Musculoskeletal Evaluation of Children with Cerebral Palsy

Indian Journal of Pediatrics
Ratna JohariAbhay Khot

Abstract

Cerebral Palsy (CP) is the most common chronic disability of childhood. The problems involved are complex; not only do these children have problems of mobility, but a plethora of associated problems [1]. A recent definition of CP includes secondary musculoskeletal problems [2]. The inclusion of this in the definition recognises the significance of musculoskeletal problems and the impact these problems have on the lives of children with CP and their families. Orthopedic management of the child with CP aims to reduce the impact of these musculoskeletal problems to help the child with CP to reach his maximum potential [3]. To accurately assess children and prepare management plans, a combination of medical history, physical examination, functional assessment, medical imaging, observational and instrumented gait analysis, and assessment of patient and family goals must be interpreted [4]. A detailed annual orthopedic assessment for all children with CP is recommended [5]. For an ambulant child, more frequent assessments are required during periods of rapid growth, observed deterioration in physical examination measures, and after interventions, including gait correction surgery. For a non-ambulant child, more frequent assessments a...Continue Reading

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Citations

Jul 10, 2016·Indian Journal of Pediatrics·Nitish Gogi, Shah Alam Khan
Oct 20, 2017·Yonsei Medical Journal·Seung Jun MoonMoon Seok Park
Sep 29, 2019·Pediatrics International : Official Journal of the Japan Pediatric Society·Ki Wook YunHyunju Lee
Jun 27, 2019·Perceptual and Motor Skills·Gulce Kallem SeyyarOzgen Aras
Jan 7, 2017·JMIR Research Protocols·Taipin GuoXiantao Tai

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