Disability with a mild form of cerebral palsy. Parents of a child with a disability - two vicious paths and a golden mean

Probably, few people have not heard of such an increasingly common congenital disease as cerebral palsy or cerebral palsy. Usually, such a diagnosis is made even during pregnancy for an unborn baby, but this does not mean at all for him and his parents that they have signed a verdict. It is known that people suffering from cerebral palsy often become successful programmers, lawyers, psychologists, and so on, cerebral palsy is only physical deviation from a norm that can be fought. Of course, it can be very difficult to overcome cerebral palsy on your own, which is why the most important place in the process of caring for such a baby and its treatment is occupied by state assistance.

The diagnosis of cerebral palsy refers to the list of diseases that imply disability registration. Many parents are afraid of this status and do not want to legitimize it, which becomes a rather serious mistake on their part. It is known that constant and competent care, complex therapy, massages, medicines, special simulators - all this can help the child achieve greater mobility of the limbs, and than earlier child starts to receive this kind of help, the more likely it is that he will walk almost like any other person.

The necessary medications and complexes of diverse therapies are quite expensive, and disability registration removes some of the problems. A disabled child with cerebral palsy has the right to receive from the state not only a special pension, but he is also entitled to certain list other guarantees.

Benefits and pensions for a child with cerebral palsy

The average amount of benefits that a family with a disabled child receives every month is about 20,000 rubles. This amount includes not only directly the pension, due to a disabled person(about nine thousand rubles), but also some social benefits, such as monthly payment, which can be replaced by free sanatorium or medicines, travel expenses and so on, as well as social payments to parents who do not work in order to provide care for a sick child with cerebral palsy and other types of social payments.

For a family with special child such a monthly amount cannot be superfluous, because the child needs medicines, special shoes, clothes, and special exercise equipment for homework. Therefore, parents should not refuse to register a child with a disability in his own interests, especially since, in addition to cash payments, the state offers families of children with cerebral palsy and other types of assistance.

Guarantees for disabled children with cerebral palsy

Of course, like any other child with a disability, such special children are entitled to free education, higher education on preferential terms, free books, free transportation, and so on. But up to a certain point, the most important thing remains precisely health care, which will be provided by the state to such a baby.

First of all, a child with cerebral palsy has the right to participate in a rehabilitation program. It includes not only free medicines, but also much more. So, for example, a child with cerebral palsy has the right to undergo annual treatment in a sanatorium, undergo free courses of physiotherapy, massage, and also take a course every few months. physiotherapy exercises on specially designed simulators.

Also, within the framework of the program to help children with cerebral palsy, families of such children can receive special shoes from the state free of charge, vehicles, if the child cannot walk independently, home exercise equipment and other necessary for the child orthopedic aids.

All these types state aid with the recommendations of doctors and the boundless love of parents for their child, they can help the baby quickly adapt to life, learn to walk and live a full, albeit not so active, life.

Disability in cerebral palsy is given not on the basis of an existing diagnosis, but if the disease is accompanied by disability. In this case, limited ability to move, speech contact, self-service, learning is implied. It has different degrees severity, but in many cases it leads to disability. This disease is not considered genetic, but is congenital. This is what makes her unique.

What causes cerebral palsy in a child?

The main cause of this serious disease is considered to be damage to the parts of the brain that are responsible for the functioning of the whole body. Damage to the child's brain can begin already in the womb, from the first days of life or during childbirth.

The following factors can increase the likelihood of cerebral palsy:

• intrauterine infections;
• low hemoglobin in pregnant women;
• infection nervous system in a baby;
• difficult childbirth;
• asphyxia during childbirth.

In addition, the abuse of alcoholic products by a woman during pregnancy significantly increases the likelihood of cerebral palsy. It is quite difficult to determine whether a child has this disease in early age. The fact is that the baby's motor activity is limited, and he sleeps for a long part of the day. Only the most severe forms of the disease can be detected on this early stage. With the development of the baby, some deviations may be observed, usually 2 months after birth.

To identify cerebral palsy in a child, a neurologist prescribes a list medical examinations, with which you can put correct diagnosis. In infants, neurosonography is used for this (examination of parts of the brain through the fontanel). For older children, the procedure of electroencephalography and electroneuromyography is used, which determines the performance of the muscles. If the diagnosis is confirmed, a child with cerebral palsy is assigned a disability group.

