Cerebral Palsy

What is cerebral palsy?

Cerebral Palsy is a disease of the central nervous system when one or more brain divisions are damaged, resulting in non-progressive disorders of motor and muscle activity, coordination of movements, vision, hearing, speech functions and mentality.

This disease is incurable. The possibility of cure of cerebral palsy is the main myth that should be dispelled not only for specialists working in the field of rehabilitation, but also for parents who should accept the diagnosis and believe that the situation can be improved with competent help of specialists and the child can be an active member of the society despite the health disorders.

Children with cerebral palsy may have different damages. There are those who absolutely own their body: go to school, run and jump, participate in competitions. At the same time there are such children with cerebral palsy, which can walk with certain limitations. And there are children who will never go on their own, and they even will never be able to sit down.

The task of parents is to understand and accept this point. They should understand that the condition of each children is different. Cerebral palsy has different degrees of severity. Since 1997, all the world's doctors have followed the system of classification of global motor functions. In Russia, it was formally accepted only in 2014. This is a scale of classifications of global motor functions that allows to give a child a functional class at the age of two and predict his development till he will be 18 years old.

If a child with cerebral palsy has managed to walk before 2 years old, he can be assigned 1 functional class, and a doctor will say for sure to the parents that a child by the age of 4-7 years old will learn to jump, go to school, will be able to do sports, but it can be, for example, incorrect settings of the limbs, awkwardness or discoordination, however his socialization will pass without any problems. If the child has not learned to walk by the age of 2 years, but he can get up at the pedestal, it will already be the second functional class, and the doctors will say to mother that the baby will likely go by the age of 4.

There are five functional classes actually. There are children who will never start walking by themselves. If a child can only sit by the age of 2 years, then he has very few chances to go on his own. But even this does not mean that you do not need to work with him. He has a lot of opportunities to go with the help of technical means of rehabilitation. That is, all these classifications were invented not to let the parents drop their hands, but to help them to understand the real situation and to know how to act and what can be done.

Now the doctors and families raising the children with cerebral palsy have many accessories, technical means that significantly expand the child's possibilities. Therefore, even the 3rd functional class is not a verdict. Unfortunately, there are children with 4 and 5 functional class, but in this case there are opportunities for development and correction.

What to do if a child is diagnosed with cerebral palsy?

Step 1. Visit the neurologist who is an expert in the disease. For example, the specialists from the list of "State Centers" (for receiving free services in these centers, it is necessary to take a referral from a local neurologist).

Step 2. Manage consultation with expert in rehabilitation to select the necessary rehabilitation course and technical means. Unfortunately, there are few doctors of this specialty in Russia (it is not included in the list of professions in the Ministry of Labor of the Russian Federation), but there are good specialists and every year the number of them increase.

We trust the rehabilitation specialists in the following Centers:

Step 3. To issue the necessary group of disability and to add everything necessary in the Individual Rehabilitation Plan

How to apply for a disability:

Step 4. Acquire/receive technical rehabilitation tools and equipment for exercises at home specially selected by your doctor and use them regularly

Step 5. Find a physical training instructor or physical therapist near your house for regular classes with the child

Step 6. Practice physiotherapy exercises at home regularly, according to the recommendations of the specialists!

Resources for parents

The main thing is physical therapy and rehabilitation!

It will take a long essay to tell about all existing today therapies of cerebral palsy - this is massage, exercises, orthopedic equipment, Bobat Therapy, Voita Therapy, conductive method of Pete, surgical intervention, speech therapist and others. Therefore, it makes sense to talk not about each method separately, but about complex approaches to rehabilitation.

Parents often tell that during the massage the child cries and screams, the same thing happens during the Bobat Therapy sessions. But exercises through pain and scream will not lead to a stable improvement in the patient's condition. In Bobat Therapy, the physical therapist must include his patient into joint activity, the child must perform an action meaningly, which excludes a negative reaction from him. If there is negative reaction from a child, the therapist's actions are initially wrong and cannot lead to any improvements. Unfortunately, we have few competent physical therapists in our country.

General facts about cerebral palsy

More information about different types of therapy for cerebral palsy

Rehabilitation of cerebral palsy

  Where to go

State Centers

One of the leading medical, scientific institutions in Moscow and in the Russian Federation. It works in Moscow healthcare system and is subordinate to the Moscow City Health Department. The clinic was opened on July 1, 1983. During the work has been accumulated rich experience of treatment and rehabilitation of children with congenital and acquired pathology of the central and peripheral nervous system, pathology of the spine and thorax, limb deformities, joint contractures

Address: 74, Michurinsky Ave, Moscow
Address: 74, Michurinsky Ave, Moscow
E-mail:  info@npcdp.runpcdp@zdrav.mos.ru

Formed by order of the Government of Moscow No. 1979-RP dated September 21, 2010. The goal of the Center's work is to create an innovative technology that significantly affects the quality of life of Moscow families with disabled people with severe disabilities (in movement, communication, teaching, orientation, etc.).

