Understanding Cerebral Palsy
Cerebral palsy (CP) is a group of permanent motor disorders caused by non-progressive damage to the developing brain. Despite the static brain lesion, motor function can and does improve significantly with appropriate physiotherapy.
Evidence-Based Physiotherapy Approaches
Goal-directed functional training, intensive pediatric physiotherapy, constraint-induced movement therapy (for hemiplegic CP), and progressive strength training all have strong evidence. NDT/Bobath is widely used but has mixed evidence for functional outcomes.
Spasticity Management
Stretching, splinting, botulinum toxin A (in combination with physiotherapy), and selective dorsal rhizotomy (for eligible cases) all reduce spasticity. Physiotherapy immediately post-Botox maximizes functional gains.
GMFCS — Understanding Your Child's Level
The Gross Motor Function Classification System (GMFCS) categorizes CP severity in 5 levels. Understanding your child's GMFCS level sets realistic but ambitious goals and guides treatment selection.