Comprehensive management and rehabilitation — Lucknow, Uttar Pradesh
सेरेब्रल पाल्सी से ग्रस्त बच्चों को सही देखभाल, थेरेपी और न्यूरोलॉजिकल प्रबंधन से बेहतर जीवन जीने में मदद मिलती है। शुरुआती इलाज और रिहैबिलिटेशन से बच्चे की क्षमता में उल्लेखनीय सुधार हो सकता है।
Cerebral palsy (CP) is a group of permanent, non-progressive disorders of movement and posture resulting from damage to the developing brain — occurring before, during, or shortly after birth. It is the most common cause of physical disability in childhood, affecting approximately 2–3 per 1,000 live births. CP is not a single condition — it varies enormously in type (spastic, dyskinetic, ataxic, mixed), severity, and pattern (hemiplegia, diplegia, quadriplegia). Many children with CP have co-occurring conditions including epilepsy (30–50%), intellectual disability, speech and communication difficulties, feeding problems, and visual or hearing impairment. Management must address all of these.
CP management is lifelong, multidisciplinary, and goal-directed. Physiotherapy maintains joint range, improves strength and function. Occupational therapy develops upper limb function and adaptive strategies. Speech therapy addresses oromotor function and communication. Spasticity is managed with oral medications, focal botulinum toxin (Botox) injections, intrathecal baclofen pump, or orthopaedic surgery. Epilepsy — when present — requires accurate anti-seizure medication management by a paediatric neurologist. Dr. Gopaal coordinates all neurological aspects of CP care at Apollomedics, with the CDC providing integrated therapeutic support.
Book a Consultation →CP itself is non-progressive — the brain lesion does not get worse. However, without adequate management, secondary complications (joint contractures, scoliosis, spasticity progression) can worsen the functional impact. This is why ongoing specialist review is essential.
Botulinum toxin (Botox) injections are an effective treatment for focal spasticity in CP — for example, tight calf muscles causing toe-walking. They are administered under brief anaesthesia or sedation, typically repeated every 3–6 months. They work best when combined with physiotherapy and splinting.
There is currently insufficient evidence to support stem cell therapy for cerebral palsy outside of research settings. No stem cell treatment for CP is approved in India or internationally. Parents are advised to be cautious of unproven commercial stem cell treatments, which carry significant risk.
Children with CP have a right to education. Many attend mainstream schools with support; others benefit from special schools with smaller classes and specialist staff. Dr. Gopaal provides detailed school support letters and educational recommendations as part of CP management.