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: October 2001 Cerebral Palsy: PDF Only Abstract Abstract 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.