Address: 6a, 1-ya Tekstilshchikov st., Moscow
Tel .: +7 (499) 179-14-99 / 179-04-99
E-mail: dcpcenter@mos.ru, dcpcenter@dszn.ru

The State Public Healthcare Institution of Moscow "The Center for Medical and Social Rehabilitation with a permanent residence for adolescents and adults with severe forms of cerebral palsy who do not move independently and do not serve the Moscow City Health Department".

Address: bld 1, house 6, 3rd Radialnaya st., Moscow
Tel .: +7 (495) 325-56-53, fax: +7 (495) 322-55-29

Since 1996 it has been providing highly qualified comprehensive rehabilitation (medical, psycho-speech therapy, social and domestic adaptation). In the work of the Center specialists apply the experience of domestic and foreign medical rehabilitation, psychology, speech therapy, pedagogy, aimed at improving disrupted skills: chewing, swallowing, speech, pelvic organs, behavior, emotions, increasing the level of social adaptation, improving the quality of life of the patient.

Address: Leninsky district, the village of sanatorium "Gorki Leninskie"
Tel.: +7 (495) 727-18-04, +7 (495) 727-18-03
E-mail : info@rrcdetstvo.ru 

At the Morozov Children's Hospital there are four city consultative departments:

  • consultative department;
  • pediatric ophthalmology consultative department;
  • Consultative and diagnostic cardiology department;
  • Consultative and diagnostic department for children with nerves system diseases, violation of the musculoskeletal system department.

There is provided an opportunity for phased treatment and dynamic monitoring of the patients. On the basis of the Morozov hospital, students from two medical universities study on the base of 20 departments of the hospital. On the territory of the hospital there is a third medical school of the Moscow City Health Department.

Address: 1, 4th Dobryninsky per., Moscow
Tel.:  +7(495)959-88-30, 959-89-04

The institute conducts research and experimental work, analyzes experimental data, develops programs and methods for teaching children with intellectual disabilities, and produces scientific and methodological materials. In the staff of the Institute there are specialists in the field of physiology and neurophysiologists, physicians-therapists, ophthalmologists, psychiatrists, neurologists, child psychologists, surdo pedagogists, typhlo pedagogists, speech therapists, oligophreno pedagogists.
Address: bld. 1, 8, Pogodinskaya st., Moscow  
Tel.: +7(499)245-04-52
E-mail: info@ikprao.ru

The Turner scientific research Institute for children’s orthopedics is the largest state clinic in Russia, the main scientific research and treatment and diagnostic center of our country, capable of solving any problems in the field of pediatric orthopedics and traumatology.

Address: Parkovaya 64-68, Pushkin, Saint-Petersburg, Russia 196603
Tel.: +7 (812) 318-54-54
E-mail: info@rosturner.ru

The center includes a multidisciplinary clinic for 500 beds, in which there are several orthopedic departments. In the children's rehabilitation and rehabilitation center for children with disabilities, comprehensive rehabilitation of children aged 14-18 years old is carried out, mainly with the limitations of the ability to move, self-service, work, education.
Address: 50, Bestuzhevskaya str, St. Petersburg
Tel.: +7 (812) 544-22-66
E-mail: reabin@center-albreht.ru , reabin@nkl.ru

The history of the Centre started in the year of 1951 with an idea of external fixation device to repair bone injury and developed to the Federal Institution of the Russian Ilizarov Scientific Centre “Restorative Traumatology and Orthopaedics” that is known all over the world and it bears the name of an outstanding orthopaedic surgeon and inventor Gavriil Abramovich Ilizarov. Annually over 10,000 patients with orthopaedic and neuroorthopaedic conditions can receive treatment at the Centre. Consultation and diagnosis center there allows for 250 daily appointments to be made, and the hospital accommodates 800 beds. The strong team of the Kurgan Ilizarov Centre is staffed with 1500 highly qualified professionals including 4 Academicians, 10 Professors, 34 Doctors of Medical Sciences and 93 Candidates of Medical Sciences.
Address: 6, M.Ulyanova street, Kurgan, 640014, Russia
Tel.: +7 (3522) 45-41-71, 44-35-03
E-mail: telemed@rncvto.ru

The clinic has extensive experience in the surgical treatment of patients with cerebral palsy and the consequences of poliomyelitis. Cerebral palsy is a neurological disease, however, secondarily developing contractures and deformities, primarily of the lower extremities, require orthopedic treatment for the possibility of the patient's physical development. The treatment allows to eliminate the vicious posture of the patient, the functionally unprofitable position of the upper limbs, to receive supporting painless stops.

