All posts tagged: Dr. David Siambanes

How Does Cerebral Palsy Affect Development?

Cerebral palsy is a group of permanent movement disorders that appear in early childhood, significantly impacting the physical growth and development of a child in various ways. One might wonder, how does cerebral palsy affect development? Early intervention and support can help address these challenges and enable children to lead more functional lives.

How Does Cerebral Palsy Cause Deformities?

The Impact of Cerebral Palsy on Physical Development

Cerebral palsy affects each child differently, but it generally impacts physical development in several key areas:

Motor Skills

When answering the question “How does cerebral palsy affect development,” motor function is often the primary concern. Cerebral palsy primarily affects motor function, which includes both gross motor skills (such as walking and jumping) and fine motor skills (such as writing and using utensils). Depending on the severity of their condition, a child with cerebral palsy may experience difficulties in developing these skills at the same rate as their peers. This underscores the need for early intervention and targeted therapies to optimize their developmental outcomes.

Muscle Tone and Posture

Children with cerebral palsy often have abnormal muscle tone; their muscles may be either too stiff (hypertonia) or too floppy (hypotonia). This imbalance can lead to difficulties in maintaining posture and can significantly impact their ability to sit, stand, or walk. Over time, the increased or decreased muscle tone can guide the growth of bones in an abnormal pattern, leading to deformities.

Joint and Bone Development

As children with cerebral palsy grow, abnormal muscle tone and posture can lead to joint and bone deformities. The muscles’ constant pull on bones, especially during growth spurts, can lead to changes in bone structure and joint alignment. This can result in conditions such as scoliosis (a curvature of the spine) and hip dislocation.

Growth and Nutrition

Children with severe cerebral palsy may experience difficulties with feeding and swallowing, which can impact their nutritional intake and overall growth. Malnutrition can further complicate physical development, leading to weakened bones and muscles.

Mobility

Mobility issues are common in children with cerebral palsy due to the combination of muscle stiffness, joint deformities, and coordination challenges. These mobility issues can range from mild, where a child may only need braces or walking aids, to severe, where a child may require a wheelchair for mobility.

The Role of Early Intervention

Early intervention is crucial in managing the physical development challenges associated with cerebral palsy. Through a combination of physical therapy, occupational therapy, and, in some cases, surgical interventions, children with cerebral palsy can achieve greater independence and improved quality of life. These interventions can help:

  • Improve Muscle Tone and Strength: Targeted exercises can help balance muscle tone, improve posture, and prevent deformities.
  • Enhance Motor Skills: Therapy can assist children in developing both gross and fine motor skills, aiding in everyday activities.
  • Prevent and Manage Deformities: Orthopedic interventions, including surgery and the use of braces or splints, can help manage and prevent bone and joint deformities.
  • Support Growth and Nutrition: Nutritional guidance and support can ensure that children with cerebral palsy receive the nutrients they need for healthy growth.

Choose a Multidisciplinary Team for Children with Cerebral Palsy

At Children’s Cerebral Palsy, our mission is to maximize the functional abilities and care of these children with specialized needs. Our team, led by Dr. David Siambanes, is skilled in addressing the wide spectrum of challenges associated with cerebral palsy. From managing spasticity and mobility issues to addressing developmental milestones, we are committed to providing comprehensive care that enhances the quality of life for every child we serve.

Click here to contact us today and schedule a consultation. 

How Does Cerebral Palsy Affect Development?
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Understanding the Signs of Cerebral Palsy in Infants

Cerebral palsy (CP) is a group of permanent movement disorders that appear in early childhood. Signs and symptoms can vary among individuals but primarily involve coordination and muscle tone. Detecting cerebral palsy early in infants can significantly impact their quality of life, as early intervention may lead to improved outcomes. This guide aims to help parents and caregivers recognize the early signs of cerebral palsy in infants.

Recognizing the Signs of Cerebral Palsy in Infants

The main causes of cerebral palsy are abnormal development or damage to the parts of the brain that control movement, balance, and posture. This can occur before, during, or shortly after birth. Noticing the signs of cerebral palsy in infants can be challenging, as symptoms may not become apparent until months after birth. However, some signs may appear in the first few months of life, and it is crucial to pay attention to a child’s motor skills development. 

