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An Update on the Treatment of Gait Problems in Cerebral Palsy.

Gage, James R. M.D.; Novacheck, Tom F. M.D.
Journal of Pediatric Orthopaedics B:
Cerebral Palsy: PDF Only

Summary: This article summarizes our experience with cerebral palsy over the past 20 years. The primary and secondary deformities that occur with cerebral palsy are described. Following this, there is a brief overview of the nature and role of gait analysis in the treatment of gait problems in cerebral palsy. The concept of lever-arm dysfunction is introduced. Our current treatment algorithm is then presented along with a brief discussion of our current treatment program, which is illustrated by a case example. Finally, a brief study of a group of patients with spastic diplegia or quadriplegia is presented to illustrate our current method of evaluating treatment out-comes and the need for team management in the treatment of this complex condition.

(C) 2001 Lippincott Williams & Wilkins, Inc.