Cerebral palsy - PG lecture for Orthopaedic Assessment and Management Guidelines by Dr Shobha S. Arora

CEREBRAL PALSY ORTHOPAEDIC ASSESSMENT AND MANAGEMENT GUIDELINES Dr shobha S. Arora Prof. Orthopedics, UCMS and GTB Hospital, Delhi )

statistics ,[object Object],[object Object],[object Object],[object Object]

Definition ,[object Object],[object Object]

Classification of CP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Classification by movement disorder ,[object Object],[object Object],[object Object]

Etiological causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Causes contd. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

‘ Acquired’ or Post natal C P ,[object Object],[object Object],[object Object],[object Object],[object Object]

Mobility- the Orthopedic concern ,[object Object],[object Object],[object Object],[object Object]

Which one is a C P child ? ,[object Object],[object Object],[object Object]

History- Almost pointing to the diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]

Acquired C P ,[object Object],[object Object],[object Object],[object Object]

H/o motor milestones ,[object Object],[object Object],[object Object]

I Q - the better pointer ? ,[object Object],[object Object],[object Object],[object Object]

Why know the IQ ? ,[object Object],[object Object]

Pitfalls in I Q assessment ,[object Object],[object Object],[object Object]

Will a CP child ever walk independently? ,[object Object],[object Object],[object Object],[object Object]

What is the basic effect of CP on locomotors mechanism? ,[object Object],[object Object]

The Damaged HUMAN components of locomotion ,[object Object],[object Object],[object Object]

What is lost from the Human? ,[object Object],[object Object],[object Object]

B. The locomotor apparatus ,[object Object],[object Object],[object Object]

Spasticity- the surgeon’s enemy ,[object Object],[object Object],[object Object]

What is spasticity? ,[object Object],[object Object],[object Object],[object Object]

Spasticity- ,[object Object],[object Object],[object Object]

Clinical examination ,[object Object],[object Object],[object Object]

The Ambulation ,[object Object],[object Object],[object Object],[object Object],[object Object]

Assessment of useful ambulation ,[object Object],[object Object],[object Object],[object Object]

Not so useful ambulation ,[object Object],[object Object],[object Object],[object Object]

The target ,[object Object],[object Object],[object Object]

Assess clinically - I ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The better category? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assess clinically - II ,[object Object],[object Object],[object Object],[object Object],[object Object]

Other modalities ,[object Object],[object Object],[object Object],[object Object]

The joint status ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hip in CP Coxa valga Paralytic hip dislocation

The Family ,[object Object],[object Object],[object Object],[object Object],[object Object]

The Muscles Chart of a spastic child ,[object Object],[object Object],[object Object]

Difficulties of spastic muscle testing ,[object Object],[object Object],[object Object],[object Object]

Categories of muscles in CP ,[object Object],[object Object],[object Object],[object Object],[object Object]

Deformities ,[object Object],[object Object],[object Object],[object Object],[object Object]

Modifying factors ,[object Object],[object Object]

Other negative factors ,[object Object],[object Object],[object Object]

Planning the treatment ,[object Object],[object Object],[object Object],[object Object]

Assessment of a CP child ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Where to begin? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Orthoses in CP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Postures and gaits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Joints in CP ,[object Object],[object Object],[object Object],[object Object]

Specific deformities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Conservative t/t of deformities ,[object Object],[object Object],[object Object]

Therapeutic modalities to control spasticity ,[object Object],[object Object],[object Object],[object Object]

Surgical modalities to control spasticity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Management of specific deformities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Procedures used commonly ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Muscle level surgery ,[object Object],[object Object],[object Object]

Tendon transfers? ,[object Object],[object Object],[object Object],[object Object]

Physio and occupational therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Post op. rehab planning ,[object Object],[object Object],[object Object],[object Object],[object Object]

Splintage and walking supports in CP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Palliative surgery ,[object Object],[object Object],[object Object]

Limitations that must be understood ,[object Object],[object Object],[object Object],[object Object],[object Object]

Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Future needs ,[object Object],[object Object],[object Object]

YET…. ,[object Object],[object Object],[object Object]

Cerebral palsy - PG lecture for Orthopaedic Assessment and Management Guidelines by Dr Shobha S. Arora

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Cerebral palsy - PG lecture for Orthopaedic Assessment and Management Guidelines by Dr Shobha S. Arora