Poor Coordination

Infants with cerebral palsy may exhibit poor coordination, such as difficulty reaching for or grasping objects. They may also have trouble sitting up on their own or rolling over. Additionally, infants with cerebral palsy may have difficulty feeding, as coordinating their muscles to swallow can be challenging. This may lead to poor weight gain and nutrition.

Delayed Milestones

Infants with cerebral palsy may experience delays in reaching developmental milestones. This can include crawling, walking, and talking. While all children develop at their own pace, consistently missing milestones could be a sign of cerebral palsy. If you notice your child is not meeting milestones within the typical timeframe, it is essential to consult with a doctor.

Abnormal Muscle Tone, Posture, and Reflexes

Infants with signs of cerebral palsy may display abnormal muscle tone, appearing either overly stiff or unusually floppy. This can impact their posture and ability to sit or lie steadily. Their reflexes might also deviate from typical development, being overly sensitive or insufficiently responsive. These deformities can impact a child’s ability to move and develop.

Moreover, a key indicator of cerebral palsy in infants includes involuntary movements, ranging from minor twitches to significant spasms, distinct from those in typically developing children. Excessive drooling, a result of poor muscle control for swallowing, is another sign. Recognizing these signs of cerebral palsy in infants and seeking early consultation with healthcare professionals can facilitate timely intervention.

The Importance of Early Detection

Diagnosing cerebral palsy early in an infant’s life can significantly impact their future development. With early intervention, children with cerebral palsy can receive specialized therapy, medication, and other treatments to improve motor skills and manage symptoms effectively. Early detection also allows families to access resources and support services that are available specifically for children with cerebral palsy.

Early Intervention Programs

Early intervention programs and treatment plans are designed to assist infants and toddlers with developmental delays or disabilities, including cerebral palsy. These programs offer personalized therapy and support services that can help improve a child’s motor skills, communication, social-emotional development, and more. The earlier a child receives these interventions, the better their chances are of reaching their full potential.

Family Support and Education

Early detection also allows families to access resources and support services that can assist with the challenges of raising a child with cerebral palsy. These services may include parent education programs, support groups, and respite care for caregivers. Furthermore, early intervention can help parents better understand their child’s condition and learn how to advocate for their needs.

Contact Children’s Cerebral Palsy for Support and Guidance

If you’re concerned your child is showing signs of cerebral palsy, or you simply want to learn more about the condition and available support, don’t hesitate to reach out. Children’s Cerebral Palsy is dedicated to guiding and assisting families through diagnosis, treatment options, and early intervention strategies. Book an appointment with us today and take the first step in securing a bright future for your child.

Understanding the Signs of Cerebral Palsy in Infants
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Observing National Birth Defects Awareness Month & Cerebral Palsy

January marks National Birth Defects Awareness Month, a time dedicated to increasing knowledge and understanding of birth defects, their causes, and their impacts. Among these, cerebral palsy (CP) stands as a prevalent and significant condition affecting many children and their families. During this National Birth Defects Awareness Month, Children’s Cerebral Palsy would like to highlight what cerebral palsy is, living with the condition, and what can be done to support those affected.

Understanding Cerebral Palsy

Cerebral palsy is a term that encompasses a collection of neurological disorders that primarily affect a person’s ability to move and maintain balance and posture. As the most common motor disability in childhood, the impacts of cerebral palsy are profound and life-long. It originates from abnormalities or damages to the developing brain, generally occurring before birth. This section aims to unravel the intricacies of cerebral palsy, including its prevalence and causes, the different types, and the early signs and diagnosis process. This understanding forms an essential cornerstone for children with cerebral palsy and those who wish to offer their support.

Prevalence and Causes

According to the CDC, cerebral palsy affects about 1 in 323 children in the United States. While the cause of cerebral palsy is not always clear, it has been linked to a wide range of factors, including genetic mutations, brain injuries during birth or infancy, infections during pregnancy, and lack of oxygen to the brain. However, in most cases, the exact cause remains unknown.

Types of Cerebral Palsy

Cerebral palsy (CP) presents in various forms, each with distinct characteristics. Spastic CP is the most common, affecting about 80% of those with CP. This type is marked by increased muscle tone, resulting in stiffness and often leading to movement difficulties that appear rigid or uncoordinated. Understanding the nuances of spastic CP helps in addressing the specific challenges faced by individuals with this condition.

