By Brian Alexander
You wouldn't know it to speak to her, because she's cheerfully chatty, with a pronounced Chicago-land accent, but Brandie Langer is worried. She's also a little worried about being worried. "Do you think I might be paranoid?" she asks. She has three children. The youngest, a son, is 5 years old, and Brandie has read a lot online about endocrine-disrupting chemicals (EDCs), which some scientists say can scramble male hormones. EDCs are commonly found in plastics, bug-...
Physical therapy and special equipment may be used together, such as for constraint-induced movement therapy, also called shaping. This encourages a child to increase movements by presenting interesting activities or objects and giving praise and rewards when a child attempts to use the less-functioning muscles.
Ongoing treatment for cerebral palsy (CP) focuses on continuing and adjusting existing treatments and adding new treatments as needed.
Working with others involved with your child's care, understanding your child's needs and rights, and taking care of yourself and other family members are all important parts of treatment. For more information, see Home Treatment.
Physical therapy is an important treatment that begins soon after a child is diagnosed. It often continues throughout the child's life. It may begin before a definite diagnosis is made, depending on the child's symptoms.
Physical therapy may help prevent the need for surgery. But its focus may change after surgery or for problems that are new or getting worse. After surgery, specialized physical therapy may be needed for 6 months or longer.
Devices and equipment
Many people who have CP benefit from using something to maintain or improve joint mobility, help strengthen muscles and relax overactive (spastic) muscles, and assist with daily activities. These devices and equipment may include special crutches, orthotics, casts, standers, special seats, walkers, wheelchairs, special shoes, and other methods to help with specific problems.
The specific types of devices used depend on a child's needs. For example, a child may get a cast after surgery or to restrict movement in one area to strengthen muscles and tendons in another part of the body. If both legs are affected by CP, a child can learn to move around with the help of a scooter board (a device used to self-propel while lying down), a modified stroller, a wheelchair, or other special equipment.