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CP cannot be cured.
Prognosis depends on the severity of the disability. However, with
treatment, many people with CP learn to walk and to perform everyday
skills; they live full, independent lives.
As with assessment,
treatment requires a multidisciplinary approach. Physiotherapy
should be started early to improve posture and reduce abnormal
movements. It is important that the child achieves as much mobility
as possible. Walking aids such as sticks, crutches, walking frame,
trolleys, clippers etc may be required. Some children will need
wheelchairs adapted for their use such as moulded seats or chair
inserts. They may also need adapted knives, forks and spoons to help
them feed themselves.
Speech therapy may
improve the child's communication skills. Sometimes aids such as
books with pictures, an alphabet board, or electronic devices are
needed to improve communication. They may need to learn sign
language.
Some children with
cerebral palsy will need surgery to deal with contractures (chronic
loss of joint motion) or scoliosis (abnormal curvature of the spine)
etc.
Drug treatment may
alleviate some symptoms. Certain drugs such as Dantrolene, Diazipam
and Baclofen are used to help reduce spasticity. Oxybutinin may help
with bladder instability that is causing frequency and urgency. Anti-epilepsy
therapy is required for children who have seizures. Anticholinergic
drugs can reduce the flow of saliva thus reducing drooling. |