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CEREBRAL ROL

PALSY
INTRODUCTION
• NON PROGRESSIVE BRAIN DISEASE
• GROUP OF DISORDERS OF MOVEMENTS
CAUSED BY DAMAGE TO MOTOR AREAS OF
BRAIN DURING FETAL DEVELOPMENT.
• MAJORITY OF PALSY OCCURE IN PRENATAL
PERIOD
CLINICAL FEATURES
BASED ON CLINICAL TYPES
• SPASTIC(65%) COMMONEST TYPE
• DYSKINESIA(25%)
• ATAXIA
• MIXED
BASED ON SEVERITY OF LESION
• MILD (25%) – INDEPENDENT IN DAILY ACTIVITIES.
• MODERATE (50%) –NEEDS HELP IN DAILY ACTIVITIES AND
AMBULATION
• SEVERE– PATIENT IS BEDRIDDEN AND HAS A WHEELCHAIR
EXISTENCE.
ORTHOPEDIC DEFORMITIES

UPPER LIMB
• PRONATION CONTRACTURE OF FOREARM
• FLEXION DEFORMITIES OF WRIST AND FINGERS
• SWAN NECK DEFORMITY
• SHOULDER ADDUCTION AND INTERNAL ROTATION DEFORMITY
LOWER LIMB

• ADDUCTION DEFORMITY (MC)


• FLEXION AND INTERNAL ROTATION DEFORMITY
• DYSPLASTIC AND SUBLUXATED HIP
• DISLOCATED HIP
• PELVIC OBLIQUITY
KNEE
• GENU RECURVATUM
• GENU VALGUM
• PATELLA ALTA
• KNEE FLEXION CONTRACTURE
FOOT
• EQUINUS DEFORMITY
1. EQUINOVARUS
2. EQUINOVALGUS
• CLAW TOES
• IT IS CHARACTERISED AS A
COMBINED DEFORMITY
WITH A MALPOSITIONING
OF THE FIRST
METATARSOPHALANGEAL
JOINT CAUSED BY A
LATERAL DEVIATION OF
THE GREAT TOE AND A
MEDIAL DEVIATION OF THE
TALIPES CAVUS
ASSOCIATED FEATURES
• SENSORY DEFICIT IN HAND (50-60%)
• SPEECH PROBLEMS
• MENTAL RETARDATION
• DEAFNESS
• VISUAL DEFECTS
• SEIZURE

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