Spastic Cerebral Palsyenparentshttps://kidshealth.org/EN/images/headers/Spastic_Cerebral_Palsy_enHD_2.jpgKids with spastic CP have stiff muscles in the upper part of the body, the lower part, or both.cerebral palsy, CP, congenital disorders, motor skills, muscle tone, athetoid, dyskinetic, spastic, ataxic, intracranial bleeding, mental retardation, developmental delays, mainstreaming, premature infants, muscle coordination, eating difficulties, bladder and bowel control, breathing problems, balance, depth perception, difficult to move, lack of oxygen, birth defects, seizures, communication problems, visual impairment, therapies, hearing loss, food aspiration, advocates, support groups, specialized education plans, CD1Cerebral Palsy, CD1Orthotics, CD1Gait and Motion Analysis Lab, CD1Orthopedics01/03/201803/06/201909/02/2019M. Wade Shrader, MD and Margaret Salzbrenner, APRN09/05/2018488e3ec5-6b41-422f-b359-13f56ea81c0bhttps://kidshealth.org/ws/RadyChildrens/en/parents/spastic-cp.html/<h3>What Is Spastic Cerebral Palsy?</h3> <p><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/cerebral-palsy.html/">Cerebral palsy (CP)</a> affects muscle movement and control. People with CP have it for life.</p> <p>There are different types of cerebral palsy. Spastic CP is the most common. Kids with spastic CP have stiff muscles. These may be in the upper part of the body, the lower part, or both. They can be on one or both sides of the body.</p> <p>Other types of cerebral palsy can lead to writhing movements (<a href="https://kidshealth.org/ws/RadyChildrens/en/parents/dyskinetic-cp.html/">dyskinetic CP</a>) or problems with balance and walking (<a href="https://kidshealth.org/ws/RadyChildrens/en/parents/ataxic-cp.html/">ataxic CP</a>). Some kids have more than one kind of CP. And sometimes, the type of cerebral palsy a child has can change over time.</p> <h3>What Causes Cerebral Palsy?</h3> <p>Cerebral palsy is thought to be caused by a brain injury or problem. In spastic CP, the injury or problem is in an area of the brain called the <strong>motor cortex</strong>. The motor cortex plans and controls movement.</p> <p>A child might be born with CP or develop it later. The brain injury or problem doesn't get worse, but someone with CP may have different needs over time.</p> <p>Cerebral palsy can be caused by:</p> <ul> <li>infections during pregnancy</li> <li>a stroke either in the womb or after birth</li> <li>untreated <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/jaundice.html/">jaundice</a> (yellowing of the skin and whites of the eyes at birth)</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/about-genetics.html/">genetic disorders</a></li> <li>medical problems in the mom during pregnancy</li> <li>being shaken as a baby (<a href="https://kidshealth.org/ws/RadyChildrens/en/parents/shaken.html/">shaken baby syndrome</a>)</li> <li>brain injury during birth</li> <li>brain injury from an accident (such as a car accident)</li> </ul> <p><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/preemies.html/">Premature babies</a> (babies born early) are at higher risk for CP than babies born full-term. So are low-birthweight babies (even if carried to term) and multiple births, such as twins and triplets.</p> <h3>What Are the Signs &amp; Symptoms of Spastic Cerebral Palsy?</h3> <p>Because their muscles are tight and stiff, kids with spastic cerebral palsy do not move smoothly. Their movements may seem jerky. Often, the muscles do not do what the child wants them to.</p> <p>Spastic (SPASS-tik) CP can be mild or severe. This depends on how much of the brain is involved. For example, a child with mild spastic cerebral palsy&nbsp;might have stiffness in just one hand. Kids with severe spastic CP, though, might not be able to move some muscles at all. They may need help eating and use a wheelchair to get around.</p> <p>Kids with all types of cerebral palsy can have vision, hearing, speech, eating, behavior, and learning problems. Some have <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/seizure.html/">seizures</a>.</p> <h3>How Is Spastic Cerebral Palsy Diagnosed?</h3> <p>Most children with spastic cerebral palsy are diagnosed in the first 2 years of life. Health care providers look for signs of CP if a baby is born early or has another health problem that's associated with CP.