Contrastingly, ataxic and dyskinetic CP are less common but equally impactful. Ataxic CP affects balance and coordination, stemming from damage to the brain’s motor control centers, often making tasks requiring precision, like writing, challenging. Dyskinetic CP, caused by brain injuries during late pregnancy or early birth, is characterized by fluctuating muscle tone and involuntary movements, affecting various body parts and complicating activities such as speaking and eating. Recognizing these types of CP is crucial for tailored care and management strategies. 

Living With Cerebral Palsy

During National Birth Defects Awareness Month, it’s essential to recognize the challenges faced by those living with cerebral palsy and their families. Despite these difficulties, children with CP learn, develop friendships, and achieve milestones just like other kids. While some individuals may face more severe impacts than others, early intervention and appropriate support are key elements in helping them thrive.

Early Intervention

Early detection of CP is crucial for the effective management of the condition. Parents and caregivers might notice delays in developmental milestones, unusual muscle tone, and difficulties in feeding or motor skills. Recognizing these signs and seeking prompt medical attention can help mitigate the effects of CP and improve a child’s long-term outcomes. Early intervention programs, such as physical therapy, occupational therapy, speech therapy, and specialized education, can provide tailored care to meet the unique needs of children with cerebral palsy.

Management and Treatment

Managing CP is a lifelong process that involves a multidisciplinary approach. There is no cure, but treatment can improve the lives of those with the condition. Medications, assistive devices, and therapies may help manage symptoms and promote functional independence. However, the most crucial aspect of management is ensuring individuals with CP are included in everyday activities and have access to supportive environments.

Support and Resources

As we observe National Birth Defects Awareness Month, it’s vital to emphasize the importance of support and resources for those living with conditions like cerebral palsy. This month is an ideal opportunity to reach out, learn more, share experiences, and discover the vast array of resources available. These resources not only provide practical assistance but also help foster a sense of community and shared understanding. However, it’s crucial to remember that each experience with cerebral palsy is unique, and how we discuss and approach these experiences should respect and honor that individuality.

Parent and Caregiver Support

Parents and caregivers of children with cerebral palsy may face significant challenges, both emotionally and practically. Seeking support from other parents and caregivers who have faced similar experiences can be incredibly beneficial. Several organizations offer support groups, education, and resources for families of children with CP. These communities provide a safe space to share struggles, joys, and tips on coping with the daily realities of living with cerebral palsy.

Advocacy and Awareness

In addition to providing support, it’s essential to advocate for the needs and rights of individuals with cerebral palsy. Advocacy can take many forms, from raising awareness to promoting inclusive policies and supporting research efforts. As we observe National Birth Defects Awareness Month, remember that each person with cerebral palsy has unique challenges and abilities that deserve recognition and respect.

Explore Our Cerebral Palsy Services

In the spirit of National Birth Defects Awareness Month, we encourage you to take a step further in understanding conditions like cerebral palsy. At Children’s Cerebral Palsy, we are dedicated to supporting children living with this condition, offering specialized services to meet their unique needs. We believe in creating an environment that fosters growth, inclusivity, and resilience. 

Children’s Cerebral Palsy is committed to enhancing the lives of those with cerebral palsy and helping them achieve their fullest potential. If you need guidance and support or are seeking resources related to cerebral palsy, we are here for you. Please don’t hesitate to contact us. Together, we can make a difference this National Birth Defects Awareness Month and beyond.

Observing National Birth Defects Awareness Month & Cerebral Palsy
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How Is Cerebral Palsy Diagnosed?

Cerebral palsy is a complex neurological condition that affects movement, muscle tone, and posture, often resulting from damage to the developing brain before birth. One of the most crucial questions for parents and caregivers is, ‘How is cerebral palsy diagnosed?’ Understanding the diagnostic process is essential, as early detection can significantly impact the management and treatment of the condition. This guide delves into the diagnostic process, highlighting key aspects and offering insights into the journey towards an accurate diagnosis.

At Children’s Cerebral Palsy, we are dedicated to providing specialty surgical care for children with this condition. As experts in the field, we recognize the profound difference an early and accurate diagnosis can make in the lives of children affected by this condition.

