Detecting Motoric Disorders in Children

Early detection of impaired motor function and posture due to developmental brain disorders or cerebral palsy (CP) do not need to use the tools of advanced high-tech. PS now that symptoms can be detected also through a more convenient way, namely by looking at the clinical symptoms.

CP is the problem of motor function, posture, and movement due to developmental brain disorders that are non-progressive. Although CP is a motor problem that is static, some children with CP may experience other problems such as mental retardation, epilepsy, impaired vision or hearing.

Pediatrician Faculty of medicine / RSCM dr. RA Setyo Handryastuti said, during the CP can be detected early by checking Electroencephalography (EEG), magnetic resonance imaging (MRI), cerebral function monitoring (CFM), and some other advanced inspection methods. Unfortunately, early detection with advanced examination is difficult to apply in Indonesia.

"Not all obstetric healthcare providers have sophisticated inspection facilities. Besides the special skills needed to see the results of the examination," he said in the Assembly Dissertation: Early Detection of Cerebral Palsy in Babies High Risk "to earn a doctorate at the Faculty of Medicine, University of Indonesia, in Jakarta, Wednesday (04/24/2013).

Early detection, advanced Setyo, performed in infants aged 0-12 months. An easier way to do that is by early detection of CP in accordance with clinical observations infancy. Observations consisted of evaluating posture, muscle tone, primitive reflexes, postural reactions.

Setyo said, parents need to suspect their child had a CP if the child is not able to perform motor movements that generally has to be done by his age.

"For example, infants aged 4 months was able to release his grip. While infants with CP can not. Reflex too, if the baby is enforced and fall, he should be able to lift his hand," said Extraordinary Lecturers Faculty of Medicine's Department of Health Sciences.

Setyo said, the incidence of CP is quite high, although the figure could not be ascertained. RSCM in 150 high risk infants are 24-26 percent of infants with CP. Among other high-risk infants born with birth weight less than 1500 g, preterm, meningitis in young age, intracranial hemorrhage, ventilator use more than 48 hours, and abnormalities on ultrasound.

"Early detection is very important to avoid the CP exposed infant health problems are more severe later on," said Setyo.

In addition to the health problems that can cause quite a lot, also has a lot of complications as well. CP complications include chronic infections because they can not move, malnutrition, impaired growth, urinary disorders, and other disorders due to some other motor problems.