Book Chapter

Integrated management in cerebral palsy: Musculoskeletal surgery and rehabilitation in ambulatory patients

E Rutz, P Thomason, K Willoughby, HK Graham

Cerebral Palsy: A Multidisciplinary Approach, Third Edition | Published : 2018


In this chapter, current treatment concepts for ambulatory children with cerebral palsy (CP) will be introduced and discussed. The Gross Motor Function Classification System (GMFCS) was the first of the family of classification systems, which have given clinicians a common language with which to communicate about cerebral palsy. In 1987 Winters et al. classified the sagittal gait patterns in unilateral spastic CP (USCP or spastic hemiplegia) in a cross-sectional study, based on three-dimensional kinematics. Rodda and Graham extended the Winters, Gage and Hicks classification to include the coronal and transverse planes. Classification of sagittal gait patterns in bilateral spastic CP (BSCP) ..

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