About Cerebral Palsy

The term “cerebral palsy” describes chronic conditions affecting body movement and muscle coordination. “Cerebral” refers to the brain and “palsy” to muscle weakness or poor control.

What are the forms of cerebral palsy?

There are four forms of cerebral palsy.
● Spastic Cerebral Palsy: This is the most common form of cerebral palsy. Symptoms include tight muscles and awkward movements.
● Dyskinetic Cerebral Palsy: Symptoms include involuntary movements.
● Ataxic Cerebral Palsy: Symptoms include challenges with balance, depth perception, and shaky movements.
● Mixed Cerebral Palsy: A combination of other cerebral palsy forms.

Other impairments can include drooling, chewing and swallowing difficulties, bladder dysfunction, gastrointestinal issues, constipation, respiratory issues, sleeping, and pain.

What parts of the body are affected by cerebral palsy?

Spastic Cerebral Palsy affects different parts of the body.

  • Quadriplegia: Both legs and both arms paralyzed or weakened equally
  • Diplegia/Bilateral: Both legs affected (and possibly arms to a lesser extent)
  • Hemiplegia/Unilateral: One side (arm and leg) affected
  • Double Hemiplegia: Both arms affected more than the legs (uncommon)

Can there be other conditions that exist with cerebral palsy?

People with cerebral palsy live with different levels of difficulty and there is no set of concerns that describes everyone. However, according to the Centers for Disease Control,

All people with CP have problems with movement and posture. Many also have related conditions such as the following:

  • Intellectual disability
  • Seizures
  • Problems with vision, hearing, or speech
  • Changes in the spine (such as scoliosis)
  • Joint problems (such as contractures)

Other concerns may include:

  • Feeding
  • Self-help
  • Breathing

It is important to note that your child may have many or none of these coexisting concerns. It is extremely important to see specialists as early as possible.

What causes cerebral palsy?

Cerebral palsy is caused by damage to one or more specific areas of the brain. The damage can be due to genetic or developmental disorders, injury, or disease and may occur during fetal development; before, during or shortly following birth; or during infancy. Most cases of cerebral palsy are NOT anyone’s fault. However, there are some things that can be done to prevent cerebral palsy.

Some examples of what can cause cerebral palsy include:

  • Not enough oxygen reaching the brain of a fetus or newborn
  • Head injury, usually the result of motor vehicle accidents, falls, or child abuse
  • Drug addiction
  • Brain infection
  • Other risk factors including premature birth, low birth weight, blood type incompatibility between mother and infant, infection of the mother in early pregnancy, and micro-organisms that attack the infant’s central nervous system

Most causes of cerebral palsy are related to the developmental and childbearing processes and, since the condition is not inherited, the condition is called congenital cerebral palsy.

What can we do to help our child?

Early diagnosis and intervention can make a difference in how your child experiences his or her effects of cerebral palsy. Our Early Intervention page details the kinds of services we offer and how they might help. There is also a “Resources” page that list services and community opportunities for people with cerebral palsy of all ages. We are also conducting a research project to assess the impact of aging with cerebral palsy.

Can cerebral palsy be prevented?

Measures of prevention are increasingly possible today. It is very important for women to take care of themselves before becoming pregnant, receive medical care during pregnancy through childbirth, and protect infants from accidents or injury.

Preventive measures for pregnant women include:

  • Routine testing and immunization of Rh factors
  • Reduced exposure to viruses and other bacterial infections
  • Immunization against measles
  • Avoiding unnecessary exposure to X-rays, drugs, and medications
  • Controlling diabetes, anemia, and nutritional deficiencies
  • Preventing premature births

Do you want to learn more about cerebral palsy?

Can a child with cerebral palsy live a normal life?

Cerebral palsy affects each person in different ways. It is true that some people with cerebral palsy need to be cared for their entire lives through family and caregiver support. However, many adults can live full, independent lives or live mostly independently, only requiring help for specific needs.

There are people with cerebral palsy who:

    • Attend and graduate from high school
    • Attend and graduate from college
    • Have successful careers
    • Have their own families
    • Play and excel at sports, including completing marathons

Four things you should know about cerebral palsy:

1. Cerebral palsy is not progressive

The initial damage that caused cerebral palsy does not get worse over time.  However, there is evidence that while the damage to the specific part of the brain does not progress—or get worse, people may experience the physical effects of that damage to greater degrees as they age. Motor skills may decline and the need to assistance may increase. UCPA Hawai’i is taking an active role in investigating the affects of aging with cerebral palsy. We would love for you to reach out to us and tell us your story so we can serve you better.

 

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2. Cerebral palsy cannot be passed to another person

Cerebral palsy is not a disease and is not contagious.

3. Currently there is no cure for cerebral palsy

However, there are a number of assistive technology and treatment options, such as therapy, orthotics, and surgery, that should begin as early as possible through a management team of physicians, therapists, educators, nurses, social workers, and other professionals.

Learn more about our Early Intervention Services.

Learn more about Bellows Fellows grants for assistive technology.

4. As individuals get older, they may require support services that are essential to the developing adult

These services could include:

  • Personal assistance
  • Continuing therapy or counseling
  • Educational and vocational training
  • Independent living services
  • Transportation
  • Recreation or leisure programs
  • Employment opportunities

Please see our page that profiles people as they live with cerebral palsy (currently under construction–check back soon!)

420 Waiakamilo Rd, Suite 105
Honolulu, HI 96817

Main: (808) 532-6744
Fax: (808) 532-6747