However, as with all medical interventions side
effects can be expected and can range from mild (needing simple
intervention) to severe (requiring ongoing observation and intervention).
Between 1 – 5 % of individuals who are given Botox experience
side effects. These may include muscle weakness, flu like symptoms,
respiratory symptoms and incontinence. People most at risk of complications
and the more severe side effects are those who have more involved
and complex Cerebral Palsy as well as those with pre existing conditions
such as lung problems and poor bladder control.
CP Satisfaction and Social Networking
Measuring the impact of Cerebral Palsy on social development has
become increasingly important to researchers. One of the most consistent
findings is that the more involved the CP the greater the risk of
social difficulties. Protective factors against feeling social isolated
include having a clear understanding of what Cerebral Palsy is,
being fully informed of and having an active say in the range and
type of treatment options being offered (e.g. when considering Botox
or surgery) and having access to equipment (such as adaptive trikes)
so that a person with CP can join in group activities independently.
Unsurprisingly, the social impact of CP is most acutely felt in
adolescence and adulthood when peer relationships are being formed
outside of the family unit. Whilst teenagers with CP are accessing
tools like the Internet and Social networking sites in the same
way as people without CP there are some limitations and barriers
to this, which require further exploration. It is also agreed that
more sophisticated ‘universal tools’ need to be developed
and funded so that people with all types and levels of CP can benefit.
Neuroplasticity and Cerebral Palsy
Neuroplasticity seems to be the fashionable scientific word of
the decade. It essentially means the ability of the brain to find
ways to compensate for injuries that have occurred in stroke events.
Current research by prominent neurologists seems to indicate that
there may be something to the hype with conditions like Cerebral
Palsy. The essential premise of this research is that the brain
lesion that instigated Cerebral Palsy may not be a static injury.
This means that the earlier treatments aimed at increasing movement
and mobility are implemented the more functional the effected limb
becomes. Results are drawn primarily from people with hemiplegia
symptoms (one affected side) although all types of CP are being
Within these studies it was strikingly evident that focusing simply
on the effected limb was extremely detrimental and that a typically
functioning limb can develop significant impairments if it is not
taught to work in conjunction with the less able side. This discredits
older practices such as strapping the non-affected side. It has
become evident that although neuroplasticity does remain active
through the lifespan it is not nearly as pronounced beyond the age
of eight. This is when the brain starts shaping and settling itself
into the final structures of adulthood. Therefore developing early
interventions that are feasible outside the lab and clinical practice
is crucial for instance, teaching play routines and cot placement
to encourage movement of both sides.
Here is the list of the studies I used in my research write up.
How are children and adolescents with physical disabilities using
internet? Implications for social networking Parimala Raghavendra
The psychological health of children with cerebral palsy Allan
Jimmy Chong, Ray Russo, Rebecca Slykerman
BONT-A treatment is safe in children with GMFCS level IV and V
palsy Katherine Langdon
Botulinum toxin adverse effects and health status in children with
palsy in all GMFCS levels Stephen O¹Flaherty
Clinical applications of advanced brain imaging Janet Eyre,
Ross Flood email@example.com