Cerebral palsy - DRHC Dubai Pediatric Orthopedic Clinic

Cerebral palsy is the leading cause of childhood disability.

Causes and risk factors of Cerebral palsy:

• The most common is prematurity
• Meningitis
• Brain malformations or trauma
• Anoxic injuries (hypo oxygenation)
• Perinatal infections

There is a delay in motor development in the first year of life, abnormal muscle tone (either spasm or flaccid extremities), asymmetrical crawling or unable to crawl, loss of motor control, and impaired balance. With time there will be joint deformity and muscle contracture according to the muscle tone disturbance.

The diagnosis is based on a clinical picture. There is no specific lab or radiographic test.

Treatment Options:

At DRHC Orthopedic Clinic, we offer a range of specialized treatments to address the diverse needs of individuals with cerebral palsy:

• Hip spica casting for hip subluxation and dislocation
• Treatment for spasticity through botulinum toxin injections or phenol intramuscular neurolysis
• Pediatric physiotherapy to maintain joint mobility and improve function
• Surgical interventions for spinal deformities, joint contractures, and hip dislocation, including soft tissue and bony procedures tailored to the individual's age and condition

Cerebral Palsy Specialist Findings :

• Upper and lower extremity deformities S
• Spinal deformity (scoliosis, kyphosis)
• Hip subluxation and dislocation
• Foot deformities
• Gait disturbance and fractures because of low bone density secondary to non-ambulation.
• The most reliable predictor for the ability to walk is independent sitting by age 2.

Treatment for cerebral palsy in Dubai DRHC :

• Physiotherapy helps maintain joint movements
• Botulinum toxin injection in certain points of muscles reduces spasticity for 3-6 months.
• Phenol intramuscular neurolysis lasts longer than botulinum toxin but it's painful.
• Cast and orthosis after injection and accompanying physiotherapy medications for spasticity

Orthopedic surgical intervention:  for scoliosis, joint contractures, or hip dislocation

1-Soft tissue procedures improve function in children from 3-5 years of age, tenotomies (hip adductor) tendon lengthening (Achilles tendon or hamstring ), or tendon transfers especially in the upper extremity show the best improvement in function.

2- Bony procedures in later childhood and adolescence to correct deformity (shoulder derotational osteotomy for treatment of shoulder internal rotation contracture) proximal femur varus derotational osteotomy(for hip subluxation).

3- Selective dorsal rhizotomy which is an intervention on the spinal cord that helps to reduce spasticity.

If you are in search of a cerebral palsy doctor in Dubai or a children's orthopedic specialist in Dubai, then DRHC Orthopedic Clinic in Dubai offers you the doctors who specialize in cerebral palsy and spasticity treatment in Dubai. To book an appointment call +97142798200.