Report Of A Consensus Conference On The Lower Limb Orthotic Management Of Cerebral Palsy

This is a thorough, practical reference and guide for all health professionals involved in the management of spasticity.

When a child has a health problem, parents want answers. But when a child has cerebral palsy, the answers don't come quickly. A diagnosis of this complex group of chronic conditions affecting movement and coordination is difficult to make and is typically delayed until the child is eighteen months old. Although the condition may be mild or severe, even general predictions about long-term prognosis seldom come before the child's second birthday. Written by a team of experts associated with the Cerebral Palsy Program at the Alfred I. duPont Hospital for Children, this authoritative resource provides parents and families with vital information that can help them cope with uncertainty. Thoroughly updated and revised to incorporate the latest medical advances, the second edition is a comprehensive guide to cerebral palsy. The book is organized into three parts. In the first, the authors describe specific patterns of involvement (hemiplegia, diplegia, quadriplegia), explain the medical and psychosocial implications of these conditions, and tell parents how to be effective advocates for their child. In the second part, the authors provide a wealth of practical advice about caregiving from nutrition to mobility. Part three features an extensive alphabetically arranged encyclopedia that defines and describes medical terms and diagnoses, medical and surgical procedures, and orthopedic and other assistive devices. Also included are lists of resources and recommended reading.

This book is a practical resource for physiotherapists and occupational therapists who support people with cerebral palsy, helping them to solve the problems with movement and other impairments that so often accompany cerebral palsy, so that they can be more active and better able to participate in roles such as study, work, recreation and relationships. The first chapters provide the background to the clinical reasoning approach that informs the whole text, as well as an overview of therapeutic interventions. The subsequent chapters present clinical situations that therapists will encounter in the course of their work with individuals with cerebral palsy across the lifespan. Each chapter describes a case in detail, including the reasoning behind assessment and treatment choices, interventions and outcomes. The themes emphasized throughout the book are the use of the clinical reasoning approach of the intervention process model, the International Classification of Functioning, Disability and Health as a framework to help therapists inform patient and family decision-making, family-centred approaches in developing and implementing therapeutic strategies, and multidisciplinary team work.

With new coverage of postpolio syndrome, cranial orthoses, and now incorporating the perspectives of renowned physiatrists, this is a one-stop rehabilitation resource. Tips and Pearls in every chapter and a new 2-color format make accessing information a snap. Incorporates chapters on the Orthotic Prescription, Strength and Materials, and the Normal and Pathologic Gait help you understand your role in the rehabilitative process. Carries the authority and approval of AAOS, the preeminent orthopaedic professional society. Contains new chapters on: Orthoses for Persons with Postpolio Paralysis; Orthoses for Persons with Postpolio Syndromes; and Cranial Orthoses. Incorporates evidence-based recommendations into the chapters on spinal, upper- and lower-limb orthoses to help you select the most proven approach for your patients.

UPDATED! Best evidence for interventions; clear, concise tables; graphics and pictures; and current literature engage you in the spectrum of neurologic conditions and interventions. NEW! Autism Spectrum Disorder chapter covers clinical features, diagnosis, and intervention, with a special focus on using play and aquatics, to support the integral role of physical therapy in working with children and families with autism. NEW! Common threads throughout the Children section focus on motor competence as a driving force in a child’s cognitive and language development and highlight how meaningful, fun activities with family and friends encourage children with disabilities to participate. UPDATED! Neuroanatomy chapter provides a more comprehensive review on nervous system structures and their contributions to patient function and recovery after an injury or neurologic condition. UPDATED! Adult chapters feature updated information on medical and pharmacological management. NEW! The Core Set of Outcome Measures for Adults with Neurologic Conditions assists you in measuring common outcomes in the examination and evaluation of patients. NEW! Emphasis on the evidence for locomotor training, dual-task training, and high intensity gait training are included in the intervention sections.

Clinics in Developmental Medicine No. 175 Orthoses are externally applied medical devices used to prevent or correct musculoskeletal deformities and improve physical functioning; these devices are typically custom made. This is one of very few books on the subject of orthotics published in recent years and the only book focusing solely on the orthotic management of children. The first part of the book considers the principles that are fundamental to orthotic management, including a review of biomechanics, consideration of clinical assessment methods, and the materials and fabrication techniques used to make orthoses. The second part of the book comprises several condition-specific chapters that consider the appropariate orthotic management of the more common conditions in childhood in the context of multidisciplinary care. The chapters include neuromuscular conditions such as cerebral palsy, myelomeningocoele and muscular dystrophy; and also congenital deformities and conditions arising in childhood. One chapter considers orthotic intervention for idiopathic scoliosis and another considers the sometimes controversial issue of protective and corrective headwear. Whist by no means exhaustive, Paediatric Orthotics provides both a basic grounding in the subject together with practical guidance to help clinical practice. Paediatric Orthotics will be of use, not only to orthotists but also to physical and occupational therapists, paediatricians, paediatric orthopaedic surgeons and physiatrists. The book is also essential reading for all students and clinicians involved in the physical management of children with disabilities.