Cerebral palsy (CP) is a group of permanent movement disorders that appear in early childhood. Signs and symptoms vary among people and over time. Often, symptoms include poor coordination, stiff muscles, weak muscles, and tremors. There may be problems with sensation, vision, hearing, swallowing, and speaking. Often, babies with cerebral palsy do not roll over, sit, crawl or walk as early as other children of their age. Other symptoms include seizures and problems with thinking or reasoning, which each occur in about one third of people with CP. While symptoms may get more noticeable over the first few years of life, underlying problems do not worsen over time.
Augmentative and alternative communication (AAC) encompasses the communication methods used to supplement or replace speech or writing for those with impairments in the production or comprehension of spoken or written language. AAC is used by those with a wide range of speech and language impairments, including congenital impairments such as cerebral palsy, intellectual impairment and autism, and acquired conditions such as amyotrophic lateral sclerosis and Parkinson's disease. AAC can be a permanent addition to a person's communication or a temporary aid.
The Paralympic sports comprise all the sports contested in the Summer and Winter Paralympic Games. As of 2016, the Summer Paralympics included 22 sports and 526 medal events, and the Winter Paralympics include 5 sports and disciplines and about 72 events. The number and kinds of events may change from one Paralympic Games to another.
The Summer Paralympic Games or the Games of the Paralympiad, are an international multi-sport event where athletes with physical disabilities compete. This includes athletes with mobility disabilities, amputations, blindness, and cerebral palsy. The Paralympic Games are held every four years, organized by the International Paralympic Committee. Medals are awarded in each event, with gold medals for first place, silver for second and bronze for third, a tradition that the Olympic Games started in 1904.
The Winter Paralympic Games is an international multi-sport event where athletes with physical disabilities compete in snow and ice sports. This includes athletes with mobility disabilities, amputations, blindness, and cerebral palsy. The Winter Paralympic Games are held every four years directly following the Winter Olympic Games. The Winter Paralympics are also hosted by the city that hosted the Winter Olympics. The International Paralympic Committee (IPC) oversees the Winter Paralympics. Medals are awarded in each event: with gold medals for first place, silver for second and bronze for third, following the tradition that the Olympic Games started in 1904.
Over time, the approach to cerebral palsy management has shifted away from narrow attempts to fix individual physical problems – such as spasticity in a particular limb – to making such treatments part of a larger goal of maximizing the person's independence and community engagement. Much of childhood therapy is aimed at improving gait and walking. Approximately 60% of people with CP are able to walk independently or with aids at adulthood. However, the evidence base for the effectiveness of intervention programs reflecting the philosophy of independence has not yet caught up: effective interventions for body structures and functions have a strong evidence base, but evidence is lacking for effective interventions targeted toward participation, environment, or personal factors. There is also no good evidence to show that an intervention that is effective at the body-specific level will result in an improvement at the activity level, or vice versa. Although such cross-over benefit might happen, not enough high-quality studies have been done to demonstrate it.
Cerebral Palsy Alliance is an Australian nonprofit organisation helping babies, children, teenagers and adults living with cerebral palsy and other neurological and physical disabilities. Its therapy teams work with individuals and families to maximise their participation in the community.
Ataxic cerebral palsy is clinically observed in approximately 5-10% of all cases of cerebral palsy, making it the least frequent form of cerebral palsy diagnosed. Ataxic cerebral palsy is caused by damage to cerebellar structures, differentiating it from the other two forms of cerebral palsy, which are spastic cerebral palsy and dyskinetic cerebral palsy.
Spastic cerebral palsy is the type of cerebral palsy characterized by spasticity or high muscle tone often resulting in stiff, jerky movements. Cases of spastic CP are further classified according to the part or parts of the body that are most affected. Such classifications include spastic diplegia, spastic hemiplegia, spastic quadriplegia, and in cases of single limb involvement, spastic monoplegia.
Disability sports classification is a system that allows for fair competition between people with different types of disabilities.
