Children's cerebral palsy is a pathology that is characterized by impaired motor activity, due to brain damage - the cortex, trunk or capsule of the brain is damaged.
The causes of the detrimental effect on the vital organ are numerous. They are divided into three groups: pregnancy, childbirth and the child's post-natal activity - depending on the time of getting the pathology.
Developmental phases of cerebral palsy
Cerebral Palsy differs in the forms and phases of the course of the disease, which are distinguished by three: 
- The early stage of is the age of up to 5 months. It is manifested by a delay in the development of the child, the preservation of reflexes, like in newborns, the inability to play with one hand, due to a violation of muscle tone.
- Initial residual phase - age up to 3 years. The child does not try to talk for two years, asymmetry in the body and movements is noticeable, sweating is marked, the baby is often choked with food or his own saliva.
- The late residual phase of is age over 3 years. It is manifested by stiffness, shortening of the leg on the affected side, violation of swallowing, hearing, speech, sight, urination and defecation disorder, dental pathology, convulsions.
It is important for parents not to ignore the signs of cerebral palsy. If you find any anxiety symptoms, you should immediately consult a doctor.
Modern Approach to Treatment and Rehabilitation
The treatment and rehabilitation of children with cerebral palsy is aimed at social adaptation in society. 
Rehabilitation methods, tools and programs are based on a complex, multifaceted impact on the child, which includes a multitude of diverse approaches: medical, physical, mental, socioeconomic, professional and personal.
The measures are aimed at correction of motor defect, improvement of motor activity, communication opportunities, development of skills of independence of patient's actions in everyday life, emotional and social development, education and training.
The purpose of rehabilitation is the physical and social adaptation of a sick child and the expansion of his individual abilities. Each child with cerebral palsy prepares an individual rehabilitation program, according to which physicians in rehabilitation centers work with him.
Complex of activities
The main goal of rehabilitation of children with cerebral palsy is the maximum development of skills. The method of correction of motor disorders is the formation of motor actions by stimulating rectification reflexes.
For this, the following methods are used:
- massage - must be performed only by an expert;
- physiotherapy ;
- Bobat-therapy ;
- application of special technical devices to avoid the appearance of pathological poses;
- speech therapy sessions aimed at correction of speech disorders ;
- sessions with the psychologist ;
- medicamentous treatment - use of drugs that reduce muscle tone;
- surgical orthopedic intervention - tendon plastic, corrective osteotomy and others;
- Functional Neurosurgery ;
- physiotherapy - removal of painful muscle spasms;
- hippotherapy and dolphin therapy - communication with animals will help the child improve speech, coordination, adapt in society;
- art therapy - treatment of art and creativity - is aimed at preparing the child for learning.
Children with cerebral palsy should exercise regularly exercise therapy - this helps stretch the muscles, relieve tension, expand the range of movements, developed sets of exercises aimed at endurance, preparing for walking, lifting cramps, improving balance.
For children with cerebral palsy, the following programs and means of rehabilitation are more often used:
- Bobat therapy - is intended for children of any age, ranging from 3 months to adulthood. It includes prohibitive detentions, directing movements and stimulating the child for the expected result.
- Use of devices - special devices are necessary for the child in all spheres of life, so that he can stand, sit, wash, move. They are appointed depending on the type of disorder and the stage of impaired coordination and balance. Adaptations are divided into three types: mobility( wheelchairs, walkers, seats), development( verticals, tables and chairs, exercise bicycles), hygiene( toilet seats, bath seats).
- Physiotherapy - is prescribed at all stages of the disease, taking into account the age, the condition of the patient and the features of the pathology. Procedures are prescribed with caution, considering other diseases and severity of symptoms of cerebral palsy. The most common procedures are: electrostimulation, CMT, magnetotherapy, ultrasound therapy, laser therapy and other physiotherapy purposes.