The Journey to Diagnosis

The journey to diagnosing cerebral palsy can often be a multifaceted process. It typically involves a series of different assessments, each designed to evaluate specific aspects of a child’s physical and cognitive development. This journey is critical because it sets the stage for developing a customized treatment plan catered to the child’s individual needs.

Recognizing Early Signs

Parents and pediatricians play a vital role in identifying early signs of cerebral palsy. As parents, knowing the key milestones for physical and cognitive development can help detect any delays or impairments that may indicate a potential diagnosis. On the other hand, pediatricians are trained to recognize red flags and refer the child for further evaluations if necessary. Early signs of cerebral palsy may include:

  • Delays in reaching milestones, such as crawling, walking, sitting or speaking
  • Persistent asymmetry in movement or muscle tone
  • Difficulty with coordination and balance
  • Poor fine motor skills, including difficulty grasping objects or drawing
  • Muscle tightening or abnormal reflexes
  • Difficulty with feeding or swallowing

As your child grows, these early signs of cerebral palsy may become worse. Depending on how these symptoms manifest themselves will determine the type of treatment your child will need. 

Importance of Pediatrician Evaluations

Regular check-ups with a pediatrician are essential. During these visits, doctors assess the child’s development, looking for any deviations from typical growth patterns. Pediatricians may conduct physical and neurological exams, review medical history, and ask for parental observations. Based on their findings, they may refer the child to a specialist or order other tests such as MRI, CT scan, or genetic testing. There is no specific test that can identify cerebral palsy. Instead, these evaluations are used to rule out any other conditions your child may have. 

Diagnostic Tests and Assessments

Once early signs of cerebral palsy have been observed; the diagnostic journey switches gears toward a series of tests and assessments. These comprehensive procedures are designed to rule out any other underlying conditions, offering a deeper understanding of the child’s condition and paving the way to a tailored treatment plan. This in-depth exploration utilizes cutting-edge neuroimaging techniques and thorough developmental and motor assessments, taking into consideration the child’s physical, cognitive, and emotional well-being. There are several types of cerebral palsy, and these tests and assessments may help determine the type your child may have.

Neuroimaging Techniques

Neuroimaging techniques like MRI and CT scans can offer crucial insights into a child’s brain structure and function. Additionally, cranial ultrasounds are often used in premature infants. These ultrasounds are less detailed than MRIs but are still valuable, especially in early life. These non-invasive scans provide detailed images of the brain and help identify any potential abnormalities or damage that may have led to cerebral palsy. It is important to note that neuroimaging cannot determine the severity of cerebral palsy in children.

Developmental and Motor Assessments

Developmental and motor assessments are crucial to understanding how cerebral palsy impacts a child’s daily life. These assessments evaluate muscle tone, reflexes, coordination, balance, and speech. Specialized healthcare professionals use standardized tests to compare the child’s abilities with those of children of similar age. These assessments provide valuable insights into a child’s strengths and weaknesses, helping develop an individualized treatment plan.

The Role of Early Intervention

Early detection and diagnosis of cerebral palsy are essential for optimal treatment outcomes. Early intervention programs, such as physical therapy, occupational therapy, speech therapy, medication, or surgery, can substantially improve a child’s overall development. These interventions aim to lessen the severity of symptoms and help children overcome challenges and reach their full potential. The sooner a diagnosis is made, the sooner interventions can begin, providing the best possible outcome.

Benefits of a Multidisciplinary Approach

When it comes to cerebral palsy, a multidisciplinary approach is critical for successful management and treatment. A team of healthcare professionals, including pediatricians, neurologists, physical therapists, occupational therapists, speech therapists, and orthopedic surgeons, collaborate to provide holistic care. This approach ensures all aspects of the child’s development are considered, resulting in a comprehensive treatment plan.

Importance of Family Support and Education

Educating families and caregivers about cerebral palsy is essential. Support groups and resources provided by organizations like Children’s Cerebral Palsy offer invaluable assistance. Families often have many questions about their child’s diagnosis, treatment options, and long-term outcomes. By providing education and support, families can better understand the condition and actively participate in their child’s care. This holistic approach not only improves a child’s physical well-being but also supports their emotional well-being by reducing stress levels for both the child and their loved ones.