Para-athletics classification is a system to determine which athletes with disabilities may compete against each other in para-athletics events. Classification is intended to group together athletes with similar levels of physical ability to allow fair competition. Classification was created and is managed by the International Paralympic Committee (IPC), which is regularly published via its IPC Athletics Classification Handbook. People with physical, vision and intellectual disabilities are eligible to compete in this sport at the Summer Paralympics. The classification for this sport was created during the 1940s and for much of its early history was a medical condition based classification system. The classification system has subsequently become a functional mobility based one, and is moving towards an evidence-based classification system.
Para-swimming classification is a function-based classification system designed to allow for fair competition in disability swimming. The classes are prefixed with "S" for freestyle, butterfly and backstroke events, "SB" for breaststroke and "SM" for individual medley events. Swimmers with physical disabilities are divided into ten classes based on their degree of functional disability. Those with visual impairments are placed in three additional classes: S11, S12 and S13. One more class, S14, is reserved for swimmers with intellectual disabilities. A final class, S15, is for athletes with hearing loss.
Para-alpine skiing classification is the classification system for para-alpine skiing designed to ensure fair competition between alpine skiers with different types of disabilities. The classifications are grouped into three general disability types: standing, blind and sitting. Classification governance is handled by International Paralympic Committee Alpine Skiing. Prior to that, several sport governing bodies dealt with classification including the International Sports Organization for the Disabled (ISOD), International Stoke Mandeville Games Federation (ISMWSF), International Blind Sports Federation (IBSA) and Cerebral Palsy International Sports and Recreation Association (CP-ISRA). Some classification systems are governed by bodies other than International Paralympic Committee Alpine Skiing, such as the Special Olympics. The sport is open to all competitors with a visual or physical disability. It is not open to people with intellectual disabilities.
Para-equestrian is an equestrian sport governed by the International Federation for Equestrian Sports (FEI), and includes two competitive events: One is para-equestrian dressage, which is conducted under the same basic rules as conventional dressage, but with riders divided into different competition grades based on their functional abilities. The other is para-equestrian driving, which operates under the same basic rules as combined driving but places competitors in various grades based on their functional abilities.
Assistive eating devices include devices ranging from low-tech utensils to high-tech powered robotic eating equipment. Low tech eating devices include utensils, plates and bowls with lips that make scooping food easier. Cups and mugs, and even a standard disposable straw can be considered assistive drinking devices. They are used by people when they have difficulty eating or drinking independently. These devices are typically used for people with disabilities, but can also be used for children or people that have poor dexterity. They can promote independence during meal times, but in many cases also can reduce the caregiver workload during meals. "Assistive eating devices can increase self-care, increase self-esteem associated with increased independence, increase safety during meals, and make meal-time better for caregiver staff…".
Adaptive Physical Education (APE) is a physical education program that accommodates the needs of students with disabilities, that may include or be a combination of mobility or physical impairments, sensory impairments, intellectual disabilities, emotional or behavioural disorders. Physical education is important for the health and wellbeing of everyone, regardless of disabilities or not. APE programs are vital in maintaining and enhancing the quality of life for people with disabilities.
CP8 is a disability sport classification specific to cerebral palsy. In many sports, it is grouped inside other classifications to allow people with cerebral palsy to compete against people with other different disabilities but the same level of functionality.
Cerebral palsy sport classification is a classification system used by sports that include people with cerebral palsy (CP) with different degrees of severity to compete fairly against each other and against others with different types of disabilities. In general, Cerebral Palsy-International Sports and Recreation Association (CP-ISRA) serves as the body in charge of classification for cerebral palsy sport, though some sports have their own classification systems which apply to CP sportspeople.
Les Autres sport classification is system used in disability sport for people with locomotor disabilities not included in other classification systems for people with physical disabilities. The purpose of this system is to facilitate fair competition between people with different types of disabilities, and to give credibility to disability sports. It was designed and managed by International Sports Organization for the Disabled (ISOD) until the 2005 merger with IWAS, when management switched to that organization. Classification is handled on the national level by relevant sport organizations.