How can you visually determine this disease?

Initially, you should observe how the child's arms and legs function correctly. Cerebral palsy can cause spasms motor activity both upper and lower extremities. In addition to this, the muscle fibers are under great tension, so that it is difficult to bend or unbend them. Symptoms of lethargy are also likely, in which there are difficulties in the implementation of movements of the arms and legs.

The other is hyperkinesis. With him in muscle structures involuntary movements are observed. When identifying the described symptoms of the child, it is urgent to show the doctor. These signs can lead to severe disability.

During the life of a child, other manifestations or complications may be noticeable. These include impaired speech abilities due to spasm speech apparatus. This leads to the fact that the child begins to stutter or pronounce slow speech. In addition, cerebral palsy can be accompanied by a mental disorder from the simplest to the most severe form. The final stage of this disorder is oligophrenia.

Today, modern equipment is used, which makes it possible to detect cerebral palsy in a timely manner. Wherein rehabilitation period works best for children. In order to make a diagnosis, prescribe various surveys depending on age.

Only an institution can recognize a child as disabled public service medical and social expertise. In this place, the state of health and the degree of restriction of the activity of the disabled person are assessed.

What gives a child a disability?

The main reason for calling for a disability for a child with cerebral palsy is the pension payments made by the state. These are funds intended for the purchase of necessary medicines and various means caring for a disabled child.

In addition to pension accruals, a disabled child is entitled to the following benefits:

• free travel in the city public transport(excluding taxis);
• benefits for travel in railway, air and river transport;
• free treatment in a sanatorium;
• providing a disabled person with the necessary medical equipment;
• free receipt medicines in a pharmacy according to a doctor's prescription.

These rights are due not only to children with disabilities, but also to their mothers. This is a benefit in calculating the tax payment from the income received, the right to a reduced work schedule, additional leave, as well as an urgent retirement. Receipt of benefits will depend on which disability group is given to the child.

Group 1 is considered the most dangerous and is assigned to a child who does not have the ability to carry out independent care (move, eat, dress, etc.) without anyone's help. At the same time, a disabled person does not have the opportunity to fully communicate with people around him, therefore, he needs regular monitoring.

Group 2 disability implies some limitations in the above manipulations.

Also, a child who received group 2 does not have the ability to learn.

However, there is an opportunity to gain knowledge in institutions designated for these purposes for disabled children with disabilities.

Group 3 is assigned to a disabled person who is able to individually move, communicate, and learn. But at the same time, children have a slow reaction, therefore, they require additional control due to their state of health.

Disability in children with cerebral palsy

As mentioned above, children receive disability when diagnosing a child cerebral palsy. Mandatory assistance in documenting disability must be provided by a doctor at the site. In addition, he must give direction to the passage of the medical commission. At the next stage, a medical and sanitary examination (ITU) is carried out, with the help of which the diagnosis is confirmed. When preparing for its passage, it should be clarified how pronounced movement disorders, the degree of damage to the hand, the degree of violation of the support, speech, mental disorder and other factors.

Parents must prepare the required documents in order to issue a disability group for a child with cerebral palsy. The kit includes: a referral received at the clinic, with the results of the studies performed, a birth certificate, a passport of one of the parents, an application, a certificate of registration from the ZhEK, photocopies of all necessary documents. In addition, other documents may be required to confirm general condition health (the result of an examination or hospital extracts).

Within about a month, parents should be issued a certificate on the basis of which a certain disability group will be assigned. This document should be referred to Pension Fund for making pension payments.

Thus, childhood diseases can be quite serious, as in the case of cerebral palsy. If the child has this pathology, him in without fail must be assigned a disability group by a higher authority. Children with disabilities are entitled to free medical care and medicines to sustain life.

Apart from medical care children with cerebral palsy also need pedagogical assistance. To do this, parents, together with teachers, must draw up a comprehensive plan for influencing a disabled child. It should include classes on teaching the correct movements, physiotherapy, massage, work on simulators. the main role assigned to early speech therapy activities.

The result of physiotherapeutic and speech therapy effects is enhanced by drug treatment.

