RehabifyWhat cerebral palsy is
- Spastic CP, the most common type, with stiff, tight muscles
- Dyskinetic CP, with movements the child cannot control
- Ataxic CP, with problems of balance and coordination
- Mixed types, with features of more than one
CP can affect one side of the body, both legs, or all four limbs. Common causes include being born very early, low oxygen around birth, infection, or bleeding in the brain. Often no single cause is found.
Who should see a doctor
Signs to get checked
- A baby who is late to hold the head, sit, crawl or walk
- Very stiff or very floppy limbs, or a strong preference for one hand before age 1
- Toe walking, frequent falls or a walk that looks different
- A child with CP whose stiffness, pain or posture is getting worse, or who is growing fast
What happens at Rehabify
- 01
History
Birth, development, current therapies, daily routine, school and what you would most like to change.
- 02
Examination
Muscle tone, joint range, posture, sitting, standing and walking, and hand use, done through play.
- 03
Goals
Clear goals set with you and, where possible, your child.
- 04
Team links
A written plan for your child's therapists and school, and referral to an orthopaedic surgeon, neurologist or other specialist when needed.
The doctor decides the right tests and treatment for your child after examining them.
Before and after your visit
How to prepare
- Bring birth and medical records, scans, and previous therapy reports
- Bring current splints, shoes and walking aids
- Dress your child in comfortable clothes that make it easy to see legs and arms
- Bring a favourite toy or snack, and short videos of your child moving at home if you can
After your visit
You leave with a written plan, home exercises and a review date. You can send questions on WhatsApp between visits.
When to get help urgently
Common questions
Will my child walk?
It depends on the type and severity of CP, and on age. The doctor can explain what is likely for your child and set goals that matter, whether that is walking, using a walker or getting around in a wheelchair.
Does cerebral palsy get worse?
The brain injury does not get worse. But muscles and joints can become tighter as a child grows, which is why regular reviews and stretching are important.
What are splints or orthoses for?
They hold a joint in a better position, help with standing or walking, and slow down tightness. The doctor advises on the type and checks the fit as your child grows.
Are injections used for stiffness?
Sometimes. Targeted injections into tight muscles can reduce stiffness for a few months, so that stretching and therapy can work better. They are used only when suitable and always with therapy.
Can my child go to a regular school?
Many children with CP do. The doctor can suggest seating, access and support, and write to the school with your consent.
Sources
- [1]
National Institute for Health and Care Excellence (NICE) guideline NG62. Cerebral palsy in under 25s: assessment and management
- [2]
NICE guideline CG145. Spasticity in under 19s: management
- [3]
American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) care pathways
This page is for general education and does not replace a consultation. The right plan depends on your examination.