cerebral malformation 11% PAIN, BEHAVIOUR AND TREATMENT
CVA 11% SLEEP DISORDERS Without rehabilitation
Investigate Grey matter injury 22% in people with and orthopaedic
other Treat early Intracranial haemorrhage 3% cerebral palsy are management, a person
conditions under-recognised. with cerebral palsy can
Infection 2%
Non-specific 19% Assess and treat. deteriorate physically.
Normal 13%

ASSOCIATED CONDITIONS AND EVIDENCE-BASED TREATMENT

CP is almost always accompanied by a number of associated conditions and these can be as disabling as the physical condition.
INTELLECTUAL
PAIN NON-AMBULANT HIP DISPLACEMENT NON-VERBAL EPILEPSY
DISABILITY

3 in 4 1 in 2 1 in 3 1 in 3 1 in 4 1 in 4
Treat to prevent sleep & Poorer prognosis for ambulation, Independent sitting at 6-12 monthly hip Augment Seizures will resolve
behavioural disorders continence, academics 2yrs predicts ambulation surveillance using x-ray speech early for 10-20%
BEHAVIOUR BLADDER
SLEEP DISORDER BLINDNESS NON-ORAL FEEDING DEAFNESS
DISORDER INCONTINENCE

1 in 4 1 in 4 1 in 5 1 in 10 1 in 15 1 in 25
Treat early & ensure Conduct investigations Conduct investigations & Assess early Assess swallow safety Assess early
pain is managed & allow more time ensure pain is managed & accommodate & monitor growth & accommodate

World Cerebral Palsy Day worldcpday.org WORLD

Proudly supported by The Allergan Foundation CEREBRAL
PALSY
DAY
The content for this infographic was drawn from:
1.McIntyre, S., Morgan, C., Walker, K. & Novak, I. (2011). Cerebral palsy-dont delay, Developmental Disabilities Research Reviews, Volume 17, Issue 2, pages
114129. 2.Novak, I. (2014). Evidence-based diagnosis, health care, and rehabilitation for children with cerebral palsy, Journal of Child Neurology, 22 June 2014
05.OCT.2016