Issues in Developmental Disabilities

Cerebral Palsy

Lecture Presenter:

Diane Langkamp, MPH, MD 

IntroductionSegment 1

Case ExamplesSegment 2

A. Rebecca

B. Aspen

Diane Langkamp

Definition of Cerebral Palsy Segment 3

Definition of Cerebral Palsy A non-progressive disorder Injury/malformation of the brain at one

point in time Disorder in movement or posture

Diagnosis of Cerebral Palsy Segment 3

Injury or abnormality of the brain Occurs before birth, During the process of birth OR in the first one to two years of life

Causes of Cerebral Palsy Segment 3

Genetic

Infections

Other Medical Problems

When Cerebral Palsy Occurs/Risk Factors

Segment 4

A. Prenatal Risk Factors

B. Perinatal Risk Factors

C. Postnatal Risk Factors

Epidemiology of Cerebral Palsy (Segment 5)

A. Incidence

B. Prevalence

Types of Cerebral Palsy Segment 5

A. Classification by Type of Motor Dysfunction

B. Classification by Distribution of Involved Extremities

Developmental Course of Cerebral Palsy-

Segment 6

A. Delay in Motor Milestones B. Muscle Tone Factors

1. Hypotonic muscle tone 2. Hypertonic muscle tone    

C. Lessening of Symptoms Later in Development

1. Neurological disorders 2. Ending of progression of cerebral palsy

symptoms

Developmental Course of Persons with Cerebral Palsy

Segment 6

A. Persons with Mild Cerebral Palsy

B. Persons with Severe Cerebral Palsy

1. Respiratory issues 2. Seizures

Cerebral Palsy & Co-Occurring Disabilities/Functional Limitations-

Segment 6

A. Seizure Disorders

B. Mental Retardation

C. Feeding

D. Control of Oral Secretions

E. Respiratory Infections

Cerebral Palsy & Co-Occurring Disabilities/Functional Limitations-

Segment 6

F. Speech Production Difficulty G. Vision Disorders H. Hearing Disorders I. Behavioral Challenges J. Learning Disabilities

Outcomes for People with Cerebral Palsy/ Clinical Experiences with

Health Care Services Segment 7

A. Outcomes for People with Cerebral Palsy

B. Learning about Cerebral Palsy Diagnosis

1. Professionals involved

C. Services Needed as Child Develops

Medical Management of Cerebral Palsy and

Communication with FamiliesSegment 8

A. Medical Interventions and Treatments1. Muscle relaxants 2. Surgical interventions

B. Communication with Families 1. Information and education 2. Support from other families 3. Parental grieving process as child develops

Role of Social Workers & Outcomes for Children with Cerebral Palsy

Segment 9

D. Roles of Social Workers in Cerebral Palsy

B. Outcomes for Children1. Rebecca2. Aspen

a) Use of augmentative communication device

Prevention of Cerebral Palsy Segment 10

A. Low Birth Weight

B. Severity of Accidents

C. Infections and Communicable Diseases

Bob Williams, (former Commissioner), Administration on Developmental Disabilities-

Segment 11

Bob Williams, (former Commissioner), Administration on Developmental Disabilities

Segment 12