However, it is completely impossible. But with timely measures provided, the correct behavior of parents and teachers, a disabled child can achieve great success in self-service and acquiring skills.

1. I was 40 years old in 2003, they gave me disability (in the region) group 3 (problem with one arm, birth injury, does not rise above 35 degrees,). But they did not give IPR ( individual program rehabilitation of the disabled). (I recently found out that I have the right to Ypres). But I was warned that in the place where I have a commission-MSEC in Ufa, which is supposed to give me an IPRA, it can completely deprive the group, despite the obvious defect, .. since the commission is not objective, with obvious disabilities (including cerebral palsy ), who are not capable of full-fledged work capacity, are deprived of the group altogether, after passing the commission, instead of simply providing an individual program .. The question is, since I have the right to Ypres, I would like to protect myself from injustice so that they don’t remove the group from me at all ... and to whom to consult in advance.?

Lawyer Ishchenko N. N., 176 responses, 111 reviews, online since 06/06/2019
1.1. Hello! I advise you to make hidden and open video and audio recording. Cases like this happen everywhere and even in the courts, so only preventive actions can be taken in advance. Write inquiries to the Administration and the prosecutor's office, for example, about how lawful such actions could be in a particular place .. as well as complaints. It is obvious that this is unlawful, however, with the ongoing inspections, employees of institutions will commit illegal actions much less frequently.

2. The neurologist suggested that my child (2.5 years old) undergo a disability commission. We have valgus, a risk group for cerebral palsy. The probability of getting a disability is about 80%, according to the doctor. But the baby has every chance in a couple of years to become a healthy happy toddler. The question is this: I heard that the mark of a child's disability is the reason for a 100% refusal to apply for service in the Ministry of Internal Affairs, and so on. Power structures, cadet corps, gives a complete respite from the army ... For my family, this is a very important point. Is this true, is it possible to avoid problems in the future, after the removal of disability?

Lawyer Nacharkina E. B., 22 responses, 8 reviews, online since 10/11/2019
2.1. With cerebral palsy, you will not be allowed into law enforcement agencies, because. The diagnosis is on the card. It is up to you to decide whether or not to apply for disability.

3. The child was denied disability 2 times, the first time at the local MSE, the 2nd time at the main bureau, citing that they had little treatment, the child had several diagnoses and at the age of 3 he did not have self-care skills, we have a different form of cerebral palsy against the background of brain gliosis. We need rehabilitation, which is provided free of charge due to disability, otherwise it’s all paid and expensive, they were fired from work because you have to sit with the child and go with him to the compensation garden. My husband's salary is only enough for food and accommodation, because we are a low-income family. It remains to write a complaint to the federal bureau in Moscow? And how to write a complaint to the Ministry of Social Protection?

Lawyer Grudkin B.V., 9819 responses, 4132 reviews, online since 05/12/2010
3.1. Yes, in your case, you should file a complaint with Federal Bureau ITU. The complaint should emphasize that, due to its actual condition, due to the disease, the child has serious disabilities and objectively needs various types rehabilitation.
Little treatment - a lot of treatment, and who exactly is to blame - these are not issues that the ITU should take into account when determining disability.

4. There is such a situation. A child with cerebral palsy does not walk. Registered in the Tyumen region. where the parents are. He receives a disability pension there. But he lives in the Krasnodar Territory. G. Yeysk with his grandmother and aunt. He studies at a boarding school (at home schooling), the policy is tied to temporary registration. IPR took place in Yeysk. Until today, the FSS in Yeysk received referrals for those funds for rehabilitation. Now they are talking. Either you get everything at your place or register here. How can we be. So that the child lives in Yeysk for the time being, but he can also receive those benefits.

Lawyer Kalashnikov V.V., 188682 responses, 61692 reviews, online since 09/20/2013
4.1. They speak correctly. It is necessary that the place of registration corresponds to the place of residence. Because on this principle provide assistance in the prescribed manner.
Federal Law No. 181-FZ of November 24, 1995 (as amended on July 18, 2019) "On social protection disabled people in Russian Federation", article 17

Lawyer Shishkin V.M., 62653 responses, 25534 reviews, online since 11.02.2013
4.2. All right. You need to register your child in Yeysk. Then there will be no problems

Assistance is provided at the place of registration.
Federal Law No. 181-FZ of November 24, 1995 (as amended on July 18, 2019) "On the Social Protection of Disabled Persons in the Russian Federation", art. 17.