</p> <p>No single test can diagnose spastic CP. So health care professionals look at many things, including a child's:</p> <ul> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/development-sheets.html/">development</a></li> <li>growth</li> <li>reflexes</li> <li>movement</li> <li>muscle tone</li> <li>interactions with others</li> </ul> <p>Testing may include:</p> <ul> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/mri-brain.html/">brain MRI</a>,&nbsp;<a href="https://kidshealth.org/ws/RadyChildrens/en/parents/ct-head.html/">CT scan</a>, or&nbsp;<a href="https://kidshealth.org/ws/RadyChildrens/en/parents/ultrasound-head.html/">ultrasound</a></li> <li>blood and <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/labtest7.html/">urine</a> (pee) tests to check for other medical conditions, including genetic conditions</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/eeg.html/">electroencephalography (EEG)</a>&nbsp;to look at electrical activity in the brain</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/emg.html/">electromyography (EMG)</a> to check for muscle weakness</li> <li>evaluation of how a child walks and moves</li> <li class="MsoNormal">speech, hearing, and vision testing</li> </ul> <h3>How Is Spastic Cerebral Palsy Treated?</h3> <p>There is no cure for cerebral palsy. The health care team works with the child and family to make a treatment plan. The health care team includes a:</p> <ul> <li>pediatrician</li> <li>developmental behavioral pediatrician</li> <li>occupational therapist&nbsp;</li> <li>physical therapist</li> <li>speech therapist</li> <li>dietitian</li> <li>neurologist (nervous system doctor)</li> <li>ophthalmologist (eye doctor)</li> <li>orthopedic surgeon (bone doctor)</li> <li>otolaryngologist (ear, nose, and throat doctor)</li> </ul> <p>The treatment plan may include:</p> <ul> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/phys-therapy.html/">physical therapy</a> and <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/occupational-therapy.html/">occupational therapy</a></li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/assistivedevices-mobility-slideshow-html.html/">leg braces, a walker, and/or a wheelchair</a></li> <li>medicine for muscle pain or stiffness</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/diet-cerebral-palsy.html/">special nutrition</a> to help the child grow</li> <li>surgery to improve movement in the legs, ankles, feet, hips, wrists, and arms</li> </ul> <h3>Where Can Caregivers Get Help?</h3> <p>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 appointments 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.</p> <p>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:</p> <ul> <li><a href="http://yourcpf.org/">Cerebral Palsy Foundation</a></li> <li><a href="http://ucp.org/">United Cerebral Palsy</a></li> </ul> <p>Staying strong and healthy is not only good for you, but also for your child and your whole family.</p> <h3>Looking Ahead</h3> <p>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 his or her needs change, adjust the plan as necessary.</p> <p>These guides can help as you plan for each stage of childhood and early adulthood:</p> <ul> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/cp-checklist-younger.html/">Cerebral Palsy Checklist: Babies &amp; Preschoolers (Birth to Age 5)</a></li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/cp-checklist-big-kids.html/">Cerebral Palsy Checklist: Big Kids (Ages 6 to 12)</a></li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/cp-checklist-teens.html/">Cerebral Palsy Checklist: Teens &amp; Young Adults (Ages 13 to 21)</a></li> </ul>Parálisis cerebral espástica La parálisis cerebral afecta al movimiento y al control de los músculos. Las personas con parálisis cerebral tienen esta afección durante toda la vida.https://kidshealth.org/ws/RadyChildrens/es/parents/spastic-cp-esp.html/a31aeb4c-72de-4f23-a9af-9d7eb5b6def6
Ataxic Cerebral PalsyKids with ataxic CP have trouble with balance. They may walk with their legs farther apart than other kids. And they can have trouble knowing exactly where something is. https://kidshealth.org/ws/RadyChildrens/en/parents/ataxic-cp.html/27df5246-350f-428b-9764-ba739f9acc21
Brain and Nervous SystemThe brain controls everything we do, and is often likened to the central computer within a vast, complicated communication network, working at lightning speed.https://kidshealth.org/ws/RadyChildrens/en/parents/brain-nervous-system.html/1e2a5004-5865-4069-97fd-5488c31075b9
