The
extent of the physical impairment a child suffers from the neurological /brain
damage is taken as the primary condition of the child .However along with are
various secondary , associative and co- mitigating conditions which exists due
to the primary effects. The primary physical impairment may involve challenges
with muscle tone, reflexes, posture, balance, fine and gross motor functioning
also oral motor functioning. Which in turn create secondary conditions such as
difficulty to chew, swallow, or communicate that also require treatment. Managing Cerebral Palsy is further complicated by
co-mitigating factors which are not caused by the same brain damage that caused
CP but that still exists in the child as a separate condition which requires simultaneous treatment eg child my suffer from
asthma or any such ailment.
Due such complications in the treatment and uniqueness of every
child as far as extent of impairment is considered, the Children require or
need a comprehensive treatment & care plan which differ from child to child
.This plan takes into consideration all the conditions existing in the child, the
child’s ability, his /her socio –economic background also kind & quality of
home care received. The team includes the various multidisciplinary doctors, pediatrician,
parents or the legal guardians. At the onset goals for the treatment are
established keeping in mind the medical condition of the child .Then the set
goals are achieved using a combination of drugs & therapies.
However a keen observation from the primary caregiver is
required all time as complications may arise at any point of time, noticing
them earlier can help the caregiver to act promptly and minimize the effect. It takes lot from the general primary pediatrician
and caregivers to accomplish the set goals of treatment to develop in the
child abilities so that the/she can have degree of independence and lead a
quality life.