Address: 17, Frunze str., Novosibirsk
Tel.: +7 (383) 363-31-31, 363-32-46
E-mail: niito@niito.ru

Since the opening more than 3,000 children received the treatment in the Center. Improvement was noted in 85% of children. Annually recurrent courses of treatment receive 15% of children from the total number of treated. Children aged from 6 months to 17 years are sent to the Center. In the Center, located on 203.6 sq.m. the area of the building of the clinic, there are cabinets electrolight treatment, massage, hydropathic with 4 kinds of hydromassage baths, therapeutic gym for individual lessons. The installation "Mountain air" and "Lymphat" operates.
Address 1: 1, Papanin St., Murmansk

Address 2: 36, Polyarnye Zori str, Murmansk
Tel.: +7 (8152) 47-63-88, 44-30-12

The Center employs highly professional doctors: neurologists, traumatologist-orthopedist, physiotherapist, speech therapists specializing in cerebral palsy, social pedagogue, medical psychologist.
Address: building 1, 7, Uritskogo str, Ryazan,
Tel.: +7 (4912) 44-36-46
E-mail: dcp_ryazan@mail.ru

Provide children and adolescents with deviations in physical or mental development, social, medico-social, psychological and pedagogical assistance, provide them with the most complete and timely social adaptation to life and integration in society. Children with disabilities from birth to 23 years (and their parents, if there is such need), having the status of "disabled children" living in the territory of the Smolensk region, for a temporary stay of up to 6 months. All services offered by the Center's specialists are provided to children and parents for free.

Address: 5 "A", pos. Vishenki, Smolensk
Tel.: +7 (4812) 64-34-90, 35-86-23, 64-44-53
E-mail: vishenki5a@yandex.ru

Taking into account the importance and the need for assistance to children and adolescents with disabilities, in 2004 the City Administration opened a Rehabilitation Center for children and adolescents with disabilities. The main goal of the Center is organization of comprehensive rehabilitation for disabled children, prevention of early childhood morbidity.
Address: 27, Krasnoarmeyskaya str, G.Kimry, Tverskaya region
Tel.: +7 (48222) 32-139
E-mail: raduganadezhd@mail.ru

It has been operating since 2003. Property owner (founder): Belgorod region. The functions and powers of the founder of the Center from the Belgorod region are managed by the Social Protection Department of the Belgorod Region.

Address: 2, Gagarin str., Veselaya Lopan vil, Belgorod region
Tel.: +7 (4722) 38-28-26
E-mail: centr_msr@mail.ru

Modern state rehabilitation institution, equipped with rehabilitation, diagnostic equipment for medical and social rehabilitation and equipment for psychological and educational correction, development of communication skills, socialization of children with disabilities. The main components in the work of the Center with special children are individual-personal and differentiated approach to each child, complexity, continuity, systematic and continuity in rehabilitation work.

Address: 86, Marshal Konev str., Irkutsk, Sverdlovsk region
Tel.: +7 (3952) 30-18-88

Established in 1997 with the goal of social adaptation and rehabilitation of children and adolescents with disabilities from 3 to 18 years old. It is a specialized organization for year-round action. During the year, the Center organizes 14 retreats, 4 of them in the summer. The duration of the rehabilitation course is 21 days. The center is unique, it has an excellent material and technical base, it is equipped with modern equipment. Annually in the center there are rehabilitation courses for more than 1000 children with various types of diseases. The youngest children and children in need of special care come to the center with their parents. For each child an individual rehabilitation route is drawn up - a schedule of medical procedures, correctional, training sessions, leisure.

Address: 8, Verkhny Bor settlement, 9 km of the Salair tract, Tyumen region
Tel.: +7 (3452) 77-20-64
E-mail: rodnik97-omc@ya.ru

Children with disabilities, children who are under dispensary supervision in health care facilities, as well as family members, and other persons accompanying them are admitted to the comprehensive rehabilitation unit.
The main pathology of children undergoing rehabilitation is the disease of the musculoskeletal system:
- cerebral palsy;
- arthrogryposis;
- Perthes disease;
- congenital anomaly of limb development;
- consequences of craniocerebral injuries and conditions after removal of the spinal cord hernia;
- Myopathy.