Cerebral PalsyCerebral palsy (CP) affects a child's muscle tone, movement, and more. This article explains causes, diagnosis, treatment, and coping.https://kidshealth.org/ws/RadyChildrens/en/parents/cerebral-palsy.html/2bf118da-d5ef-4078-b144-6b59eef2ce30
Cerebral Palsy (CP)Learn all about cerebral palsy (CP), one of the most common congenital disorders of childhood. Help your child or teen manage the condition, and find the help and services that kids with CP are entitled to.https://kidshealth.org/ws/RadyChildrens/en/parents/center/cp.html/efe651ef-23e3-47db-9e18-f26ac3a1eb3b
Cerebral Palsy Checklist: Babies & PreschoolersIf your child has cerebral palsy, there's a lot to know. This checklist makes it easy to find out what programs and services may be available to you.https://kidshealth.org/ws/RadyChildrens/en/parents/cp-checklist-younger.html/b4bcc9af-ba7b-48b9-893f-42487d916c20
Cerebral Palsy Checklist: Big KidsIf you have a school-age child with cerebral palsy, there's a lot to know. This checklist makes it easy to find out what programs and services may be available to you.https://kidshealth.org/ws/RadyChildrens/en/parents/cp-checklist-big-kids.html/ae0bb623-b044-4183-a2a7-14b97d97aa2e
Cerebral Palsy Checklist: Teens & Young AdultsIf your teen has cerebral palsy, there's a lot to know. This checklist makes it easy to determine what programs and services might be needed as your teen nears adulthood.https://kidshealth.org/ws/RadyChildrens/en/parents/cp-checklist-teens.html/5d460cde-6713-4360-ac8e-560c01a2fb18
Cerebral Palsy Factsheet (for Schools)What teachers should know about cerebral palsy, and teaching strategies to help students with CP succeed in school.https://kidshealth.org/ws/RadyChildrens/en/parents/cp-factsheet.html/d9f7eb10-25f6-41a9-9683-34367e5917cc
Cerebral Palsy: A Parent's Guide (Video)Are you raising a child with cerebral palsy? This guide offers advice, resources, and support so that you can help your child reach his or her full potential. https://kidshealth.org/ws/RadyChildrens/en/parents/cp-guide.html/af3f7445-d1f4-45b8-9120-99417a175300
Cerebral Palsy: Ira's Story (Video)Ira has cerebral palsy (CP), but it doesn't interfere with his love of sports or his dream of being a broadcaster. Check out this video.https://kidshealth.org/ws/RadyChildrens/en/parents/story-ira.html/08d6062c-32ee-4605-9e06-a060c619ccae
Cerebral Palsy: Parents Talk (Video)Get advice from parents raising kids with cerebral palsy. Learn what works, what doesn’t, and what helped these families the most.https://kidshealth.org/ws/RadyChildrens/en/parents/cp-parentstalk.html/86e598ed-5558-433a-8a15-3b8170a1e8f3
Cerebral Palsy: Shannon's Story (Video)Shannon has cerebral palsy, which limits many abilities. But her wheelchair and her communication device give her the freedom to explore, and a voice to be heard. https://kidshealth.org/ws/RadyChildrens/en/parents/cpshannons-story.html/dec1a042-8795-493e-bf63-069992443b1c
Dietary Needs for Kids With Cerebral PalsyKids with cerebral palsy often have trouble eating. But with the right diet and feeding techniques, they can get the nutrients needed to thrive.https://kidshealth.org/ws/RadyChildrens/en/parents/diet-cerebral-palsy.html/b345cc72-1c67-4577-87bb-d3940ac0051c
Dyskinetic Cerebral PalsyDyskinetic CP, or athetoid CP, is a type of CP. Kids with dyskinetic CP have trouble controlling muscle movement. https://kidshealth.org/ws/RadyChildrens/en/parents/dyskinetic-cp.html/a47623a4-0163-4325-bb95-76ef51130217
WheelchairsWheelchairs are a way for some people to be independent, despite illnesses or injuries. Find out more in this article for kids.https://kidshealth.org/ws/RadyChildrens/en/kids/wheelchairs.html/659ae94f-c1ee-40b7-a024-c6de75b25325
kh:age-allAgesOrAgeAgnostickh:clinicalDesignation-developmentalMedicinekh:clinicalDesignation-neurologykh:clinicalDesignation-orthopedicsNonSportsMedkh:genre-articlekh:primaryClinicalDesignation-neurologyBrain & Nervous Systemhttps://kidshealth.org/ws/RadyChildrens/en/parents/medical/brain/d6b00a11-9db0-403c-bc41-00bcdf022537Cerebral Palsy and Related Conditionshttps://kidshealth.org/ws/RadyChildrens/en/parents/cerebralpalsy-center/cp-relatedconditions/29cde641-247a-4fbf-8342-32f33b10fd2fHealth Problems of Preemieshttps://kidshealth.org/ws/RadyChildrens/en/parents/preventing-premature-birth/health-problems-of-preemies/9f1dabc6-56dd-4d0f-a7ae-c0083f79eeac