About cerebral palsy

Cerebral palsy describes a group of disorders that affects the way a person moves. Cerebral palsy occurs when there is damage to the brain when it is developing, and it affects a student’s ability to control their muscles. It is the most common form of physical disability in childhood.

A student with cerebral palsy may face challenges with muscle weakness and stiffness. Some students might have trouble with slowness or shakiness, and may not be able to control their movement. Balance, coordination and walking can be also be difficult. Cerebral palsy can affect different parts of the body - some students may have trouble with motor control on one side of their body, some may have challenges with both sides, and some may have challenges that affect only the lower part of their body.

About one third of young people with cerebral palsy also have epilepsy, which means that they have recurring seizures. There are different types of epilepsy and they affect young people in different ways. Some young people will stare blankly or look as if they are daydreaming during a seizure. For some young people, a seizure may involve stiffness or jerking movements. Some young people will benefit from medication, which means that seizures may be rare. If a student in your class has epilepsy, ask the parents and student’s support team about how you can recognise a seizure and what to do.

Strengths

What might be some strengths?
  • Students with cerebral palsy have different strengths depending on how they might be affected by the condition. 
  • Some students with cerebral palsy will have typical language and thinking skills and can learn like any other student (with adjustments to assist with motor challenges).
  • Some students with cerebral palsy may be good at managing challenges in their environment so that they can successfully participate.
  • Some students with cerebral palsy are able to understand what is expected of them at school and can then manage their own behaviour.
  • When given time and opportunities to practise, students with cerebral palsy can develop strong peer relationships and social skills.
    Where might you provide support?
    • Students with cerebral palsy will differ in how much their movement is impacted. Some students will walk independently, while others will use mobility aids (e.g. a walking frame or a wheelchair). Some students may also have trouble controlling their muscle movements, which can impact their coordination and motor tasks such as writing.
    • If muscles in the face, mouth, and throat are impacted by cerebral palsy, students can experience challenges with talking, eating and drinking. They may find speech challenging, which means they might have different ways of communicating (e.g. using computer technology, pictures or gestures with their hands or head), or they might need more time to communicate.
    • Students with cerebral palsy may experience chronic or recurring pain. This may affect their behaviour. They may become less motivated to join in or interact with others.
    • Students with cerebral palsy may also have difficulties with social interaction and peer relationships.

    Evidence-based strategies

  • Work with parents. Talk with the student and their family about the student’s unique strengths, preferences, and abilities. This includes areas they need extra help in and the best methods of communication.
  • Build a relationship with the support team. There may be various health professionals involved in supporting the student. Working together can lead to a shared understanding of the student, their goals, and strengths-based strategies that are consistent across other environments like home and the community.
  • Set joint learning goals. Work with the student’s parents as well as the professionals supporting the student to set some specific and measurable goals. Aim to set outcomes that focus on the student’s strengths and are challenging enough to support learning and social development. 
  • Best practice tips

  • Consider providing different ways to get information and show learning. For example, students who need support with writing can be assessed using computers or tablets. Other options include providing tests with large print texts, allowing the student to use finger pointing, or encouraging the student to say the answers.
  • Curriculum considerations

  • Some students with cerebral palsy may be very motivated by, and interested in, the arts. Promote creativity to allow self-expression. This might encourage positive behaviour, friendships and self-esteem. 
  • Consider adjusting activities and equipment. Adapted materials may be needed for full participation. For example, thicker pencils and paintbrushes might enhance grip.
  • Consider the environment to allow safe participation of students with cerebral palsy. For example, check that materials and equipment are at an appropriate height for the student to reach, and that pathways are wide enough for the student to move within
  • Consider letting the student work with friends who can assist with motor tasks that the student may find challenging
  • Other considerations

  • Some students with cerebral palsy may have trouble communicating when they are tired, in pain, or unwell. In addition to crying or vocalizations, look for non-verbal signs such as changes to facial expressions, changes in movement, changes in behaviour, and changes in interactions with others. Encourage the use of gestures or other methods of communication to work out what may be happening.
  • Talk to the student’s caregivers. Identify the best ways to manage injury, illness, pain and fatigue early on.
  • Frequently check in with the student.
  • Build a relationship with other professionals that support the student (e.g. occupational therapist). That way you will be informed on signs to look for, adjustments that can be made to relieve discomfort, and the best ways to manage injury, illness, pain and fatigue.
  • Relevant resources

    Visit our resources page for a range of resources that can help to create inclusive education environments for students with disabilities and developmental challenges. Some particularly relevant resources for students with cerebral palsy include:

    Strengths and abilities communication checklist
    Character strengths poster
    Peer mediation communication prompts poster

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