Clinical examination of children with cerebral palsy

被引:25
作者
Sarathy, Kailash [1 ]
Doshi, Chintan [1 ]
Aroojis, Alaric [1 ]
机构
[1] Bai Jerbai Wadia Hosp Children, Dept Paediat Orthopaed, Mumbai 400012, Maharashtra, India
关键词
Cerebral palsy; clinical examination; gait analysis; MODIFIED ASHWORTH SCALE; FUNCTIONAL MOBILITY SCALE; NECK-SHAFT ANGLE; INTERRATER RELIABILITY; GAIT PATTERNS; INTRARATER RELIABILITY; FEMORAL ANTEVERSION; SPASTIC HEMIPLEGIA; TARDIEU SCALE; CLASSIFICATION;
D O I
10.4103/ortho.IJOrtho_409_17
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Cerebral palsy (CP), a heterogeneous disorder of movement and posture, is one of the most important causes of disability affecting children. With a wide variability in the clinical presentation and a paucity of reliable diagnostic tests, decision-making in CP is fraught with difficulties and challenges. The plethora of musculoskeletal manifestations includes poor muscle function, spasticity, rigidity, muscle weakness, poor selective motor control, soft-tissue and joint contractures, torsional malalignments, and lever arm dysfunctions. Children with CP are at a high risk of further worsening and progression of these musculoskeletal abnormalities with the natural course of the disease. A comprehensive assessment that includes a combination of detailed medical history, functional assessment, clinical examination, analysis of gait, and radiological assessment is required to provide a favorable treatment outcome in these children. A close surveillance is essential so as to identify risk factors for the development and progression of musculoskeletal problems so that early interventions can be carried out to circumvent them. This review article is to highlight the importance of clinical examination in the assessment of children with CP.
引用
收藏
页码:35 / 44
页数:10
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