Address: 1, Olimpiskaya str., Kusa, Chelyabinsk Region
Телефон: + 7(351-54) 3-19-53, + 7(351-54) 3-05-77, + 7(351-54) 3-30-35
Web site:  http://www.korc74.ru/

  • The Republican Center for the Rehabilitation of Children with Cerebral Palsy and Mental Disorders
It has been operating since 1992. The day hospital is designed for 75 places. The department receives children in the directions of district neurologists, psychiatrists, orthopedists with various neuropsychic disorders:
  • organic damage to the central nervous system (cerebral palsy, congenital malformations, consequences of neuroinfections, perinatal damage to the nervous system, trauma of the brain and spinal cord, mental retardation, peripheral
  • nervous system diseases, etc.).
  • Functional disorders (neuroses, encephalopathies of various genesis, autonomic nervous system diseases, minimal brain dysfunctions, etc.)
  • Diseases of the musculoskeletal system (motor disorders in cerebral palsy, scoliosis, flat feet, etc.)

Address: 36, South Yakutia str., Neryungri , Republic of Sakha (Yakutia)
Tel.: +7 (41147) 6-35-14 
E-mail: rcr-dcp@yandex.ru
The sanatorium accepts for treatment of children in the age of 2 to 17 years old with accompanying and without it with psychoneurological diseases and disorders of the musculoskeletal system. An individual program of rehabilitation treatment and rehabilitation is being developed. The sanatorium is located on the shores of the Baltic Sea.
Address: 13, October str., Zelenogradsk, Kaliningrad region
E-mail: sekretar_terem@mail.ru
Факс/Tel.: +7 (40150) 3-20-08, +7 (40150) 3-20-62
In the healthcare system of the Krasnodar region there is the leading children's institution of the psychoneurological profile. The center was reorganized in 2005 from the regional psychoneurological sanatorium "Solnyshko" and is designed for 200 beds.
Address: 37, Atarbekova St., Krasnodar,
Tel.: +7 (861) 226-47-55, +7 (861) 221-47-10 
E-mail: centervmr@yandex.ru
  • Clinical sanatorium "Progress"
It is located in a picturesque corner of the Khosta district of Sochi at an altitude of 150 m above sea level. According to the combination of natural factors, the sanatorium is considered clean air of the foothills, subtropical vegetation create a special healing microclimate that promotes good mood, rest and treatment in Sochi.

Address: 11, Sukhum highway, Sochi, Krasnodar Region
Tel.: +7 (8622) 65-43-43, +7 (8622) 65-43-42
E-mail: fguprogress@yandex.ruvasilenko.progress@yandex.ru

Non-state centers

Specializes in providing comprehensive medical and rehabilitation care for children suffering from various forms of cerebral palsy at the age of 3 to 23 years old.

Address: building 1, 34, Bolshaya Ordynka str, Moscow
Registration of the children's department: +7 (495) 951-02-50
Additional Tel.: +7 (963) 682-41-42
E-mail: miloserdie.mc@gmail.com

Address: 10, Victory str., Elektrostal, Moscow region
Tel.: +7 (496) 573 00 08, +7 (496) 573 68 96
E-mail: info@akadem-z.ru 

A specialized center for the treatment of children diagnosed with cerebral palsy, autism, delay in psycho-speech development, the consequences of strokes and craniocerebral trauma. Today, many centers for treating children with cerebral palsy in Moscow offer various rehabilitation methods that help the patient to tolerate the disease more easily and better adapt to life. But cerebral palsy is primarily a brain damage that occurs for various reasons. The Center provides treatment for children with cerebral palsy according to unique author's methods developed by E.A. Melnikova, treatment is carried out by restoring the axon-dendritic connections of the pyramidal motor pathway.

Address: Building 5, House 4, Great Marfinskaya str., Moscow
Tel.: +7 (495) 647-80-34, +7 (495) 647-80-39, +7 (495) 647-81-07

Branch: 48, Admiral Fadeev str., Sevastopol
Tel.: +7 (978) 097-12-80, +7 (495) 647-81-07

One of the leading medical institutions of the neuro-orthopedic profile, engaged in the rehabilitation treatment of patients with diseases of the nervous system and the musculoskeletal system.
Address: building 5, 4, Rotterta str., Moscow
Tel.: +7 (499) 202-02-40 

Branch: 27, Tevosyan str., Elektrostal, Moscow region
Tel.: +7 (496) 573-54-44

The organization provides medical and educational assistance to children and young people with disabilities, also supports their families. It interacts with the professional community in order to share and disseminate their accumulated knowledge, based on over 25 years of the Curative Pedagogic experience. Promotes the establishment of a State assisted system for families, that will support and promote the social integration of youngsters with special needs.

