• Infantile Zerebralparese | © Pohlig GmbH
    Clinical picture
    cerebral palsy (ICP)

A group of diverse disorders 

What exactly is infantile cerebral palsy?

Infantile cerebral palsy (ICP) describes a group of movement disorders caused by childhood brain damage. The brain damage leading to ICP most often happens during pregnancy but can also occur during birth or shortly after.

Children born with ICP usually experience problems with posture, balance, and coordination. The symptoms of ICP vary from person to person and the muscles of the arms and legs can be affected in different ways. While many children have only mild symptoms, children with more severe ICP can have spastic paralysis. In some cases, children with ICP will also have cognitive impairments alongside their motor function difficulties.  

Other terms you may hear being used to describe ICP include infantile paralysis and cerebral palsy (CP)

Infantile Zerebralparese Orthesen | © Pohlig GmbH
Infantile Zerebralparese Orthesen Pohlig | © Pohlig GmbH

Why use orthoses for treatment?

In addition to medical and physiotherapy treatment, orthopedic care in the form of orthoses (braces) plays an important role in the treatment of ICP. An orthosis provides support to the affected parts of the body and helps maintain positive results obtained through surgical or other conservative treatment.

Orthotic treatment for children with ICP is also used to:

  • Improve impaired motor functions
  • Correct poorly aligned joints
  • Regulate muscle tone
  • Protect vulnerable regions
  • Prevent or delay onset of deformities
  • Improve cosmesis

Because every child with ICP is different, we create individualized treatment concepts that are precisely tailored to your requirements and specific needs. While ICP is not a progressive disorder (i.e., does not get worse), long term care is necessary as postural and movement disorders change with growth and development.

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Aschau Children’s Clinic

The Orthopedic Children’s Clinic in Aschau is one of the largest specialist clinics for pediatric orthopedics in Central Europe.

Interdisciplinary treatment approach

When it comes to orthopedic treatment for infants and children, it is extremely important for all parties to pull together: parents, doctors, technicians and therapists.

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Physiotherapists support the individual care of our little patients at our headquarters and all of our branches.

All-round care!

We have the solution

Finger, hand and arm deformities may occur individually or in combination in ICP patients. Most children also have foot malformations. Pes Equinus (foot is stuck in a pointed position) is one of the most common foot deformities for which orthotic treatment is advised. Club foot, knee flexion spasticity and hip adductor spasticity can also be successfully treated with orthoses.

Our orthopedic devices are important components of the medical and therapeutic treatment concept. Surprising results for ICP patients can be achieved in combination with physiotherapy and rehabilitation aids.

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Positioning systems

Sleep comfortably with ICP

People with ICP classified as GMFCS IV and V particularly struggle with independently changing positions when lying down. Because of this, they often lie in the same position for long period of time which can cause a variety of positional deformities.

Individual positioning systems passively support the patient in lying positions. Such systems and are built to offer one or more comfortable, tone-regulating positions and prevent the development of positional deformities and pressure spots.

Cold and blue extremities in ICP patients

Why does my child get "cold feet"?

ICP affects several functional systems. Susceptibility to seizures and impairments in motor function, perception and speech are common. ICP also disrupts vital autonomic nervous system functions such as heartbeat, breathing, and metabolism. These disruptions lead to breathing and sleeping problems, as well as increased salivation and sweating, reduced skin circulation, and impaired temperature regulation. Although these disruptions significantly affect the person’s quality of life, they do receive as much attention in therapy.

If ICP patients have cold or blue feet, the reasons for this are often not due to unsuitable footwear, but are more likely due to: 

  • Altered motor function or increased muscle tone
  • Lack of mobility 
  • Body temperature regulation disturbance, circulation disturbance
  • Disturbances in hypothalamic-pituitary-adrenal axis (i.e., interactions between the hypothalamus, pituitary gland, and adrenal glands)