Lawyer Lugacheva E. N., 511 responses, 329 reviews, online since 09/25/2019
4.3. Good afternoon.
According to Art. 11.1. Federal Law of November 24, 1995 N 181-FZ (as amended on July 18, 2019) "On the social protection of persons with disabilities in the Russian Federation"
Technical means of rehabilitation are provided to disabled people at their place of residence by authorized bodies in the manner determined by the Government of the Russian Federation, the Fund social insurance Russian Federation, as well as other interested organizations.

Lawyer Karavaytseva E.A., 57885 responses, 27457 reviews, online since 03/01/2012
4.4. The child has the right to means of rehabilitation at the place of temporary registration (at the place of stay). You need to confirm the fact that you do not receive due benefits at their permanent place of residence. To do this, you need to provide the appropriate social security authority at the place of temporary registration with a certificate from the locality where permanent registration is issued. The social security authorities themselves can make a request to their own unit in another city if you know the name and exact address of the relevant service, so it is not necessary to go on your own for help.

Article 19 of the Constitution of the Russian Federation prohibits the restriction of the rights of citizens, including on the basis of place of residence.

Lawyer Ikaeva M.N., 14665 responses, 6712 reviews, online since 03/17/2011
4.5. Hello Valentine

You do not have the right to refuse further receipt of those funds for rehabilitation, the requirement to re-register is illegal, this is indicated in the order of social protection of the Russian Federation dated January 28, 2019 N 43 n p. 4, you have the right to receive everything you need for a disabled child according to your choice

In case of violations, contact the Prosecutor's Office with a complaint

Order of the Ministry of Labor and Social Protection of the Russian Federation of January 28, 2019 N 43 n "On amendments to some orders of the Ministry of Labor and Social Protection of the Russian Federation on the appointment and payment of pensions"

1. In the Rules for applying for an insurance pension, a fixed payment to an insurance pension, taking into account the increase in a fixed payment to an insurance pension, a funded pension, including employers, and a state pension, their appointment, establishment, recalculation, adjustment of their amount, in including persons who do not have a permanent place of residence on the territory of the Russian Federation, conducting checks of documents necessary for their establishment, transferring from one type of pension to another in accordance with the federal laws "On Insurance Pensions", "On Funded Pensions" and "On State pension provision in the Russian Federation", approved by order of the Ministry of Labor and Social Protection of the Russian Federation of November 17, 2014 N 884 n (registered by the Ministry of Justice of the Russian Federation on December 31, 2014, registration N 35498), as amended by orders of the Ministry of Labor and social protection of the Russian Federation of June 14 I 2016 N 290 n (registered by the Ministry of Justice of the Russian Federation on July 4, 2016, registration N 42730) and dated February 13, 2018 N 94 n (registered by the Ministry of Justice of the Russian Federation on May 14, 2018, registration N 51077):

A) in paragraph 4:

In the first paragraph, the words "at the place of residence" shall be replaced by the words "at one's own choice";

In the third paragraph, the words "points 5-7, 9, 11, 12, 15" shall be replaced by the words "points 9 and 12";

Add the following paragraph:

"Citizens living in the regions of the Far North and equivalent areas, in order to establish an increase in the fixed payment to the old-age insurance pension, a fixed payment to the disability insurance pension, a fixed payment to the survivor's insurance pension, as well as an additional increase in increases in the fixed payments to the specified insurance pensions, provided for in parts 9 and 10 of Article 17 of the Federal Law "On Insurance Pensions", citizens living in countryside, in order to establish an increase in the fixed payment to the old-age insurance pension, an increase in the fixed payment to the disability insurance pension, part of 14 of Article 17 of the Federal Law "On Insurance Pensions", citizens living in the regions of the Far North and equivalent areas, in areas with severe climatic conditions requiring additional material and physiological costs of citizens living there, in order to increase the amount of the pension for state pension provision in connection with living in the indicated regions (localities) in the cases provided for in paragraph 5 of Article 15, paragraph 3 of Article 16, paragraph 4 of Article 17, paragraph 7 of Article 17.1, paragraph 5 of Article 17.2, paragraph 2 of Article 18 of the Federal Law "On State Pension Provision in the Russian Federation", an application for the appointment of a pension is submitted to the territorial body of the Pension Fund of the Russian Federation at the place of residence (stay, actual residence) in the indicated areas (localities) ).";
http://ivo.garant.ru/#/startpage

