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Cerebral Palsy and Therapies

What is Cerebral Palsy:

Cerebral Palsy is a collective term used to describe a group of motor conditions that cause physical disability associated with body movement and posture. The impairments cause activity limitation and affect the level of functional independence.
Causes of Cerebral Palsy include: problems during intrauterine development, asphyxia before birth(in my case), hypoxia of the brain, birth trauma, and complications in the perinatal period or during childhood.
The early signs of cerebral palsy usually appear before a child reaches the age of 3. The most common are a lack of muscle coordination when performing voluntary movements, stiff or tight muscles and exaggerated reflexes. .
Simple actions that are performed subconsciously by others, require marked effort and concentration, and often fail in patients with Cerebral Palsy. For example, in severely affected individuals, the extension of all the fingers may accompany extension of the wrist. Discrete movements, such as that of an individual finger, may be impossible.
The motor disorders of cerebral palsy are often accompanied by disturbances of sensation, perception, cognition, communication, and behaviour. Epilepsy and secondary musculoskeletal problems may occur.
To date, no type of Cerebral Palsy has a known cure. However, therapy can help individuals function more effectively. Early intervention is highly recommended as young children have a strong ability to learn new motor plans (neural plasticity).



Cuevas Medek Exercises (CME) Physical Therapy was created by Ramon Cuevas, Physical Therapist, in 1972. The first name of this physical therapy approach was MEDEM, Spanish acronym for Dynamic Method of Motor stimulation.

In 1980 Ramon Cuevas changed the name of the therapy to MEDEK, Spanish acronym for Dynamic Method of Kinetic Stimulation.

Nineteen years later in 1999, Ramon Cuevas decided to include his name into the name of the therapy, and the nomination CME Cuevas Medek Exercises therapy came to light.

Cuevas Medek Exercises (CME) is a totally avant-garde approach inspired to provoke automatic motor responses in motor delayed children from ages of 3 months ahead. For more information, please see details under CME characteristics.”

MEDEK uncovers and maximizes any movement and energy that lies dormant within the child. This physical therapy, unlike any other, does not let the child to be passive. The child has no choice but to work hard with whatever power he has. He repeats these movements over and over again, until it becomes part of him.



Conductive Education

"Conductive education is a holistic integrated education system, which enables people with damage to the central nervous system to learn to overcome the challenges they face. Conductive education is a process of experiences which leads the person to work with their motor impairments, moving towards increased independence.

Andras Peto, the founder of conductive education, viewed people with neurological conditions as a whole; focusing not only on the body but also the personality. Conductive education perceives people with neurological conditions as facing a challenge of learning rather than needing treatment for a medical condition. Peto argued to ensure learning people with neurological conditions should be “taught” rather than “treated”. Through a structured teaching environment, led by the conductor, the brain can access residual capacity (neuro-plasticity) and learning can be promoted". (Scope definition)

The program/daily routine
The program/daily routine is a timetable of activities which reflect an integrated system of learning. It is carefully planned and highly structured with a focus on meeting goals in an interrelated manner. The program is complex in the way it is designed, but simple for the individual to understand. This allows the learning within the program to be integrated into every part of an individual’s day. It provides the individual with a learning environment rich with relevance, fun, and opportunities to practice and clear pathways to achievement. The daily routine will depend on the age and the specific requirements of the individual. Daily living skills (such as toileting, washing, dressing, eating) will be incorporated.