Physiotherapy for cerebral palsy in brain tree child development centre

⸻ 🖐️ 1. Wrist Extension Strengthening Why: Helps with grasp, handwriting, holding objects. ✔ Exercise • Place child’s forearm on a table, palm facing down. • Hold a small toy-ball-weight (100–200 g depending on age). • Ask the child to lift the wrist up (towards ceiling) and slowly lower. ✔ Variations • Use a soft hammer toy. • Use a resistance band tied to the wrist. ⸻ 🔽 2. Wrist Flexion Strengthening Why: Helps in gripping and self-feeding. ✔ Exercise • Forearm on table, palm facing up. • Hold a small toy-weight and curl the wrist upwards. ✔ Fun Variation • Pick marbles and drop into a cup while keeping wrist slightly flexed. ⸻ ↔️ 3. Wrist Side Movements (Radial & Ulnar Deviation) Why: Helps in precision tasks & stabilizing objects. ✔ Exercise • Hold a hammer-type toy or weighted stick. • Move the wrist side to side like a windshield wiper. ⸻ 🌀 4. Wrist Rotation (Supination–Pronation) Why: Needed for turning doorknobs, opening bottles, eating with spoon. ✔ Exercise • Child holds a stick-bottle. • Rotate wrist palm up → palm down repeatedly. ✔ Fun Variation • Turning keys in a big toy lock. • Twisting a doorknob toy. ⸻ 🎨 5. Weight-Bearing for Strength Why: Provides proprioception + improves stability of wrist and fingers. ✔ Activities • Quadruped position (on hands and knees) with gentle rocking. • Wall push-ups (vertical). • Wheelbarrow walking with caregiver support. • Push toys or weighted trolley. ⸻ 🧱 6. Functional Strengthening ✔ Activities • Play with clay-Play-Doh (press, roll, pinch). • Use a spray bottle to water plants. • Squeeze stress balls-therapy putty. • Tug-of-war with soft resistance band. ⸻ 🧩 7. Bilateral Coordination + Wrist Strength ✔ Exercises • Stringing beads while keeping wrist stable. • Lacing cards. • Pegboard tasks with light resistance. ⸻ 🧒 8. Strengthening Through Play (Child-Friendly) • Rolling a small ball up-down a ramp using only wrist movements. • Using a hammer toy (like pounding pegs). • Painting with a thick brush using wrist strokes. • Using a hand scooter board to move forward. ⸻ ⚠ Important Tips • Start with low resistance and increase slowly. • Encourage slow, controlled movements. • Stop if child shows pain or fatigue. • Combine with stretching (especially wrist flexors if tight). • Adapt exercises based on tone: • High tone (spastic CP): start with weight-bearing + slow movements. • Low tone (hypotonia): more repetitions + light weights. ⸻