- Medication therapy - is aimed at eliminating unwanted symptoms. Assigned brain metabolic drugs and neuroprotectors( Cerebrolysin, Pyracetam), as well as vascular drugs( Actovegin).A pronounced spasm is treated by Midokalm, Baclofen. Epileptic seizures are removed with anticonvulsants - Lamotrigine or Toparamat.
- Voit-therapy is a method of rehabilitation of children, in which "starts" certain muscles. Subsequently, they should include the spontaneous motility of the patient. This technique is especially effective for children under one year, because at an early age the reflex reactions are most intense. This method prevents the threat of development of cerebral palsy if it is detected at an early stage and treatment is started on time.
- Pedagogical program - in case of speech violation, lessons with a speech therapist are applied. One of the best programs is the Logic algorithm, where children in a playful and musical form remember and reproduce the proposed text.
- Hippotherapy - Horse riding strengthens the muscles of the child, especially the dorsal. Restores balance and respiratory
disorders. Communication with animals in the open air expands the range of the child and improves the emotional state. Unable to use a horse, you can ride a carousel, a swing, the result will be the same. - Adeli Costume is both an orthopedic device and a simulator designed to redistribute the load on muscles and joints, forming a muscular framework. The task of training with the help of this costume is to "wake up" the sleeping cells of the motor center. This is achieved by influencing a certain group of muscles, which send impulses to the brain. The costume consists of a waistcoat, shorts, details for the knees and hands, carpets, shoes with a loop system, hats and a set of elastic rods.
Ready-made rehabilitation programs
The most effective program is "Early Rehabilitation" designed for children under one year. It is aimed at correction of the delay of psycho-speech and motor development, obtained as a result of damage to the nervous system during the gestation, delivery or in the first months of life. It includes consistent and long-term work of doctors and parents of the child.
Rehabilitation can begin at 3 months of age. The course lasts 5 days and is repeated monthly, if necessary. The child is carefully examined.
The complex of activities of this program includes: biomechanical correction of the spine, reflexotherapy, massage, respiratory gymnastics, exercise therapy, paraffin applications.
Passing complex of measures normalizes muscle tone, improves motor activity, respiratory rhythm, blood circulation, tissue metabolism - this stimulates the possibility of psycho-speech development and motor skills of the child.
The program "Early Rehabilitation" reduces neurological disorders in young children and gives a chance to avoid further physical disability, helps them to adapt socially and to be full people in society.
Rehabilitation Centers in Russia
There are not many rehabilitation centers in Russia. Most of them are in Moscow. There are 4 rehabilitation centers here. Also 
similar institutions are in Tula, Voronezh, Samara, Vologda, St. Petersburg, Elektrostal and Belgorod.
In the centers not only children are being rehabilitated, but also their parents.
All of them are equipped with modern equipment, in each of them only experienced doctors and other medical personnel work.
The word to parents
Parents' comments on the rehabilitation centers and the methods used to restore children with cerebral palsy.
We were at the Moscow Rehabilitation Center when they just opened. I liked the children's yoga, massage every day for half an hour: one day back, the other - hands and feet.
And LFK did not like it, I can do it myself. The staff is courteous, friendly, the equipment and facilities are modern.
Rimma, Moscow
The child has cerebral palsy - tetraparesis. They were treated in different cities, they underwent 3 courses of rehabilitation in Samara, the results are there. She is 6 years old, moves on her knees, knows two languages, sits herself, very much wants to walk herself.
Inna, Samara
We were given 3 courses of exercise therapy, the results are very encouraging. Sonechka learned to walk, holding hands - before she did not understand what to do.
Now we confidently go not only at home, but also on the street in the sand, where there are pits and bumps. Learned to crawl, while slowly, but every day more confident. We learn to walk, holding on to one handle.
Lena, Vologda
Children's cerebral palsy is a serious illness requiring long-term regular treatment and rehabilitation.
Parents together with doctors should develop programs for the adaptation of the child, conduct courses of drug therapy, find the right auxiliary tools for movement, training and hygiene procedures.
It is necessary to teach the child all the skills of comfortable and independent from outside everyday activities.
