Cerebral Palsy Management
Developmental physiotherapy focused on function and independence
Family-centred care, in clinic or at home
Understanding Cerebral Palsy
Cerebral palsy is a group of movement and posture disorders caused by injury to the developing brain during pregnancy, birth, or infancy.
It is non-progressive, but its effects change as a child grows. Early, consistent physiotherapy improves motor development, prevents secondary complications, and supports participation in everyday life.
Management Goals
- 1
Improve Mobility
Maximise safe, independent movement.
- 2
Motor Development
Progress through developmental milestones.
- 3
Increase Strength
Build the strength needed for function.
- 4
Prevent Contractures
Maintain range and prevent deformity.
- 5
Improve Balance
Develop postural control for sitting and standing.
- 6
Quality of Life
Support participation at home and school.
Types of Cerebral Palsy
Classified by distribution and by movement type.
Monoplegia
One limb is affected.
Hemiplegia
One side of the body is affected.
Diplegia
Mainly the legs, with milder arm involvement.
Triplegia
Three limbs are affected.
Quadriplegia / Tetraplegia
All four limbs, often with trunk involvement.
Double Hemiplegia
All four limbs with arms more affected than legs.
Spastic CP
Increased muscle tone causing stiffness.
Dyskinetic CP
Involuntary, fluctuating movements.
Ataxic CP
Impaired balance and coordination.
Therapeutic Techniques
Neuro-Developmental Therapy (NDT)
Hands-on facilitation of normal movement patterns.
Progressive Resistance Training
Graded strengthening appropriate to age and ability.
Conductive Education Principles
Structured, goal-directed learning of daily tasks.
Task-Specific & Goal-Directed Training
Practising the real activities the child needs.
Robotic-Assisted Therapy
Repetitive assisted practice where available.
Constraint-Induced Movement Therapy
Encouraging use of the more affected limb.
Your Child’s Journey
Initial Assessment
Developmental and motor evaluation with the family.
Goal Setting
Priorities agreed with parents.
Active Therapy
Play-based, task-specific sessions.
Home Program
Daily activities integrated into family routine.
Progress Review
Re-assessment and plan adjustment.
Developmental Support Timeline
- 1
Head Control(0–3 months)
Building neck and trunk control in supported positions.
- 2
Sitting(3–6 months)
Developing sitting balance and reaching.
- 3
Crawling(6–9 months)
Floor mobility and weight-bearing through the arms.
- 4
Standing(9–12 months)
Supported standing and weight shift.
- 5
Walking(12–18 months)
Assisted walking and gait development.
Monitoring Progress & Outcomes
Regular Assessments
GMFM and ASQ tools repeated every 4–6 weeks.
Goal-Based Outcomes
Progress measured against goals the family chose.
Family Participation
Parents trained as active partners in therapy.
Ongoing Documentation
A clear record so progress is visible over time.
Meet Dr. Munaza
Orthopedic Manual Therapist · Pain & Rehabilitation Specialist
3+ years of clinical experience, with focused expertise in cerebral palsy management.
A women-only practice offering culturally sensitive, dignified care — in clinic or at your doorstep.
- ✓MSOMPT (RIU)
- ✓DPT (UOL)
- ✓Women's Health Physiotherapy Specialist
What Our Patients Say
“She showed us exactly how to help at home. Our daughter is sitting independently now.”
— Nimra S.
“Patient with children and honest about what to expect.”
— Hafsa L.
“The regular assessments helped us see real progress.”
— Tehmina R.
Frequently Asked Questions
+At what age should therapy start?
As early as concerns are identified. Early intervention has the strongest evidence base.
+How are parents involved?
Closely. Most progress comes from consistent daily practice at home, so parent training is central.
+How often are sessions?
Typically one to three times weekly depending on goals and the child’s tolerance.
+Will my child walk?
It depends on the type and severity. We set honest, functional goals and review them regularly.
+What does it cost?
PKR 1,000 for a clinic session and PKR 2,500 for a home visit.