I've also heard of botox into spastic muscles.
> [Original Message] > From: Joanne Seng <[EMAIL PROTECTED]> > To: <[EMAIL PROTECTED]> > Date: 2/25/2003 8:37:43 AM > Subject: RE: Cerebral Palsy Prognosis > > Dear Norileen- I have worked at a facility for severe/profound Adult > Developmental Disabilities and the long- term results of spastic CP are > devastating. I do not work with children, but most of the literature I have > read has indicated limited only effectiveness of the treatments you describe > for spasticity. Most of our folks with spastic quadriplegia have developed > severe contractures over the years. > > Future goals for this child, if s/he is severely delayed, may be as follows: > > 1- Has Intrathecal Baclofen been discussed? (this kid may be too young for > such a treatment). The research on this treatment is promising. > 2- Ambulation/mobility and wheelchair positioning > 3- Augmentative Communication > 4- Casting or splinting to prevent elbow, wrist or other contractures > 5- Daily ROM/Stretching/alternative positioning > 6- Environmental access > 7- Feeding/ Dysphagia concerns > > I have no idea what your time or financial limitations may be for serving > this child, but I hope this helped...Joanne > > -----Original Message----- > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of > Norileen Joco Rosales > Sent: Monday, February 24, 2003 6:05 PM > To: [EMAIL PROTECTED] > Subject: Cerebral Palsy Prognosis > > > I am a therapist from the Philippines and currently working with a 3 yr old > CP spastic Quadriplegia. I am worrying about his development because I have > been treating him for 1 1/2 years already and still find very little > improvement regarding his motor development. I used NDT for the first 6 > months incorporated with facilitatory techniques for his hypotonic lower > extremities and very spastic upper extremities. From the sixth month up to > present I am using therapeutic electrical stimulation to relax his muscles > and develop strength. During every treatment I incorporate play to > facilitate his communication and still uses NDT once in a while. I have also > used icing/ cold stimulation as well as use techniques of sensory > integration. I am very open to every treatment technique so that I would > achieve my goal for him. He has frequent seizures, breathing problem (barrel > chested) hip subluxation, has an NGT for almost 2 years, has very limited > voluntary movements, his ATNR and primit! > ive > reflexes persists, and still does not developed equilibrium reactions and > righting reactions while placed in sitting position and demonstrated very > little improvement with all the techniques and modalities I used and now I > noticed he has structural scoliosis. I'd like to know if i CAN STILL EXPECT > SOME IMPROVEMENTS IN THE NEXT COUPLE OF MONTHS.What do you think will be his > prognosis? What do you think would be the most effective treatment for him? > Please give me some practical suggestions regarding the best therapeutic > technique I can do. As a therapist I aim to provide my patients the best > treatment possible to make their little lives worthwhile and I always try to > find the best solution for every problem. PLEASE HELP ME!!!! > > Norileen J. Rosales, OTRP > Private Practice > -- > > On Sun, 23 Feb 2003 08:24:44 > Elizabeth H. Thiers wrote: > >Where are you located Rick? I know several sources in our area and since > >many are federally funded you may find a correlate in your area. For young > >children who are blind with physical impairments there is CITE and the > local > >Lion's club center. For others there is the Florida Division of the blind. > >Orientation and Mobility is a specialty area of vision teachers and > requires > >advanced training. However, at least the resources in our area are great > >about sharing their wealth of information. I know when I started working > >with some deaf/ blind clients they gave me oodles of information. > >Also, you may already know this already but, get a good idea of difference > >between blind and visually impaired. You want to know what type of sight > >the person may or may not have. > > > >Elizabeth H. Thiers, OTR/L > >Florida Elks Children's Therapy Services > >[EMAIL PROTECTED] > > > > > > -----Original Message----- > > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of > >[EMAIL PROTECTED] > > Sent: Saturday, February 22, 2003 1:10 PM > > To: [EMAIL PROTECTED] > > Subject: ADLs and blindness > > > > > > Rickot- > > The independent people I know with blindness have everything in their > >house very organized. They always keep things in the same spot. If they > >know braille, they use a labeler to label everything with braille writing. > >A professor I had really used his ears for everything! He could walk > >through a city and know when to cross the street by just listening to the > >sounds of the cars. I have never worked with training the blind myself, > >this is just what I have seen with the blind people I know. There are > blind > >rehab centers around which are residential programs for training the blind. > >That is all the help I can offer. > > > > > Need a new email address that people can remember > Check out the new EudoraMail at > http://www.eudoramail.com > > *********��*********** > > Unsubscribe? Send a message to [EMAIL PROTECTED] > > In the message's *body*, put the following text: unsubscribe OTlist > > ** List messages are archived at: > > http://www.mail-archive.com/[EMAIL PROTECTED] > > *********��*********** > > *********��*********** > > Unsubscribe? Send a message to [EMAIL PROTECTED] > > In the message's *body*, put the following text: unsubscribe OTlist > > ** List messages are archived at: > > http://www.mail-archive.com/[EMAIL PROTECTED] > > *********��*********** --- Barbara Laxon --- [EMAIL PROTECTED] --- EarthLink: The #1 provider of the Real Internet. *********��*********** Unsubscribe? 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