Monday, September 29, 2014

What is CP?

For those who might not know very much about CP, or need a refresher, cerebral palsy is a group of disorders characterized by loss of movement or other nerve functions.  These disorders are caused by prenatal injuries to the brain.  The disorders can appear in infancy or early childhood and permanently affect body movement and muscle coordination.  However, these disorders are not progressive; they do not become worse over time.

'Cerebral' refers to the two halves of the brain.  The brain's outer layer (the cerebral cortex) has a motor area that directs muscle movement; 'palsy' refers to the loss or impairment of motor function.  The problem of muscle coordination is caused by abnormalities in the brain that disrupt its ability to control movement and posture.

There are two common causes of CP:
·      The cerebral motor cortex did not develop normally during prenatal growth.
·      The brain suffered an injury.  

A factor that contributes to these risks is being part of a multiple birth, like a twin or triplet.  It is harder for the mother's body to distribute nutrients equally to multiple infants so there can be deficiencies to one or more of the babies.  One example is the lack of oxygen in a baby's brain due to the stress of labour and delivery; there could be an interruption in breathing or poor oxygen supply.  A newborn's blood is equipped to compensate for a short-term lack of oxygen but sometimes it goes on too long.  Other sources of damage may be caused by severe low blood pressure in the mother, rupture of the uterus, placenta detachment, or problems with the umbilical cord.  In any case, the damage that results in CP is not repairable and the resulting disabilities are permanent. When people look at me, do they think that I'm not able to have a life for myself because I have a disability? Do they think that I don't understand how life works in the big world? That's why when I hear the word "no," it makes me feel like I have to show people that I am a normal person like anyone else. I want to show everyone that I am not sitting around, feeling sorry for myself. Sometimes I do wish that I didn't have CP, but I can't do anything about it. I hope this book will help people overcome the barrier and begin understanding people with disabilities.

When I was born, the doctors said I was too small and likely wouldn’t survive.  If I did survive, they said I would never learn much. I would always need specialized care and I would never be independent.  Walking was out of the question, and there was no guarantee I would survive long enough to try.  Of course, falling in love, working, playing, and making life long friends could only happen in my parents' imagination.  Dreams and goals were also out of the question; the doctors assured my family that my brain was too small and would never have the capacity for such abstract thought.  Even recognizing members of my family would be beyond my abilities.  At seven months old they said I had cerebral palsy (CP), damage to my brain, and quadriplegia affecting all four limbs. Some people use the word "gimped" to describe me; to them, it is synonymous with "stupid".  I hear a lot of harsh words: retard, handicapped, slow, useless, and every other name imaginable. As I grew, I learned that despite those labels, I was like anyone else who had a dream or a goal.

Having a disability does not define who I am in this world. Who I am is a determined woman, a family member, a graphic designer, and a writer. I have dreams and goals like anyone else. Yes, I've had to adapt to my circumstances but I can do the same things as many of you can, just in a different way.  My disability doesn’t hold me back from what I want out of life. So whenever I hear someone tell me, "You can't do that because of your disability," it motivates me to show everyone that I can.

I believe my life has little to do with having cerebral palsy.  On the other hand, it has everything to do with hope, strength of character, morality, and happiness.  I have accomplished many different physical things in my life that were not anticipated, such as moving from my knees to standing, completing the manoeuvre on the toilet, and driving a wheelchair.  The steps involved are similar to a child first learning to walk. For me, it was a natural progression.

People with CP exhibit a wide variety of symptoms, such as a lack of muscle coordination when performing movement, called ataxia; stiff or tight muscles; and exaggerated reflexes called spasticity.  The variations in muscle tone result in movements being either too stiff or too floppy.  My ataxia means that it takes a lot of effort and control to make my stiff muscles do what I want.  It's very easy for me to be tight, but exercise helps my muscles to move and stretch.  I can do most anything that you can do but it takes me more time and effort to coordinate precise motions like writing or buttoning a shirt. In addition, cerebral palsy can affect all four limbs, just one, or any other combination.

Unusual gaits are common, like walking with a dragging foot, walking on tiptoes, having a crouched appearance, or having a "scissor" gait.  There may be excessive drooling, difficulties swallowing or speaking, shaking (tremors), or random involuntary movements. These symptoms differ in type and severity from one person to the next, and may change in an individual over time.  Some people with CP may have other medical disorders such as mental retardation, seizures, impaired vision or hearing and abnormal physical sensations or perceptions.  It can affect a person’s life in different ways; one child with severe cerebral palsy might be unable to walk and need extensive lifelong care, whereas a child with mild CP may only be slightly awkward and require no special assistance.

Cerebral Palsy is not a disease.  It is not contagious and cannot be passed from one generation to the next.  There is no cure for Cerebral Palsy at this time but supportive treatments, medications, and surgery can help many individuals improve their motor skills and ability to communicate with the world.  For more information, here are some websites that dispel myths about CP:

Although I've discussed the causes and symptoms of CP, I am more than my diagnosis and prefer to focus on other aspects of my life. 

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