Cerebral palsy (CP) is a problem that affects muscle tone, movement, and coordination. It happens when the brain can’t properly send messages to muscles about how to move in smooth or well-coordinated ways. CP can also affect other body functions that involve motor skills and muscles, like breathing, bladder and bowel control, eating, and talking.
There are different types of CP. Some people have one type, or a mix of:
problems with motor skills, like being unable to crawl, walk, or move arms and legs in the usual way
muscle tone that is too tight or too loose
infant reflexes (like the palmar grasp, or "hands in fists" reflex) that stay beyond the age at which they're usually gone
What Problems Does CP Cause?
A range of physical problems can happen with CP. Some kids have a lot of trouble with movement, while others don't. It depends on how much the brain was damaged. The damage can be partial, for example, affecting only the part of the brain that controls walking. Or it can affect a larger area, like the parts that control walking, talking, and understanding speech.
Brain damage that causes CP also can affect other brain functions and lead to problems like:
There's no cure for cerebral palsy. But resources and therapies can help kids grow and develop to their greatest potential.
As soon as CP is diagnosed, a child can begin therapy for movement and other areas that need help, such as learning, speech, hearing, and social and emotional development. Many will need assistive devices like braces or wheelchairs.
Medicine helps kids who have a lot of muscle pain and stiffness. They can take medicine by mouth, G-tube, or get it through a pump (the baclofen pump) placed under the skin.
Surgery can help fix dislocated hips and scoliosis (curved spine), which are common in kids with CP. Leg braces help with walking.
Kids can improve their bone health by having a diet that's high in calcium, vitamin D, and phosphorus. These nutrients help keep bones strong. Doctors, dietitians, and speech-language therapists can work with families to make sure kids get enough of the right nutrients and suggest changes to their diets or mealtime routines, if needed.
What Else Should I Know?
Kids with CP often need to see many different medical specialists for care. That team may include doctors and surgeons, other providers like physical assistants, nurses, therapists, psychologists, educators, and social workers.
Even if many medical specialists are needed, it's still important to have a primary care provider or a medical home. This provider will take care of your child's routine health care and also help you coordinate care with other doctors.
Where Can Caregivers Get Help?
Taking care of a child with cerebral palsy can feel overwhelming at times. Not only do kids with CP need a lot of attention at home, they also need to go to many medical visits and therapies. Don't be afraid to say yes when someone asks, "Can I help?" Your family and friends really do want to be there for you.
To feel less alone and to connect with others who are facing the same challenges, find a local or online support group. You also can get information and support from CP organizations, such as:
Staying strong and healthy is not only good for you, but also for your child and your whole family.
Living with cerebral palsy is different for every child. To help your child move and learn as much as possible, work closely with your care team to develop a treatment plan. Then, as your child grows and their needs change, adjust the plan as needed.
These guides can help as you plan for each stage of childhood and early adulthood: