An Update on the Treatment of Gait Problems in Cerebral PalsyGage James R. M.D.; Novacheck, Tom F. M.D.Journal of Pediatric Orthopaedics B: October 2001 Cerebral Palsy: PDF Only 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. Address correspondence and reprint requests to James R. Gage, M.D., Gillette Children's Specialty Healthcare, 200 East University Avenue, St. Paul, MN 55101, USA. © 2001 Lippincott Williams & Wilkins, Inc.