Lawyer Ligostaeva A.V., 237177 responses, 74620 reviews, online since 11/26/2008
4.6. --- Hello, dear site visitor! This option won't work. According to the law of the Krasnodar Territory, a disabled person must be registered in the Krasnodar Territory, and nothing else! Disabled people have the right to rehabilitation - to receive medical care aimed at the full or partial restoration of health or social skills (Chapter 3 of the Law "On the Social Protection of Disabled Persons in the Russian Federation" No. 181). Disabled people can also receive the necessary technical means: crutches, wheelchairs, Hearing Aids etc. (Government Decree No. 2347-r).
--- And here the inconsistency of laws begins, namely, you need to contact the SME at the place where the disability group was established, at the place of permanent residence of the disabled person, to get a wheelchair!
Required documents
Birth certificate (passport)
Documents proving the identity and authority of the parent or legal representative (adoptive parent, guardian, custodian)
ITU Conclusion
SNILS of the child and the parent or legal representative
The FIU may request other documents if the provided ones are not enough to confirm the status. You have 3 months to submit the missing documents.

Documents are submitted by parents or other legal representatives.
Good luck and all the best, with respect lawyer Ligostaeva A.V.

The following circumstances may be taken into account: for example, the defendant moved to a lower paid job; married and has a dependent spouse from his second marriage; took out a mortgage, etc.

29. Married, 2 children - 14 and 7 years old, the youngest is disabled - cerebral palsy. My husband has had another woman for 5 years now, she does not go to her, her husband is sick there. I do not agree to a divorce. I want to apply at least for alimony, but I think that he will not provide me with a salary certificate. Works in security on a watch, salary "in an envelope". What can I do, what am I entitled to in this situation.

Lawyer Kolkovsky Yu.V., 100710 responses, 46996 reviews, online since 07/05/2015
29.1. You are entitled to a firm sum of money living wage for each child.

30. My son has been disabled since childhood, he has cerebral palsy. Is it possible for us to undergo a re-examination of disability in the adult category in absentia. We are just being treated in France.

Lawyer Sukhanov M. A., 3261 responses, 2057 reviews, online since 03/20/2017
30.1. Firstly, the examination can take place according to the documents in the absence of the examined person. But you may have problems due to the inability to control the course of the examination, and in case of a negative result (refusal to establish disability), it is more difficult to challenge, because themselves refused to attend and in connection with this, the experts could not find out something important.
Secondly, if there is evidence (not just words) of the existence good reason impossibility to pass the re-examination on time, there is the right to present this evidence to the ITU bureau, to ask to undergo a re-examination, in which experts can recognize the reasons for missing the deadline as valid and establish disability for the past time from an earlier date (when it was necessary to pass the examination, and not when it was passed on actually).
But it must be taken into account that the experts have no obligation to recognize the reason for missing the deadline as valid. They may find it disrespectful.

On the Change.org website, where she pointed out a lot of casuistic situations in Russian legislation that actually deprive people with disabilities from childhood with cerebral palsy and serious neurological diseases of the opportunity for habilitation and rehabilitation. The petition is addressed to the public Russian authorities, doctors and lawyers.

The petition states that the provisions of many legislative acts regulating the conduct of rehabilitation measures, Spa treatment The provision of rehabilitation facilities very often do not comply with the provisions of the basic laws on persons with disabilities, and often even completely contradict each other.

So, for example, Article 11 of Federal Law No. 195 “On the Social Protection of Disabled Persons in Russia” prescribes mandatory execution medical, professional and rehabilitation measures specified in the IPR, however, many departmental documents of the Ministry of Health deprive people with disabilities of this right. An example is the order of the Ministry of Health of the Russian Federation dated 05.05.2016 No. 281n “On approval of lists medical indications and contraindications for sanatorium-and-spa treatment”, where in Annex 1 “List of medical indications for sanatorium-and-spa treatment of the adult population”, paragraph G80 “Infantile cerebral palsy” is not mentioned at all. It also lacks a number of serious neurological diseases.

