Physical Impairment
 1. Read the article about cerebral palsy and fill in the missing words.


Abnormality

           affect

                     affected

                              Awkward

                                     brain

                                                 Decreased

diplegia

           Hemiplegia

                     increased

                              legs

                                     quadriplegia

                                                 slow

spasticity

           tone

                     tongue

                              types

                                     writing

                                                 10-20 %

                                        Cerebral Palsy (CP)

Cerebral palsy is a group of disorders that (1) ___________ a person's ability to move and maintain
balance. It is due to a non-progressive brain (2)______________. People with cerebral palsy have
damage to the part of the (3)______________ that controls muscle tone. It is what lets you keep
your body in a certain posture or position. For example, it lets you sit straight and keep your
head up. Changes in muscle tone let you move. The (4)______________ in different muscle groups must
be balanced for you to move smoothly.

Obsah obrázku diagram Popis byl vytvořen automaticky There are four main (5)______________ of
cerebral palsy - spastic, dyskinetic, ataxic, and mixed.

·         Spastic: People with spastic cerebral palsy have (6)______________ muscle tone. Their
muscles are stiff. Their movements can be (7) __________.  About 70-80 percent of people with
cerebral palsy have spasticity. Spastic cerebral palsy is usually described further by what parts
of the body are (8)______________. In spastic (9)______________, the main effect is found in both
legs. In spastic (10)______________, one side of the person's body is affected. Spastic
(11)______________ affects a person's whole body (face, trunk, legs, and arms).

·         Dyskinetic (also called athetoid): People with dyskinetic cerebral palsy have
(12)______________ movements that they cannot control. The movements usually affect a person’s
hands, arms, feet, and (13)______________. Sometimes the face and (14)______________ are affected,
and the person has a hard time talking. Muscle tone can change from day to day and can vary even
during a single day.  About (15)______________ of people with cerebral palsy have the dyskinetic
form.

·         Ataxic: People with ataxic cerebral palsy have problems mainly with balance. They might
be unsteady when they walk. They might have a hard time with quick movements or movements that need
a lot of control, like (16)______________. They might have difficulty controlling their hands or
arms when they reach for something. People with ataxic cerebral palsy can have increased or
(17)______________ muscle tone. Only about 5 -10 percent of people with cerebral palsy have ataxia.

·         Mixed: Some people have more than one type of cerebral palsy. The most common pattern is
(18)_________________ plus dyskinetic movements.