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

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Indian Orthopaedic Research Group

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

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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]
Asymmetric motor activity
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]
Gait lab analysis
Surface electrode EMG
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]
Orthoses in CP
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]
Crouching gait and orthosis
Orthotic supports contd.
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]
Selective posterior rhizotomy
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]
 

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