Another example: prescribed in the order of the Ministry of Health of the Russian Federation of October 18, 1999 No. 378 “On the organization of the work of medical and social rehabilitation adolescents and adults with consequences of infantile cerebral palsy”, the provisions on special departments for the rehabilitation of patients with the consequences of paralysis are practically unfeasible. The whole point is that specialized centers for the rehabilitation of patients with the consequences of cerebral palsy - a few throughout Russia (by and large, there are only two of them - in Moscow and Chelyabinsk) and they are physically unable to accept all patients, especially from other regions of the Russian Federation. Rehabilitation of such patients in polyclinics and day hospitals- the usual profanity.

The petition also alleges that the Ministry of Health uses legal loopholes in the legislation to deprive people with disabilities from childhood of the right to habilitation and rehabilitation, sanatorium treatment, travel benefits in suburban and intercity transport, and is also trying to eliminate the institution of accompanying persons. In addition, after the age of 18, any specialized assistance patients with cerebral palsy actually stops, in the system Russian healthcare they are only entitled to visit a neurologist within the framework of compulsory medical insurance policy.

The means of rehabilitation that disabled people receive from childhood under the rehabilitation program do not stand up to any criticism. Orthopedic shoes, corsets, Shants collars, wheelchairs are of extremely poor quality and it is often simply impossible to use them. Many disabled people have to purchase similar foreign-made products with their more than modest pensions.

The way out of this situation, according to the author of the petition, could be to put Russian legislation in order and exclude casuistic situations from it, as well as change the regulations of the State Duma and the Federation Council of the Russian Federation, which should include editorial control federal laws. Such changes, in particular, must be made to the order of the Ministry of Health of the Russian Federation dated 05.05.2016 No. 281n “On approval of the lists of medical indications and contraindications for sanatorium treatment”. The petition also proposes to change federal legislation regarding the amount of compensation for purchased rehabilitation equipment, increasing it to 70-80% of the cost of such products. In addition, it is indicated that it is necessary to create a system for the rehabilitation of people with disabilities from childhood over 18 years old, for which it is necessary to open 2-3 rehabilitation departments in each federal district. And, finally, the author of the petition proposes to create an organization in Russia that would deal with the problems of people with cerebral palsy, like the American Cerebral Palsy Worldwide, which accompanies patients with cerebral palsy from birth and helps them throughout their lives.

Infantile cerebral palsy (CP) is an chronic illness brain that is not progressive. It consists of a number of symptom complexes: disturbances in motor sphere and secondary abnormalities arising from underdevelopment or damage to brain structures during pregnancy or childbirth.

Although modern medicine is characterized by many achievements and preventive measures, a large number of children with cerebral palsy suffer from cerebral palsy: 1.7-5.9 per thousand newborn babies. Boys get sick more often than girls in a ratio of 1.3:1.

What causes cerebral palsy?

Why are children born with cerebral palsy? In all cases of this disease, we are talking about the pathology of neurons, when they have structural disorders that are not compatible with normal functioning.

Cerebral palsy can cause the action of adverse factors in the most different periods brain formation. From the first day of pregnancy throughout all 38-40 weeks and the first weeks of life, when the baby's brain is very vulnerable. Statistics show that in eighty percent of cases the reason is negative impact in the prenatal period and during childbirth, the remaining 20% ​​occur in the period after childbirth.

The most common causes of cerebral palsy

1. The development of brain structures is disrupted (because genetic disorders or it's a spontaneous mutation of genes).

2. Infectious diseases (intrauterine infections, especially encephalitis, meningitis, TORCH group, arachnoiditis, meningoencephalitis) can be transferred in utero and in the first months of life.

3. Also, the cause may be a lack of oxygen (brain hypoxia): acute (asphyxia during childbirth, rapid labor, premature detachment of the placenta, cord entanglement) or chronic (insufficient blood flow in the vessels of the placenta due to fetoplacental insufficiency).

4. Toxic effect on the child (due to smoking, alcohol, drugs, occupational hazards, strong drugs, radiation).

5. Chronic diseases of the mother (presence bronchial asthma, heart disease, diabetes).

6. Incompatibility between fetus and mother different reasons(the presence of a conflict in blood group with the development hemolytic disease, Rhesus conflict).

