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- Dr. Riitesh Sinha

Cerebral palsy refers to a group of neurological disorders that impairs

movements and co-ordination or loss of motor and other nerve function as a
result of brain damage.
Alternative Names
Spastic paralysis; Paralysis - spastic
Causes, incidence, and risk factors
Cerebral palsy, previously known as Littles Disease is caused by injuries to the
cerebrum (the largest part of the brain), which occur as the baby grows in the
womb or near the time of birth. Initially cerebral palsy was thought to be related
to trauma and strangulation during birth (birth asphyxia), which leads to lack of
oxygen to the brain),
According to a recent data there is 1 in 278 affected with C.P. In patients with
cerebral palsy, parts of the brain areas receive lower levels of oxygen (hypoxia)
at some point, but it is not known why this occurs. Premature infants have a
slightly higher rate of cerebral palsy. Cerebral palsy may also occur during early
infancy as a result of illnesses (encephalitis, meningitis, herpes simplex
infections, and so on), head injury that results in subdural hematoma, blood
vessel injuries, and many others conditions. It is not a disease in the strict sense
of the word and hence is not contagious or hereditary in nature.

Although C.P. is a non-progressive condition ---that is the damage to the brain

does not worsen with the passage of time, the effects of cerebral palsy may
change. Body movement and muscle coordination may deteriorate with the aging
process or in some cases the condition may actually improve.
Injury to the cerebrum can result in the loss of nerve functions in widely different
areas. The classical finding of CP is increased muscle tone ( spasticity ).
Spasticity may affect:
One arm or leg
One side of the body (spastic hemiplegia)
Both legs (spastic diplegia)
Both arms and legs (spastic quadriplegia)
In addition, the child may have a partial or full loss of movement (paralysis),
problems hearing and vision, and sensation abnormalities. Speech problems are
common. Intellectual function may range from extremely bright normal to severe
mental retardation. Symptoms are usually seen before age 2. In severe cases,
they may appear as early as 3 months.
Classifications of cerebral palsy include spastic, dyskinetic, ataxic, and mixed.
Spastic cerebral palsy is the most common type.
Dyskinetic (athetoid) cerebral palsy involves development of abnormal
movements (twisting, jerking, or other movements).
Ataxic cerebral palsy involves tremors, unsteady gait, loss of coordination, and
abnormal movements.
Mixed cerebral palsy involves any combination of symptoms.

Muscle contractions
Difficulty sucking or feeding
Irregular breathing
Delayed development of motor skills, such as reaching, sitting, rolling, crawling,
walking, and so on
Motormental retardation
Mental retardation
Speech problems (dysarthria)
Visual problems
Hearing problems
Joint contractures that slowly get worse
Limited range of motion
Peg teeth
Signs and tests
In many cases, a doctor's examination indicates delayed development of motor
skills. Infantile reflexes (such as sucking and startle) may persist past the age
where they usually disappear. Muscle tremor or spasticity may be evident, with a
tendency of infants to tuck their arms in toward their sides, scissors movements
of the legs, or other abnormal movements. Various laboratory tests may be
performed to eliminate nutritional or other causes of the symptoms.
MRI of the head demonstrates structural or congenital abnormalities

CT scan of the head demonstrates structural or congenital abnormalities

Hearing screen (to determine auditory status)
Visual testing (to determine visual status)
Blood tests to exclude metabolic or hereditary conditions
There is no specific cure for cerebral palsy. The goal of treatment is to maximize
independence. Treatment is guided by the symptoms exhibited and may include
physical therapy, braces, appropriate glasses and hearing aids, medications,
special education or appropriate schooling, and, in severe cases,
institutionalization. Mainstreaming in regular schools is advised unless physical
disabilities or mental development makes this impossible. Glasses, hearing aids,
or other equipment must be designed specifically for the particular disabilities
and may assist with communication and learning. Physical therapy, occupational
therapy, orthopedic intervention, or other treatments may be appropriate.
Physical therapy (PT) programs are designed to encourage the patient to build a
strength base for improved gait and volitional movement, together with stretching
programs to limit contractures. Many experts believe that life-long physical
therapy is crucial to maintain muscle tone, bone structure, and prevent
dislocation of the joints. Occupational therapy helps adults and children maximise
their function, adapt to their limitations and live as independently as possible.

