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My niece is 9 years old and suffering from fits from last 8 years. I went to meet many Doctors but her problem is still same due to this problem her mentally growth has been also affected. What should I do? Kindly suggest.
The moment when you learn about your child being autistic can be a life changing moment for you. You might feel all the dreams and aspirations which you built around your child come crashing down on a pile of zilch. However, recent developments in this field show that you can certainly take steps to make your child more comfortable and bond well with them.
Autism related disorder usually begin before the age of 3, when the child starts encountering problems in communication and social interaction. This article tries to help you find a way to deal with an autistic child:
- Learn more about autism: Learn about autism as much as you can; a broad understanding of the causes and symptoms of the disorder can help you understand your child better. This will also enable you to respond to your child’s needs better, both physical and psychological.
- Build a strong support system: It is difficult to parent a child who is suffering from autism. Communicating and interacting with your child might be extremely difficult and problematic. In order to overcome this stress, you should have a strong support network, a support network from which you can draw your strength and logic once you have to take major life decisions for your child.
- Review your treatment options: It is advisable to start treatment immediately after the diagnosis is done. Early treatment can help better your child’s cognitive skills that can help him/her cope better with the surroundings and circumstances. The treatment options include behavioral training whereby self-help or social skills training is used to work on the child’s communication skills and behavior. Specialized therapy is another option whereby the therapies are directed at a particular aspect of the child, primarily speech or physical functioning.
- Focus on your child’s diet: Diet plays an important role in the regularization of any disease. Even in case of autism, deficiency of certain vitamins or minerals makes it very important to analyze the diet and then assess it. Consult with the doctor before making any modification to the child’s diet.
- Behavioral training: Behavioral training is an aspect of autism treatment that allows the child to adapt to various conditions. Before a child undergoes behavioral training, it is advised to assess his/her behavior, functional abilities and the environment your child belongs to. The objective of this therapy or training is to induce desired behavior and get rid of the undesirable ones. If you wish to discuss about any specific problem, you can consult a Psychologist.
Hello, I am 19 years male, I am suffering from epilepsy, and facing sever headaches and black outs. Doctor has told me not to drive and play video games. Advice me something instant as I am very fond of play station and gaming boxes.
Kya periods ke time sex karne se aids hone ka darr rehta ya fir freely sex kar sakte h ya condom use karna zaroori hai. Kya migrain ki dard me normal painkillers kha sakte hai ya fir kisi doctor ko dikhana must hai. Zada mastubate karne se kya body ka wait kam hone lagta hai aur joints me pain bhi hone lagte hai.Please tell.
I am taking Eptoin 100mg tablet everyday for the last 4 years for Epilepsy. For the last 4 years I didn't have any Epilepsy. Now can I stop taking this tablet? Please advise.
Sir, I was affected with bells palsy following severe neck pain/nerve pain back side of right ear and taking physiotherapy since one week on face on doctor's advice with wysolone and herpikind medicines. Now no neck pain. Kindly advise for better medication.
I am gagan from punjab my age 26 i am suffering from optic neuritis from 2012 march , i just want can any one tell me the reason of this problem so i save others from dis disease. Due to optic neuritis i become so fatty help me to reduce fat also.
What are the symptoms of dengue, malaria, swine flue and how can I prevent it. What are the symptoms of brain tumor.
Hi, I was experiencing numbness in my extremities (only when sitting in awkward position or if I put pressure on them) since the last two years when I started gaining weight. I have gained almost 30 kg in the last 2 years from 62 to 92 kg. I had my blood sugar, thyroid and Nerve Conduction Velocity tested. All came out to be OK except vitamin b12 deficiency which was severe. I have some fatigue and short term memory problems. Please advice me on the best method to tackle this problem.
i had loss hearing since 2yrs ago. doctors told me that my ears sensoneural nerve was damaged and there is no chance to get back. is it possible to hear again? please.. help me
Is frequent stuttering related to migraine. I got migraine at the age 10. Since then I am stuttering and at age of 21 it has became very severe I cannot even talk to people normally? Please also tell which doctor should I meet migraine specialist or SLP pathologist.