Empower Your Child’s Future – Contact Children’s Cerebral Palsy

Empowering your child’s future begins with understanding how cerebral palsy is diagnosed and taking action. We encourage you to schedule a visit with Children’s Cerebral Palsy. We are committed to providing comprehensive, specialized care tailored to your child’s needs. Children’s Cerebral Palsy guides you through the diagnostic process and stands with you on the journey to creating the best possible future for your child. Don’t wait to take the first crucial step. Let’s work together towards a brighter tomorrow. Schedule a visit today.

 

How Is Cerebral Palsy Diagnosed?
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Cerebral Palsy Patient Finishes Marathon During Cerebral Palsy Awareness Month

A 32-year-old man from Spain who has faced a lifelong battle with Cerebral Palsy finished the Barcelona Marathon during Cerebral Palsy Awareness Month and completed an improbable but inspiring feat.

Alex Roca of Catalonia, Spain, finished the race on March 19, completing it in 5:50:51 and fulfilling a lifelong dream.

At sixth months old, Roca contracted herpetic viral encephalitis, which led to a severe case of Cerebral Palsy, which causes impaired movement and exaggerated reflexes, reducing the range of motion at various joints due to muscle stiffness.

But Roca, who completed seven half marathons before his first full marathon, did not let that stop him from completing the race. He offered an inspirational message after the race.

“The limit is up to you, and if you want to achieve an objective, whatever difficulties you have, with attitude, willpower, perseverance and resilience, you can achieve everything you propose,” he said. “And if you do not achieve it, you will have given everything and must feel gratified.”

Roca is a sponsored Nike Athlete, and the clothing brand offered its congratulations in an Instagram post.

“Alex set himself to accomplish a world-class breakthrough: Finishing a marathon with 76% physical disability and Cerebral palsy. Now, he has just achieved that milestone. It’s time to enjoy it, but new goals will show up sooner rather than later,” Nike said.

March is Cerebral Palsy Awareness Month

During Cerebral Palsy Awareness Month Dr. David Siambanes, a board-certified orthopedic surgeon, said that there is hope for children with Cerebral Palsy.

“I have seen children gain the motivation to walk at a later age. As the child grows, the results of the condition become more apparent providing clarity and accuracy in answering these important questions,” he said, “With routine multi-specialty assessments, the parents will obtain knowledge on how the condition affects their child. This knowledge along with the necessary treatment intervention that often is required will result in the optimal care and functional development of their child.”

For more information on procedures to treat Cerebral Palsy, or to contact Dr. Siambanes, please click here.

 

Cerebral Palsy Patient Finishes Marathon During Cerebral Palsy Awareness Month
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Dr. David Siambanes on Cerebral Palsy Awareness Month

 

March is National Cerebral Palsy Awareness Month, and Dr. David Siambanes is sharing a message of hope and optimism for children battling Cerebral Palsy.

 

“The parents of a child recently diagnosed with Cerebral Palsy are often devastated,” Siambanes says. “How and why is the first question that arises.”
He continued:
Cerebral Palsy is a broad term describing a movement, tone, and posture disorder, usually due to a condition in the brain. While a clear source may exist, such as prematurity, genetic conditions or failure of brain development, the source is sometimes unknown.
Diagnosing a child with cerebral palsy is also often difficult as there is no definitive test. Thus, we rely on clinical findings and the lack of functional development as early signs of the condition. Additionally, determining what this diagnosis means to your child specifically can be challenging early on as there exists a wide spectrum of severity within this diagnosis. A child with cerebral palsy may develop a mild degree of toe walking, and others may not ambulate and can develop spinal and hip deformities. Will my child walk? Have a learning disability? Require surgery?

“A general rule is if a child is unable to sit unsupported by two years of age or walk by seven, he or she will be unlikely to do so,” said Siambanes.

However, with proper treatment, there are plenty of reasons to be optimistic during this Cerebral Palsy Awareness Month. Dr. David Siambanes says:

I have seen children gain the motivation to walk at a later age. As the child grows, the results of the condition become more apparent providing clarity and accuracy in answering these important questions. With routine multi-specialty assessments, the parents will obtain knowledge on how the condition affects their child. This knowledge, along with the necessary treatment intervention that often is required, will result in the optimal care and functional development of their child. 
For more information on procedures to treat Cerebral Palsy or to contact Dr. Siambanes, please click here.
Dr. David Siambanes on Cerebral Palsy Awareness Month
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