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Hi @panther
Hope this helps with your form.
Problems people with CP report as they get older
Whilst there is not a wealth of published scientific evidence on the physical effects of ageing and cerebral palsy, surveys have highlighted some of the problems that people encounter. What is clear is that people with cerebral palsy age in the same way as non-disabled people (primary ageing) but some people with cerebral palsy may also experience secondary ageing effects. These are likely to be the long-term effects of the original impairment.
Some of the more common problems reported by people in their thirties and forties or, sometimes, a little earlier:
In many cases the reasons for the emergence of new problems or aggravation of an existing condition is not too difficult to understand.
Below are some factors that may contribute to secondary ageing effects.
Poor wheelchair seating and posture may mean that there is inadequate support. This can make existing spinal problems worse, causing pain and discomfort and sometimes loss of function in the limbs. Through lack of appropriate exercise, tight muscles may develop into contractures causing deformities in limbs. Persistence in walking when the legs are adversely affected may cause long-term problems elsewhere, such as arthritis in the joints and pain and discomfort in the back, as other muscles try to compensate for the awkward movement. Physical exhaustion may follow from taking too little rest, resulting in an overall decline in physical and mental functioning.
Many people with cerebral palsy push themselves to their physical limit and thus have little in reserve. Consequently, recovery can take much longer following an injury or illness and, unless there is a rehabilitation programme following the injury or illness, recovery to previous levels of functioning may be slow.
Orthopaedic surgery has merit in the treatment of certain aspects of cerebral palsy, such as the prevention of spinal deformities and contractures. However, orthopaedic surgery on people with cerebral palsy requires particular expertise so it is important to consult a surgeon who has some expertise in cp or who has experience in operating on people with various forms of cerebral palsy. Inappropriate procedures may be recommended by surgeons who do not have specialist knowledge of cerebral palsy and again, lack of appropriate rehabilitation following surgery may contribute to delays in recovery, or even deterioration in physical functioning.
Hope this helps, Alex
I just wanted to let you know that the document @alexwhite quoted from is actually a PDF file on the Capability Scotland website. The link is below.
http://www.capability-scotland.org.uk/media/57670/ageing_12.pdf
I’ve got copies of it for the same reason. It’s the closest thing I have to medical evidence of how my mobility and functionality have changed since childhood
I’ve had a similar experience to you in accessing CP specific treatment and advice. It basically comes down to no one having any expertise in CP in adults. It really needs someone to do some co-ordinated research. Without research there is going to be no scientific evidence on which to build medical treatment and advice. If Scope isn’t going to spearhead this, who is?
I thought I’d let you know that I’ve been trying (for nearly a year) to find out what Scope’s standpoint is regarding CP. Their charitable objects state it exists for “especially those with CP”. They have a responsibility to us. The MS society and Arthritis Research UK are just two examples of charities fighting hard for research and better support for those affected by specific conditions. People with CP don’t have this and, in my opinion, the support we now get from Scope pales in comparison.
The thread I started which discusses this is linked below. We’ve had some responses from a director at Scope to some of the points that have been raised. @emmaliv is trying to get support in this too. If you feel you can contribute, it’d be great.
https://community.scope.org.uk/discussion/33360/better-care-for-adults-with-cp#latest
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