I am 25 year old I have a shakiness of hands problem if I get nervous my hands will be shaking very much even while drinking hot things my hands will be shaking can you please help me out from this problem.
I am 29 year old I am always feeling sick I am from mangalore working in uae under prissur every day different symptoms chest shoulder muscle pain, fatigue, sleep problems, abdominal pain, bloating, nausea, and constipation alternating with diarrhea (irritable bowel syndrome) feeling anxious or depressed an inability to be still and calm. Dry mouth. Numbness or tingling in the hands or feet. Neck sprain and chest centre strain. Some tomes neele pain in chest area,
Cerebral palsy is a term used to describe a broad spectrum of motor disability which is non-progressive and is caused by damage to brain at or around birth. It is a disorder which develops due to damage to CNS and this damage can take place before, during, or immediately after the birth of the child. The damage won't worsen but remains constant. However the child may appera to worsen if not given proper intervention not because of an increase in lesion in the brain but just beacuse the damaged brain is not able to cope up with the physical demand of the growing body and the increasing demand of the environment surrounding the child.
- Genetic causes: First or second degree consanguineous marriage.
- Intrauterine virus infection: Rubella and cytomegalovirus infections which lead to severe brain damage along with associated visual and hearing problem with cataract.
- Hypoglycemia: Low blood sugar for long period lead to brain damage and epilepsy. Cerebellum is more vulnerable leading to ataxia and visual problems. Infant of diabetic mothers are more prone to hypoglycemia.
Trauma to the mother:
- Infection to the mother can make the baby prone to develop it.
- Malnourishment of the fetus especially in case of twins.
- Exposure to the mother’s abdominal area to repeated X-ray radiation, prolonged use of medications like steroids by mother.
- Prematurity: Premature babies are prone to brain damage either due to trauma during delivery and later on due to immature respiratory and cardiovascular system. Therefore, they are likely to develop hypoxia and low blood pressure also, they are more likely to develop low blood sugar, jaundice and hemorrhage because of liver immaturity.
- Vascular causes: Occlusion of the internal carotid or midcerebral artery during birth can on many occasions lead to hemiplegia.
- Trauma: trauma can occur either due to disproportion, breech delivery, and forceps delivery, distortion of head and tearing of tentorium.
- Asphyxia: It can occur by accidents and burns which could be as a result of knotted umbilical cord, cord around the neck or prolapsed cord. Multiple deliveries can cause asphyxia of the second or third infant.
- Neonatal meningitis: Usually associated with severe residual brain damage.
- Delayed cry: Causes asphyxia to the brain causing CP.
- Severe jaundice: Presence of high levels of bilirubin cause basal ganglia damage leading to athetoid cerebral palsy and high tone deafness.
- Trauma: Fall of the body after birth.
- Infection: Like meningitis, or encephalitis can cause brain damage.
TYPES OF CEREBRAL PALSY:
- Basically cerebral palsy children manifest in three common ways spastic, athetoid, and ataxic.
- Spasticity seen in cerebral palsy is usually knife that may change with change in position, which means that spasticity may vary from supine to prone.
- Athetoid cerebral palsy children exhibits slow, purposeless, wormlike, involuntary movements which flow into each other. It occurs due to basal ganglia damage commonly seen in children who suffers from an attack of jaundice following birth.
- Ataxia in cerebral palsy occurs due to cerebellar damage. Both balance and coordination is affected.
PHYSIOTHERAPY TREATMENT OF CEREBRAL PALSY
- Physiotherapy is one of the most important treatments for CP that usually begins soon after being diagnosed and often continues throughout life. Special devices and equipment are needed for some people with CP to help them with specific problems like,
- A child who develops uneven leg length may need to wear special shoes with a higher sole and heel on the shorter leg.