7. Mechanical injuries (for example, intracranial trauma during childbirth).

There is high risk in children who were born prematurely. In addition, there is a high risk in children whose birth weight was less than 2,000 g in children with multiple pregnancies (twins, triplets).

None of the above reasons are 100% correct. If a pregnant woman has diabetes mellitus or has had the flu, then this will not necessarily cause the child to develop cerebral palsy. The risk of having a baby with cerebral palsy in this case increases compared with healthy women, but not more. Naturally, several factors increase the risk of pathology. In cases of cerebral palsy, there is rarely only one significant cause. Often there are multiple factors involved.

Therefore, such prevention is necessary. given state: pregnancy should be planned with the rehabilitation of chronic foci of infection. There should be timely examinations during pregnancy. And if this is necessary, appropriate treatment should be provided. They also consider individual tactics for childbirth. These factors are considered the most effective measures prevention of cerebral palsy.

Symptoms in children

Symptoms of cerebral palsy often relate to movement disorders. The type of these disorders and their severity differ depending on the age of the baby. In this regard, the following stages of the disease are distinguished:

1) early - up to five months of life;

2) initial residual - from six months to three years;

3) late residual - after three years.

Early diagnosis is rarely made because these motor skills are scarce at this age. But still there are specific signs that may be the first symptoms:

· children have unconditioned reflexes that fade to a specific age. If these reflexes are present even after a certain age, this is a sign of pathology. For example, if we talk about a grasping reflex (pressing a child’s palm with a finger causes a reaction of grabbing this finger, squeezing the palm), then in healthy children after four to five months it disappears. If the reflex still remains, then this is an occasion to examine the child more carefully;

· delay in motor development: there are average terms for the appearance of specific skills (when the child himself holds his head, rolls over from his stomach to his back, purposefully reaches for a toy, sits, crawls, walks). The absence of these skills in a certain period of time should alert the doctor;

· impaired muscle tone: decreased or increased tone can be determined by a neurologist during the examination. As a result of changes in muscle tone, there may be aimless, excessive, sudden or slow worm-like movements of the limbs;

· frequent use of one of the limbs to perform actions. For example, an ordinary child reaches for a toy with both hands with the same zeal. And it does not affect whether the baby will be left-handed or right-handed. If he uses only one hand all the time, then this should alert the parents.

Children who have been diagnosed during a routine examination minor violations are examined every two to three weeks. During repeated examinations, attention is drawn to the dynamism of motor changes (whether the disturbances remain, decrease or increase), how motor reactions are formed, and so on.

Majority symptoms of cerebral palsy appear in the initial residual period, namely, after six months of life. These symptoms include impaired movements, impaired muscle tone, mental development, speech, vision and hearing, swallowing, defecation and urination, the formation of skeletal deformities and contractures, and the presence of convulsions.

Depending on the clinical form diseases, certain symptoms of the disease will come to the fore.

There are four forms in total:

1) mixed;

2) dyskinetic (hyperkinetic);

3) ataxic (atonic-astatic);

4) spastic (hemiplegia, spastic dysplegia, spastic tetraplegia (double hemiplegia)).

Signs of cerebral palsy in a newborn up to a year

Two months or older

1. There is difficulty in controlling the head when it is raised.

2. The legs become stiff and may cross over or become "scissor" when raised.

3. Trembling or stiff legs or arms.

4. There are problems with feeding (the child has weak sucking, difficult bites in the position on the stomach or back, resting tongue).

Six months and older

1. Continued poor head control when lifting.

2. The kid holds out only one hand, and the other clenched into a fist.

3. There are problems with eating.

4. The child does not turn without assistance.

Ten months or older

1. The baby can hardly move, pushing with one leg and arm and dragging one leg and arm.

2. The baby does not babble.

3. He cannot sit up by himself.

4. Doesn't respond to his name at all.

Year and older

1. The child is not crawling.

2. Cannot stand without support.

3. The kid is not looking for those things that are hidden in such a way that he sees it.

4. The child does not pronounce individual words, such as "dad", "mother".

Disability with cerebral palsy

Disability in cerebral palsy is given not because of the existing diagnosis, but if the disease is accompanied by disability. In this case, limited abilities for movement, self-service, speech contact, and learning are implied. Cerebral palsy has different degrees of severity, but in many cases it leads to disability. This disease is not considered genetic, it has an innate character. This is its peculiarity.

