Cerebral Palsy
Cerebral Palsy
What is cerebral palsy?
Cerebral palsy is not a single condition; rather it describes a wide range of physical and developmental problems caused by injury or abnormal development in the immature brain, usually before birth. There are different types of cerebral palsy depending on how the body is affected. A person might have quadriplegia, diplegia, triplegia, or hemiplegia. They may be spastic, dystonic, athetotic, or have other types of uncontrollable activity or muscular movements.
Our Approach
Care for people with cerebral palsy is complex and requires the expertise of a variety of health care providers from multiple specialty areas. At University of Michigan Health, nationally recognized specialists work together to provide comprehensive, coordinated care for people with cerebral palsy including cutting edge research and treatment. The comprehensive cerebral palsy team is made up of the following professionals:
- Clinical nurse specialists
- Developmental pediatricians
- Neurologists
- Neuropsychologists
- Neurosurgeons
- Occupational therapists
- Ophthalmologists
- Orthopedic surgeons
- Pediatric Rehabilitation Medicine Specialists
- Physical therapists
- Recreational therapists
- Rehabilitation engineers
- Speech and language pathologists
Appointment Information
Schedule an Appointment at 734-936-7175.
For adolescents with cerebral palsy, our multidisciplinary Physical Disabilities Transitional Care & Adult Clinic assists adolescent patients with the transition of medical care from pediatric to adult specialists. The clinic combines the expertise of pediatric and adult care specialists in urology, physical medicine and rehabilitation, gynecology and social work.
What are the symptoms of cerebral palsy?
People with cerebral palsy can have problems with:
- Control of movement
- Muscle tone
- Weakness
- Reflexes
- Balance
There may also be additional medical and cognitive difficulties that are associated with damage to the brain. Other symptoms may include:
- Swallowing disorders
- Seizures
- Constipation
- Excessive drooling
- Learning disabilities
What is the treatment for cerebral palsy?
As cerebral palsy is complex and differing degrees, the treatment options are just as diverse. At U-M a patient will most likely been seen in the pediatric and adult rehabilitation clinic, however depending on their treatment plan they could also be seen in more specific rehabilitation or surgical areas.
- Pediatric and Adult Rehabilitation Clinic – designed to meet the needs of patients across the lifespan, including adulthood.
- Orthopaedic Clinics – Specialists in surgery for bone, joint and spine problems in cerebral palsy.
- Milestones – a dedicated pediatric outpatient rehabilitation clinic. The programs are designed to promote development, boost independence and assist in learning to incorporate therapeutic activities and exercises at home.
- Comprehensive Hand and Arm Movement Program (CHAMP) – this intensive three week program involves restricting a child’s less affected hand and arm.
- Spasticity intervention program – Spasticity is an abnormality in muscle tone and often a component of cerebral palsy. The program approaches spasticity with oral medications, physical therapy, intrathecal baclofen therapy and neurosurgical treatments.
- Adapted cognitive assessment clinic – provides cognitive evaluations for children and adolescents who are unable to participate in traditional neuropsychological testing due to a variety of barriers including, difficulties in movement or speech.
Patients could also work with rehabilitation engineers that advise in the use and development of assistive technology aids; the Orthotics and Prosthetics Center which provides multiple services from off-the-shelf to custom made orthotics and braces; and wheelchair and equipment specialists that will help with mobility and home equipment needs. We also offer mentoring opportunities for individuals with cerebral palsy which are provided through a partnership with the Center for Independent Living.
Research
Every day, U-M Health clinicians and researchers strive to find new therapies and techniques to improve quality of life for individuals living with cerebral palsy. In addition to giving our patients early access to groundbreaking therapies, our extensive involvement in research results in our faculty having a unique understanding of the causes and impacts of cerebral palsy on both adults and children.
University of Michigan researchers are developing adapted versions of standardized tests to provide children with physical and speech impairments with more accessible testing. Our clinicians are leading the development of alternative testing methods that use Assistive Technology (AT) and adapted versions of many cognitive tests focusing on literacy, processing speed and attention impairment among others.
The Department of Physical Medicine and Rehabilitation at the University of Michigan are leading studies about quality of life and health outcomes in teens and adults with cerebral palsy, particularly individuals who have had a selective dorsal rhizotomy.
As people with cerebral palsy age, U-M researchers have demonstrated that they have a higher risk for chronic diseases such as heart disease than their peers who do not have cerebral palsy. To further understand this, we are investigating how metabolics (oxygen consumption, glucose use) work in people with cerebral palsy.
We are studying how increasing activity and promoting exercise affects overall health and function.
The University of Michigan is part of the Cerebral Palsy Research Network (CPRN) which consists of about 20 sites around the country that are gathering data on individuals with cerebral palsy to determine what factors and which treatments lead to best outcomes.
Locations
-
Neurology Clinic | Taubman Center 1500 E Medical Center Dr
Floor 1 Reception C
Ann Arbor, MI 48109-5322Get Directions -
Pediatric Neurology Clinic | C. S. Mott Children's Hospital 1540 E Hospital Dr
Floor 6 Reception C
Ann Arbor, MI 48109-4234Get Directions
Doctors
Rita N Ayyangar, MD
Clinical Professor
Pediatric Rehabilitation Medicine, Hospice & Palliative Medicine, Pediatrics, Physical Medicine & Rehabilitation
Angeline Anne- Marie Bowman, MD
Clinical Assistant Professor
Pediatric Rehabilitation Medicine, Physical Medicine & Rehabilitation
Michelle Sugiyama Caird, MD
Professor
Orthopedic Surgery
Alecia Kupser Daunter, MD
Clinical Associate Professor
Pediatric Rehabilitation Medicine, Physical Medicine & Rehabilitation
Sarah Dixon, MD
Clinical Assistant Professor
Child Neurology
Hugh James Lauriston Garton, MD
Professor
Neurological Surgery
Joseph Edward Hornyak, MD, PhD
Clinical Professor
Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine
Edward Albert Hurvitz, MD
Professor
Pediatric Rehabilitation Medicine, Physical Medicine & Rehabilitation, Electrodiagnostic Medicine
Neena Ishwari Marupudi, MD
Clinical Associate Professor
Neurological Surgery
Virginia S Nelson, MD
Clinical Professor Emeritus
Physical Medicine & Rehabilitation
Providers
Jacqueline Nicole Kaufman, PhD
Clinical Associate Professor
Clinical Psychology, Rehabilitation Psychology
Marie Vantubbergen, PhD
Clinical Associate Professor
Clinical Psychology, Clinical Neuropsychology, Rehabilitation Psychology
Seth Andrew Warschausky, PhD
Professor
Clinical Psychology
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