Cerebral Palsy Health Management Sheet Cerebral Palsy Key Points The impact of cerebral palsy will vary between individuals and the Cerebral Palsy is a group of type of cerebral palsy they have. Some people will experience a mild conditions caused by impact and others a profound impact. The main types of cerebral damage to, or lack of palsy are: development in the motor Spastic Cerebral Palsy – occurs in approximately 75 per cent of area of the brain. cases. It is characterised by stiff or tight muscles. More than one factor often contributes to the cause. Athetoid Cerebral Palsy – occurs in approximately 10-20 per Affects one in 400 births. cent of cases. It is characterised by fluctuations of muscle tone Not a progressive condition. and uncontrolled movements. Communication difficulties may lead to misperception of Ataxic Cerebral Palsy – occurs in 5-10 per cent of cases. It is intellectual disability. characterised by an unsteady gait, balance difficulties and shaky Poor muscle control movements. impacting upon daily living Mixed Cerebral Palsy – some individuals also have a mixture tasks.. of these conditions. Features The predispositions listed below Early intervention. are more common for people Therapy programs are available through the Commission, private with moderate to profound therapists or via Therapy Focus (school age). Contact your Local forms of cerebral palsy: Area Coordinator for information and support. poor muscle control and Health Management to discuss with GP. posture; Physical Examination – at least annually. increased risk of epilepsy; Epilepsy – discuss anticonvulsant medication. Request a mild feeding difficulties referral to a neurologist at appropriate intervals. impacting on nutrition and diet; Hearing – test regularly until glue ear is not a concern. curvature of the spine; (majority will require a specialist referral) After age 40 test poor mouth, tongue and saliva every two years, if possible, by an audiologist. control (poor oral health); Vision – test and ask regarding strabismus (squint). poor musculoskeletal Ophthalmology assessment recommended during early years. development and high risk of Nutrition – discuss with individual or carer. deterioration and some Dental – annual reviews are encouraged. dislocations; Genetic Counselling – should be offered to all families. possible intellectual disability Gastroesophageal Reflux Disease – ask for information. (but not in all cases); Ageing – monitor changes in individuals needs in conjunction with muscular stiffness; carers, health professionals and individual. genitourinary problems; gastroesophageal reflux Useful resources disease; Cerebral Palsy Association of Western Australia increased risk of chronic lung 1800 198 263 disease; http://www.cpawa.com.au/ hearing and visual difficulties; The Health Resource and Consultancy Team irregular muscle tone; and Disability Services Commission some early ageing issues such Free ph: 1800 004 544 as increased fatigue, and http://www.dsc.wa.gov.au/content/hrct/default.asp deterioration of function and a HRCTinfo@dsc.wa.gov.au reduced life expectancy.