What does disability give children with cerebral palsy?

The main reason calling for the issue of disability for a child with cerebral palsy is, which are carried out by the state. The funds are intended to purchase necessary medicines and different means caring for a disabled child.

In addition to pension accruals, a child with a disability is entitled to the following benefits:

1) concessions for travel by river, air and rail transport;

2) free travel in city public transport (taxi is an exception);

3) free sanatorium treatment;

4) free receipt of medicines in pharmacies according to prescriptions issued by doctors;

5) providing the disabled with the necessary medical equipment.

These rights are not only for children with disabilities, but also for their mothers. This refers to the benefit in calculating the tax payment from the income received, the right to additional leave, a reduced work schedule and an urgent retirement. Benefits depend on which disability group the child has been assigned.

First group- the most dangerous. It is assigned to children who do not have the ability to carry out independent care without outside help (dressing, eating, moving, and so on). Also, a disabled person does not have the opportunity to fully communicate with people around him, therefore he needs regular monitoring.

For second group disability is characterized by certain limitations in the above manipulations.

Also, in children who received second group, no ability to learn. But there is an opportunity to gain knowledge in institutions specially designated for these purposes for disabled children with disabilities.

third group are assigned to disabled people who are able to individually perform movements, learn, and communicate. At the same time, children have a slow reaction, therefore, additional monitoring is required for health reasons.

Registration of disability with cerebral palsy

As mentioned above, disability is assigned to children during the diagnosis of cerebral palsy. Mandatory assistance in documenting disability is provided by a doctor at the site. In addition, the doctor gives a referral for a medical examination. At a subsequent stage (ITU), with the help of which the diagnosis is confirmed. During the preparation for its passage, it is specified how pronounced motor disorders are, the degree of violation of the support, the degree of damage to the hand, mental disorder, speech and other factors.

Parents should prepare the necessary documentation for those with cerebral palsy. The kit consists of: a referral received at the clinic, the results of the studies, a passport of one of the parents, a birth certificate, an application, a residence permit from the ZhEK, photocopies of all necessary documents. In addition to the above, other documentation may be useful, which is a confirmation of the general state of health (hospital extracts or the result of an examination).

About a month later, parents must receive a certificate, on the basis of which the child will be assigned a certain disability group. This document must be applied to the Pension Fund in order to issue pension payments.

So childhood diseases can be quite serious, as in the case of cerebral palsy. If a child has this pathology, he must be assigned a disability group by a higher authority. Children with disabilities have the right to free health care and life-sustaining medicines.

In addition to medical care, children with cerebral palsy also need pedagogical assistance. Also, parents and teachers should draw up a comprehensive. It includes classes on teaching the right movements, massage, therapeutic exercises, work on simulators. Critical role in early speech therapy activities.

Is it possible to cure cerebral palsy in a child completely?

Completely cerebral palsy is not treated. But if measures are taken in time, if parents and teachers behave correctly, great success can be achieved in acquiring skills and self-service.

How long do children with cerebral palsy live?

Parents who are faced with this difficult diagnosis in their child are interested in the question: “How long do children with cerebral palsy usually live?” Even in the middle of the last century, patients with this disease did not even live to adulthood. In our time, a child diagnosed with cerebral palsy, under comfortable living conditions, proper treatment, care, rehabilitation, lives up to forty years and even up to retirement age. It depends on the stage of the disease and the treatment process. If, during the illness, the activity of treatment is reduced, which is aimed at combating brain disorders, then this significantly reduces the life expectancy of a child with cerebral palsy, as in relation to any other disease.

Children with cerebral palsy receive this diagnosis in eighty percent of cases at birth. The rest of the patients receive a doctor's opinion during early infancy due to infectious diseases or brain injuries. If you work with these children all the time, then it is possible to achieve a significant development of their intellect. Therefore, many can study in special institutions, and then get a secondary or higher education and profession. The life of a child depends entirely on the parents and permanent rehabilitation.

Unfortunately, in our time, not a single case of a complete recovery from this disease has been recorded.