- Some people who are not able to walk alone may need to use canes, crutches, walkers, or wheelchairs.
EXERCISES IN SUPINE POSITION
Normalizing tone of the muscles: For cases with hypo tonicity slow passive movements, sustained stretch, cryotherapy over the muscle for 15 to 20 minutes, stimulation of antagonist movement and vibrations are used. On the contrary, for cases with hypotinicity weight bearing, joint compression, rhythmic stabilization, vibrations, cryotherapy in brisk manner and taping can be used.
Weight bearing exercises: Weight bearing exercises are necessary to promote development of tone in muscles and also to maintain the absorption of calcium into the bones. Thus the patient should be given activities like bridging, supine on elbows, sitting with weight bearing on the affected arm, and standing should be given as soon as possible within the limitation of the patient’s general medical status..
Skillful TAPING gives a tactile feedback which helps in faster development of tone in the muscles. Weight bearing exercises for the involved upper limb has also been found to be beneficial in preventing this.
Bridging Exercises: The child lies on supine position. Therapist flexed his both the knees n then helps him to lift his back from the mid area so that weight bear on his legs. This should be done in 10 -15 repetitions. Then do bridging on 1 leg and then another.
Stretching and Mobility: The muscles should be maintained at the appropriate physiological length for normal muscle control and normal postural adjustment. In CP because of delay or absence of normal movement muscles are usually in a shortened position hence stretching of the muscles is essential to increase the neuromuscular control. Length of the muscles should be maintained not only through stretching but also through various functional activities.
In supine position, the therapist holds an object so that the child grasp that object by moving his body, in this rolling activity plays an important role. The child rolls right and left to grasp the object sometimes lifting his back and limbs too.
The therapist do some exercises in vestibular ball so that child balance and coordination improves and this is the best spine stretching activity.
Good neck control and developing trunk control by using vestibular ball, he lied down in ball and doing movements that extend his spine and head is looking in upward direction.
EXERCISES IN SITTING
The therapist should hold and support the child in sitting position. Time should be noted daily.
Exercises in vestibular ball to correct the balance. Sit on the vestibular ball and then shift the weight from right side to left side by rolling the ball.
Reaching far objects: As the child sitting in the ball then the therapist should stand in front of him and tell him to reach the object that the therapist holds.
Sit to stand activities and kneeling activities, sit on the toes, sitting by cross leg by maximize wide base of support
EXERCISES IN STANDING
STANDING IN BOTH THE LEGS: The therapist should hold his knees while standing as the child flex his knees and forward trunk to avoid standing.
SQUATTING: The therapist should try and help the child to do some squats about 5 to 10 daily to increase the muscle power and strength.
WALKING with the help of therapist or a cane and use a tilt board for balancing exercises.
Standing on the side of vestibular ball and do reaching objects so that the child lifts his head in upward position for increasing the extension of neck i.e. neck control.
Developing postural reaction: Postural adjustments are essential if the child is move to move freely and to adjust to various environmental demands rapidly. Motor milestones can be best achieved by good postural reactions. Postural reactions consists of righting reactions, protective extension and equilibrium reactions. Initially children first develop righting reactions. Righting reactions allow the child to orient his head in space so that the eyes and mouth are horizontal regardless of the position of the body. It also helps in maintaining the proper alignment of the head with respect to the body.
Oromotor control training: Oromotor function depends on good head control. Common Oromotor problems are: drooling, problems in sucking, swallowing, body movements associated with speech, jaw, hyper or hyposensitivity and inadequate tongue movements. Hence the therapy should consist of good neck control, developing good trunk control, use of brush to decrease drooling.
Speech therapy helps to control the mouth muscles. This therapy can be of great benefit to children with speech or eating problems. Speech therapy often starts before the child begins school and continues throughout the school years.
Both massage therapy and physiotherapy benefit some people with CP by helping them relax tense muscles, strengthen muscles and keep joint flexible.