PHYSICAL THERAPY

موضوع: hemiplegia الثلاثاء سبتمبر 18, 2007 8:12 pm

What is hemiplegia?

Hemiplegia literally means paralysis of half of the body. When someone has hemiplegia ('hemi' means 'half' in Greek) it is because one of the hemispheres of the brain has been damaged, usually before, during or soon after birth. Childhood hemiplegia is a relatively common condition, affecting up to one child in a thousand.

How does hemiplegia occur?

The causes of congenital hemiplegia are mostly unknown, and usually parents become aware of their child's hemiplegia gradually during his or her infancy. There is a higher risk in premature babies, and it is unclear whether a difficult birth may be an occasional factor. In most cases, however, the damage occurs during pregnancy, and researchers have as yet been unable to isolate any contributory factors - in other words, it would appear to be mostly a matter of chance. Parents often worry that they may be somehow to blame, but this is not the case.
Acquired hemiplegia results from damage to the brain during childhood. The most common cause is a stroke (when a bleed or blood clot damages part of the brain), but it can also result from an accident or infection.

What are the effects of hemiplegia?

It is difficult to generalise: hemiplegia affects each child differently. The most obvious result is a varying degree of weakness and lack of control in the affected side of the body, rather like the effects of a stroke. In one child this may be very obvious (he or she may have little use of one hand, may limp or have poor balance), in another child it will be so slight that it only shows when attempting specific physical activities.

What can be done to help?

Hemiplegia cannot be cured, but a lot can be done to minimise its effects. Your child, once diagnosed, will probably be referred to a Child Development Centre (CDC) or the children's department of your local or regional hospital, where therapists will work with you to develop his or her abilities.
The immature brain is very flexible, and many of the functions of the damaged area can be taken over by undamaged parts of the brain. So whilst an adult who has a stroke loses very specific functions, depending on which part of the brain was affected, in children and young people with hemiplegia it makes relatively little difference to their general development which area of the brain was damaged.
Your child's treatment will probably be based on a multi-therapy approach, involving physiotherapy, occupational therapy, and speech therapy where necessary. Therapists work closely with each other and with parents, teaching them exercises and techniques which they can continue to use at home, so that they become part of the child's everyday life.
In general the child with hemiplegia should be treated as normally as possible. However, it is essential to include the weaker side in play and everyday activities, to make your child as two-sided as he or she can be. As they get older, many children and young people with hemiplegia can be encouraged to develop better use of their weaker side through involvement in their chosen sports and hobbies.

Are there other problems associated with hemiplegia?

Yes, there may be. Because hemiplegia is caused by damage to the brain, it is not just motor development that may be affected. And despite the developing brain's effort to relocate functions to undamaged areas, approximately half the children do have additional problems. Some of these are medical in nature, such as epilepsy, visual impairment or speech difficulties. In the last few years it has also become clear that many children have less obvious additional problems, such as perceptual problems, specific learning difficulties or emotional and behavioural problems. As the child grows these problems may become more frustrating and disabling than the more obvious physical ones, but with specialist treatment their effects on the child's life can be minimised.

What does the future hold?

In merely defining hemiplegia with its causes and effects we leave out perhaps the most important issue - the shock of diagnosis and the fear of the unknown.
When a child is first diagnosed, it is often difficult for a doctor to predict whether problems will be mild or severe later in life. He or she will often adopt a 'wait and see' approach, which parents may find difficult to accept, since they may feel they are not being given all the facts. Understanding hemiplegia and knowing how you can help your child achieve his or her potential is vital. Make good use of the specialists dealing with your child's hemiplegia. Do ask them questions and make sure you understand their replies, if necessary asking them to repeat them using non-specialist terms.

Education

Most children and young people with hemiplegia attend mainstream schools, with or without some extra support. It is essential that teachers be given as much information as possible about your child and how best to help him or her.
HemiHelp has produced three booklets, 'Guidelines for Teachers', for teachers in pre-school, primary and secondary education respectively. These are of use not only to your child's teachers, but also to you as parents, to help you support your child through his or her school years. This information is also available online in our Education section for professionals.

Support

Life can be difficult for children and young people with hemiplegia who want to do the same things as other children. They tire easily and the effort involved in simple tasks can be considerable. They need all the help and encouragement you can give them. And you need support in your turn - ideally from other parents who understand how you feel and with whom you can also share ideas and information.
You may find general support groups for children and young people with disabilities and their families in your own area - your CDC, hospital or library should have information. There may also be other useful local services such as a toy library for children and young people with special needs. And you should join the national organisation for children and young people with hemiplegia and their families, HemiHelp
[url=http://http://www.hemihelp.org.uk/hemiplegia/what_is_hemiplegia][/url]
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مستقبل كليه العلاج الطبيعى

موضوع: رد: hemiplegia الثلاثاء سبتمبر 18, 2007 8:39 pm

يا حمادة

موضوع: رد: hemiplegia الثلاثاء سبتمبر 18, 2007 10:02 pm

عفوا ياميدو على ايه بس

موضوع: رد: hemiplegia الثلاثاء سبتمبر 18, 2007 10:10 pm

ههههههههههههههههههههههههه

ايه يا عم على هو انت اللى كتبت التوبيك؟
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مستقبل كليه العلاج الطبيعى

موضوع: رد: hemiplegia الثلاثاء سبتمبر 18, 2007 10:20 pm

ياعمى فى بيتها مش هو ده اللى كنت هتقوله

موضوع: رد: hemiplegia الأربعاء سبتمبر 19, 2007 12:17 am

thanx hamada well done
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Wait us very soooooon
on
www.cairopt.net
we will wait u there.......................!!!

فما فى الارض اشقى من محب.............وان وجدالهوى حلو المذاق
تراه باكيا فى كل حين..............مخافه فرقه او لاشتياق
فيبكى ان نأوا شوقا اليهم.........ويبكى ان دنوا حذر الفراق
pt_mis2005

موضوع: رد: hemiplegia السبت نوفمبر 03, 2007 7:05 am

[/i]شكررررررررررررررررررا[/b]
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تيتو وصل يا اهلا بيك يا عم تيتو

موضوع: رد: hemiplegia السبت نوفمبر 03, 2007 7:05 am

شكررررررررررررررا
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تيتو وصل يا اهلا بيك يا عم تيتو

موضوع: رد: hemiplegia السبت فبراير 16, 2008 9:15 pm

thanks