1. Cerebral palsy, representing about seven births per 100,000 population per year, presents a real problem with regard to the number of cases.
2. Mental level is sufficiently high in about 70 per cent. of the total to make treatment worth while.
3. The incidence of the condition, unlike epidemic poliomyelitis, is at present entirely predictable, and plans can be made in advance for treatment of a definite number of cases.
4. The importance, with regard to treatment, of accurate diagnosis of spastic, athetoid, and ataxic palsy, must be emphasized, even though differential diagnosis is occasionally very difficult.
5. The present Use of surgery is essentially limited to the true spastic, except for contractures.
6. The most effective method of treatment is the special school where physical reeducation and schooling can be carried out together.
7. There must be close cooperation and mutual understanding of the problem among the educators, the doctors, and the family of the patient.
8. Home retraining is, in some instances, very effective, and, in most cases, should at least be given a trial of several months before deciding on the special school.
9. Satisfactory results, judged by the standards of other crippling conditions, are obtained when care and treatment are sufficiently intensive.
(C) 1940 All Rights Reserved.The Journal of Bone and Joint Surgery, Inc.