01-27-2009, 07:56 AM
Cerebral palsy (CP) is an umbrella term encompassing a group of non-progressive,[1] non-contagious diseases that cause physical disability in human development.The incidence in developed countries is approximately 2.12–2.45 per 1000 live births[2]. Incidence has not declined over the last 60 years despite medical advances (such as electro-fetal monitoring) because these advances allow extremely low birth weight and premature babies to survive. Cerebral refers to the affected area of the brain, the cerebrum (however the centres have not been perfectly localised and the disease most likely involves connections between the cortex and other parts of the brain such as the cerebellum) and palsy refers to disorder of movement. CP is caused by damage to the motor control centers of the young developing brain and can occur during pregnancy (about 75 percent), during childbirth (about 5 percent) or after birth (about 15 percent) up to about age three. Eighty percent of causes are unknown; for the small number where cause is known this can include infection, malnutrition, and/or head trauma in very early childhood.[citation needed]It is a non-progressive disorder, meaning the brain damage does not worsen, but secondary orthopedic deformities are common. There is no known cure for CP. Medical intervention is limited to the treatment and prevention of complications possible from CP's consequences.CP is the second-most expensive developmental disability to manage over the course of a person's lifetime (second to mental retardation), with an average lifetime cost per person of USD$921,000 (in 2003 dollars).[3]Onset of arthritis and osteoporosis can occur much sooner in adults with CP. Further research is needed on adults with CP, as the current literature body is highly focused on the pediatric patient. CP's resultant motor disorder(s) are sometimes, though not always, accompanied by"disturbances of sensation, cognition, communication, perception, and/or behavior, and/or by a seizure disorder”.
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