Introduction to Mudras
In the Vedas it is said Naasti mudraasamam kinchit siddhiyam shitimandte
meaning in this world there is no method other than mudra to gain success. It is
said in our Vedas our palms are very powerful and they have healing powers. We
can see it from following Atharvaveda shlokas
Ayam me hasto bhagavan, nayam me bhagavattarah 1
Ayam me visvabheshajah, yam shivabhimarshanah 11
-Atharvaveda 4.13.6
Fortunate is my left hand, yet more fortunate is right. left hand contains all
healing balms and removes blocks in the free flow of joy, and right makes whole
with gentle touch. for it contains all the medicinal capacities of the universe, its all
healing touch bringing peace, harmony, joy and liberation
from all toxic conditions of matter, birth, death, old age and disease
Hastabhayaam dashashaakhaabhyaam jivah vachah purogavree I
Anaamayeetnubhyaam hastabhayaam taabhyaam tavabhi mrishaamashi II
- Atharvaveda 4. 13. 7
The tongue that leads the voice precedes. Then with our tenfold branching
hands. Which powerfully affirms healing. With these two healers of disease, we
stroke you with a soft caress
Our palm not only help us to do our daily work, but it has lot of healing power
because of this it is in the said in the Hindu text several Gods reside on the palm
Karaagre vasate Laxmih,
Karamoole Saraswati,

Karamadhye tu Govindah.
Prabhaate karadarshanam
It means:
Goddess Laxmi resides on the tip of the fingers. Goddess Saraswati resides on
the wrist. In the center of the palm resides Lord Govinda Himself. In the morning
one should look at ones palms.
Hands were revered by the Hindus for centuries. One of the Shivaic tantrik rituals
of India gives the following liturgical adoration to the fingers of the hands:
"Om Sham I bow to the thumbs Namah. Om Shim I bow the index fingers Svaha.
Om Shum I bow to the middle fingers Vashat. Om Shaim I bow to the ring fingers
Hum. Om Shaum I bow to the little fingers Vaushat. Om Shah I bow to the front
and back of hands Phat."
This chant is accompanied by specific mudras that purifies the subtle channels of
the upper limbs. Not only is this ritual practiced in India but variations of it may be
found in Bali islands as well.
You must have seen the statues of Buddha, Jesus, Mahavir, and Shiva et al
among many others, wherein the hands and fingers are shown curled in a
specific posture. For example, Lord Shiva's image normally shows the hand
positioned in Varda muda, i.e., giving blessing . Likewise, one of the popular
images of Lord Buddha shows the fingers of the Left hand holding a pot of
nectar, while palm of the right hand is resting on the lap, with fingers folded and
pointing straight down. Another image shows the fingers of the right hand near
the chest region and folded in a specific pose. Such finger postures not only have

a therapeutic effect on the mind-body system but also accentuate mental

keenness and acuity. This science of hand and finger postures is 'Mudra Vigyan'.
In fact, there are innumerable mudras and each has a specific effect.
This science can help you to cure bodily ailments in a wonderful manner. It
actually helps in balancing the five elements ( panch-tattvas ) in the human
system to their optimal levels. The elements can even be increased or decreased
to cure appropriate ailments. When the elements are completely balanced,
the yoga (unison) of mind, body and soul with the Supreme Soul can be
But one will find that it gives equally astonishing results in achieving mental
concentration. And the funny thing is, unlike yoga, you can practice mudras
anywhere, anytime!
Mudra is a hand gesture or seal which is a symbol of energy. It is the most
beautiful form on expression by the use of thumb and fingers. It can also be done
without the use of hands like Khecheri Mudra done with tongue and Viparita
Karni Mudra which is one of the body poses. It is used as the non verbal form of
communication in Various Indian classical dances like Kathak and Bharat
It also works as a therapy for the body and mind by balancing the ratio of five
elements (panch tattvas)
Mudras are supposed to be a part of Tattva Yoga the science of elements.
Along with Asanas mudras are employed along with Yogic Meditation to energize
the Chakras and calm the mind.

Our palms have more than 5000 nerve endings. Whenever mudras are
performed these nerve ending get activated and thus activating corresponding
brain part. Mudras is a type of yoga that can be
understood and done easily. Even children can do mudras without any efforts.
Before doing any mudra, take a few deep breaths, sit down in comfortable
position , relax and do it.
For best results it has to be done for minimum 30-45 minutes per day.
There are several mudra for keeping oneself healthy.
Based on my 30 years experience I have formulated Riiteshs law of Vaayu
Vaayu Mudra

Fold the index finger (forefinger) on the pad of thumb. Press the forefinger gently
on the pad. Press index finger with thumb. Keep the other fingers aloof. (try with
both hands).

have developed a method of holding pen or pencil that can be beneficial

for people with cerebral palsy and named it Riitesh Method of holding pencil


About the writer

I, Dr.Riitesh Sinha is having cerebral palsy. Ive done BSc.,PGDCA, CIC,MIT. I
do healing through Mudras
and Reiki.
Contact no. 09416253198, 09468223764.
e-mail: riitesh@yahoo.com,, sinha.riitesh@gmail.com.