Each year nearly 10,000 infants are born with, or acquire, cerebral palsy. Cerebral palsy’s effect on functional abilities varies greatly. Some affected people can walk while others can’t. Some people show normal or near-normal intellectual capacity, but others may have intellectual disabilities. Epilepsy, blindness or deafness also may be present.
Signs and Symptoms
Cerebral palsy (CP) most commonly impacts gross and fine motor coordination. CP is more than difficulty with motor control, muscle coordination, muscle tone, reflex, posture, and balance; Many of the children who are diagnosed with CP will have additional challenges, such as, developmental delays which complicate the diagnosis and treatment of CP. These associated challenges can impact speech, vision, emotions, and proper development.
What Is Cerebral Palsy?
Cerebral Palsy (CP) is a neurological disorder caused by a non-progressive brain injury or malformation that occurs while the child’s brain is under development – before birth, during birth, or immediately after birth. Damage affects the part of the brain responsible for motor function, body movement, and muscle coordination. The extent of the damage will result in symptoms ranging from mild to severe. The 4 common types of cerebral palsy are spastic, ataxic, dyskinetic, and mixed. Spastic is the most common and can impact extremities on the same side, both legs, or all extremities.
Cerebral palsy presents a unique set of challenges for the individual and caregiver. At Revive, we have a team that not only understands your symptoms but identifies with the role of both patient and caregiver. Our goal is to create a strategic and comprehensive treatment plan to help you live better and love life more. We realize that when we improve the quality of life for the patient, this will improve the quality of life for the caregiver as well.
Our Approach to Diagnostics and Testing
Revive utilizes research-based diagnostics to evaluate function in specific areas of the brain. Looking at eye movements, motor function, sensory function, cranial nerves, cognitive function, balance, and gait. This information allows us to better understand what areas are affected so we can develop a treatment plan that targets those regions and networks to make them stronger and more efficient. These tests include eye movements, motor function analysis, physical exam, cognitive ability and balance.
- The VGN or testing of eye movement gives us a representation of the function of eye muscles, cranial nerves, brainstem nuclei, cerebellum and cortical regions. By measuring things like gaze stabilization, smooth pursuits, saccades, and optogenetics it helps us to differentiate the areas of weakness.
- Motor function analysis enables us to see the strength, tone, and coordination of the movement of muscle groups so we can better understand the regions and networks of involvement. Networks that are utilized in a movement are the coordination of movement involve the frontal lobes, parietal lobes, and the cerebellum.
- In our office, the physical examination is focused on not only finding definitive signs of functional deficits but also catching the subtle changes which give us greater insight into the physiology and function (these findings are often considered irrelevant or ‘within normal limits’ in most conventional clinical settings).
- Cognitive testing is utilized as a baseline marker to measure and monitor patient outcomes. These quantifiable tests validate results in many different avenues. Our testing encompasses depression screening, anxiety screening, verbal memory, psychomotor speed, processing speed, simple attention, and motor speed.
- Balance test or vestibular testing gives us an insight into the function of networks that are needed for standing, walking, even riding in a car. We look at the three main factors of balance (Vestibular, proprioception, and vision) both together and individually to isolate the areas of involvement.
Our Approach to Care
At Revive we specialize in providing treatment to the neurological regions affected by cerebral palsy. Your treatment can include balance, gait, and eye training; as well as hand-eye coordination, repetitive transcranial magnetic stimulation (rTMS), hyperbaric oxygen, diet, and supplements.
We offer a unique process that is built to maximize time and results. To reach your personal healthcare goals, it is imperative that your physicians and care providers precisely know your individual story and desires. Your individual goals are the focal point of the comprehensive treatment plan which is based off your exam, diagnostics, and lab results.
Beyond the neurological system, there are many factors that can impact the presentation of cerebral palsy: the immune system, diet, sleep, and stress (to list a few). By integrating knowledge of the brain and influence of these factors, we are able to be very specific with targeted therapies which create lasting neurological changes. Your treatment plan is designed specifically for you and is not a protocol.
This plan is executed over 5-10 days. Patients see measurable improvement during their time in our office and continue to make gains once they leave. To help ensure success on your journey of healing, we create and define a plan for you when you go home. This plan may include sourcing local specialist for a safe and effective continuum of care. Our goal is to see each patient continue to build upon the initial results they achieved in our office
Research on our treatments
Occupational therapy using a sensory integrative approach for children with developmental disabilities