E-Book Overview
This book is a practical guide to the effective treatment of cerebral palsy in children. It provides a set of principles by which to observe and analyze individual patients' problems and then plan treatment. With the help of this book, non-specialists working with children with cerebral palsy can make decisions and choose the appropriate therapeutic activities for each child. It includes examples of how to apply these principles to real-life situations, using easy-to-follow descriptions and illustrations. New to this revised edition is a chapter on sensory integration problems with children with cerebral palsy, which looks at ways of evaluating and then dealing with these problems. The author also integrates theory with practical skills more closely.
E-Book Content
Children with cerebral palsy
Children with cerebral palsy A manual for therapists, parents and community workers Second edition
ARCHIE HINCHCLIFFE Illustrations by Barbara Lynne Price and Clare Rogers
Copyright © Archie Hinchcliffe, 2003, 2007 All rights reserved. No part of this book may be reproduced or utilised in any form or by any means, electronic or mechanical, including photocopying, recording or by any information storage or retrieval system, without permission in writing from the publisher. First published in 2003 by Vistaar Publications This revised second edition published in 2007 by Sage Publications India Pvt Ltd B1/I1, Mohan Cooperative Industrial Area Mathura Road New Delhi 110 044 www.sagepub.in Sage Publications Inc 2455 Teller Road Thousand Oaks, California 91320 Sage Publications Ltd 1 Oliver’s Yard, 55 City Road London EC1Y 1SP Published by Vivek Mehra for Sage Publications India Pvt Ltd, typeset in 11/13 Berkeley by Star Compugraphics Private Limited, Delhi, and printed at Chaman Enterprises, New Delhi.
Library of Congress Cataloging-in-Publication Data Hinchcliffe, Archie. Children with cerebral palsy: a manual for therapists, parents and community workers/Archie Hinchcliffe; illustrations by Barbara Lynne Price and Clare Rogers.—2nd ed. p. cm. Includes bibliographical references and index. 1. Cerebral palsy—Treatment. 2. Cerebral palsied children—Care. I. Title. [DNLM: 1. Cerebral Palsy. 2. Cerebral Palsy—therapy. 3. Child. WS 342 H659c 2007] RJ496.C4H565 ISBN:
618.92'83606—dc22
978-0-7619-3560-5 (PB)
2007
978-81-7829-720-0 (India-PB)
Sage Production Team: Rrishi Raote, Rajib Chatterjee and Santosh Rawat
2006034191
To those children with cerebral palsy and their families, and to the therapists and community workers that I have been privileged to know
Contents
Acknowledgements 9 Introduction 10 Chapter 1 What is cerebral palsy and how does it affect children? 13 Chapter 2 Assessing a child with cerebral palsy I. Observing and handling 25 Chapter 3 Assessing a child with cerebral palsy II. Analysis of observations 50 Chapter 4 Contractures and deformities 71 Chapter 5 Principles of treatment 88 Chapter 6 Child, family and therapist working as a team 119
8
CHILDREN WITH CEREBRAL PALSY
Chapter 7 Useful equipment at a treatment centre and at home 141 Chapter 8 Sensory integration problems in children with cerebral palsy ANNIE BROZAITIS
172 Chapter 9 Assessment and management of eating and drinking difficulties MARIAN BROWNE
201 Appendix A How to make equipment from appropriate paper-based technology (APT) JEAN WESTMACOTT
228 Appendix B Choosing appropriate play activities to engage a child’s active involvement in therapy 241 Glossary 244 Index 251 About the author 259
Acknowledgements
T
HIS book was written for the many physiotherapists who attended the courses I taught in different countries in Africa and the Middle East. I am indebted to them for the enco