Definition
A permanent disorder of movement and posture due to a non-progressive disturbance in the developing brain.
Classification
- Spastic
- Dyskinetic
- Ataxic
- Mixed
Distribution
- Hemiplegia
- Diplegia
- Quadriplegia
Orthopaedic problems
- Muscle imbalance and contracture
- Hip subluxation or dislocation
- Equinus and foot deformity
- Crouch gait
- Rotational deformity
- Scoliosis
Assessment
- GMFCS level
- Gait pattern
- Hip surveillance
- Functional goals and caregiver concerns
Treatment
- Physiotherapy and orthoses
- Spasticity management: botulinum toxin, oral medication, SDR or intrathecal baclofen in selected patients
- Soft-tissue lengthening or bony surgery for fixed deformity
- Single-event multilevel surgery when appropriate
Diagram
