Cerebral Palsy

Cerebral Palsy (cp) is caused by damage, either, before, during or after birth, to the part of the brain controlling movement.

There are three main types which correspond to injuries to different parts of the brain:

1)             Spastic cp: muscles become stiff and weak under effort which can affect control of movement.

2)             Athetoid cp: there is some loss of control of posture resulting in making unwanted movements.

3)             Ataxic cp: problems with balance.  There may also be shaky hand movements and irregular speech.

4)             Pupils with cerebral palsy are found within the full ability range. There is no cure but with the help of therapy most pupils remain stable.

Difficulties

speech, language and communication

poor balance

fine and gross motor skills affecting presentation

limited concentration

distractibility

limited sensory and tactile experience

spatial and perceptual weaknesses

copying from blackboard

periods of tiredness

Support Strategies

Ensure that

pupil has correct height of desk and chair

when seated, pupil is able to rest feet on the floor

pupil is near to and facing blackboard

tasks are well structured, well ordered, clearly explained and varied

pages are not too busy/sections not required are covered

additional time is allowed for verbal responses

volume of written work is limited - ICT can be used to support written work and maximise opportunities for self-expression

Additional information

a sloping bookstand may be useful when copying from book or workcard

switch interface may be required for ICT work

if a marker is required, a black marker has been found to be more effective

seek advice from speech and language therapist, physiotherapist, occupational therapist as appropriate

good home-school liaison is required re inter-agency involvement

Recommended Reading

Kenward, H (1996) Spotlight on Special Educational Needs: Physical Disabilities, NASEN, Tamworth. ISBN 0906730 83 X

Web Sites                                                   

Scope   www.scope.org.uk