In the episode "CP Twins," John and James Shirah are 6-year-old twins who were born too early and as a result have cerebral palsy. James' condition has left him less able to function than his older brother John, but their mother Roxann prays that a surgical procedure will allow James to live a better life. Find out more about this debilitating condition.
What Is Cerebral Palsy?
According to United Cerebral Palsy, it is a term used to describe a group of chronic conditions affecting body movement and muscle coordination. It is caused by damage to one or more specific areas of the brain, usually occurring during fetal development; before, during, or shortly after birth; or during infancy. "Cerebral" refers to the brain and "palsy" to muscle weakness/poor control.
Signs and Symptoms
One of the most common signs of cerebral palsy is the underdevelopment of an infant's motor skills. The baby may not roll over, smile or crawl as soon as most other infants. He or she may seem unusually flexible (hypotonia) or unusually stiff (hypertonia). Some babies go from one extreme to the other. In addition to the motor problems described above, people with CP may have the following symptoms:
- abnormal sensation or perception
- epilepsy, or seizure disorder
- hearing impairments
- mental retardation or learning disabilities
- speech impairments
- visual impairments, including strabismus, or crossed eyes
Diagnosis and Treatment
Doctors can test an infant's motor skills as part of the diagnosis. An MRI, CT scan or ultrasonography can be used to detect possible brain disorders. Cerebral palsy cannot be cured. Treatment is geared toward improving the individual's functional abilities and quality of life.
- Behavioral therapy can help reinforce behaviors that maximize abilities and skills.
- Early intervention programs can help younger infants and their parents maximize development.
- Educational planning should start before the child reaches school age.
- Medicines, such as baclofen or methocarbamol, can help to relax muscles.
- Occupational therapy can help the child with self-care and other activities of daily living.
- Physical therapy can help develop basic movement skills.
- Speech therapy can help with speech and language impairments.
- Surgery on muscles, bones, joints or the nervous system can improve motor skills.
Children with cerebral palsy should be helped to lead as normal a life as possible. Sports for children with disabilities provide instruction and opportunity to participate in team activities.