Address: Moscow, st. Stroiteley, d. 17B
Tel./факс: +7 (499) 131-06-83, +7 (499) 138-06-16, +7 (495) 646-50-66
E-mail: ccpmain@ccp.org.ru

It was istablished in 2001. It is a specialized medical institution of the neuropsychophysiological direction. 
The Center uses the latest world, domestic and author's methods to identify and treat diseases of the human nervous system, including the brain and spinal cord, auditory and visual analyzers, peripheral nerves and the musculoskeletal system. In 2014, on the basis of the therapeutic method of autoneurotics, a proprietary method for the pathogenetic therapy of motor and psycho-speech disorders was developed-the biophysical activation of neuromotor structures with an auxiliary treatment complex separately for cerebral palsy.

Address: Moscow, Yaroslavl highway, 44
Tel.:+7 (495) 409-71-07, +7 (495) 407-05-21 
E-mail: cortex-msk@mail.ru.

Branch: Krasnodar region, city of Anapa, st. Industrial, d.1.
Tel.: +7 928-206-25-26 
E-mail: cortex-anapa@mail.ru

Carries out medical and research activity since 1991. The Institute functions on the principle of "surgical hospital of one day". The complex of patented inventions of its founder, the deserved inventor of the Russian Federation, the doctor of medical sciences, professor V.B. Ulzibata. Employees of the Institute published more than 200 scientific articles.

Address: Tula, str. Defensive, 21
Tel./факс: +7 (4872) 31-11-12, +7 (4872) 36-77-53
E-mail: icreab@yandex.ru

Complex non-pharmacological rehabilitation of children with cerebral palsy.

Address: St. Petersburg, st. Gleb Uspensky, 7 BD
Tel.: +7 (812) 635-87-04

Medical rehabilitation: therapeutic exercise, physiotherapy; reflexotherapy; Socio-psychological and labor rehabilitation.
Social rehabilitation: ergotherapy; social adaptation
Address: Nizhny Novgorod, str. Nevzorovy, d.100
Tel.: +7 (831) 421-14-28, +7 (831) 421-16-51
E-mail: gbunorci@yandex.ru

For more than 14 years, a unique method of treating children's neurological pathology has been successfully applied to electroreflexotherapy, which allows effective care for children aged 2 months to 16 years old. The most effective treatment of diseases that occur as a result of birth trauma or increased intracranial pressure.
Address 1: Samara, Novo-Vokzalny tupic, 21a
Tel.: +7 (846) 205-03-43, 8-800-2222-602
E-mail: reacenter-vopros@mail.ru

Address 2: Samara, str. Frunze, 169 A
Tel.: +7 (846) 332-82-01, 8-800-2222-602

Since 1994, a unique method of treating neurological pathology for children has been successfully applied to microcurrent reflexology, which has been approved and recommended for use by the Ministry of Health and Social Development of the Russian Federation. Delays in motor, mental and speech development are most effectively treated, resulting from birth trauma, increased intracranial pressure, craniocerebral trauma, or the complication of vaccinations. Autistic manifestations of development in the child are also revealed.

Address: Republic of Tatarstan, Naberezhnye Chelny, Syuyumbike Avenue, 28
Tel.: +7 (8552) 44-65-65
E-mail: reacenter-vopros@mail.ru

Diagnostics, prevention, rehabilitation and treatment of children with abnormalities in the neuropsychic, motor sphere, treatment of cerebral palsy, PCPP. The clinic uses mostly non-drug methods for the rehabilitation of children.

Address 1: Ekaterinburg, str. Gagarin, 33
Tel.: +7 (343) 374-67-37, +7 (982) 67-12-066 

Address 2: Ekaterinburg, str. Onega, 2A
Tel.: +7 (343) 210-38-68, +7 (912) 298-38-33

Address 3: Ekaterinburg, str. Kirovohrad, 62
Tel.: +7 (343) 360-60-66, +7 (982) 668-87-96 

Address 4: Ekaterinburg, str. Repina, 80
Tel.: +7 (343) 345-86-03, +7 (912) 045-86-03

  • Kurchatov Rehabilitation Center for Children and Adolescents with Disabilities "Dobrynya"

It implements general, special, preprofessional educational programs that provide individually-oriented complex medical, social, psychological and pedagogical correction and rehabilitation of persons with disabilities aged from 2 to 18 years old. Socially-labor adaptation and occupational therapy of these persons aged from 18 to 35 years old is carried out.

Address: Kursk Region, Kurchatov, str. Energetikov, 2
Tel.: +7 (47131) 4-55-09
E-mail: rc-deti@yandex.ru