Because of the brain defect, the centre of the brain that controls balance and movement is usually affected. This causes excessive contractility I.e muscle will naturally prefer to be in the contracted state. To relieve such a problem, we need to stretch the affected muscle, to avoid complete contracture I.e when muscle no longer is in a state that it can further be stretched. Due to this, the joint will undergo stiffness.
Broadly speaking, the whole management of cerebral palsy is based on one key factor is to maintain the length of the affected muscle.
The most effective way to do these exercises I.e Physiotherapy.
In a developing country where earning capacity is very low, the expense of physiotherapy poses an enormous burden on the family. This is the main cause of the condition being so neglected.
A proper solution to this will be “a combined effort” both by physiotherapists and parents.
Parents must give full attention to the exercises that are being performed on their kids by the physiotherapist, and must try to replicate those exercises, multiple times at home. This will reduce their dependence on physiotherapists. Secondly, during various lockdowns, we have seen even well to do family kids deteriorating. This approach will help families in multiple ways that are reducing economical burden, physiotherapist burden, proper emotional bonding, and a sense of responsibility (in a different manner than the normal parent).
A word of caution, parents must be regular with physiotherapists, the intervals of visit can only be reduced by this approach. Parents can never try to replace a physiotherapist from the treatment team.