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CURRENT Diagnosis & Treatment in Orthopedics, 4e Cerebral Palsy (Static Encephalopathy) Sections: Cerebral Palsy
(Static Encephalopathy), Classification, Types of
Movement Disorder, Spastic Disorders, Dyskinetic
Disorders, Mixed Disorders, Patterns
of Neurologic Involvement, Monoplegia, Hemiplegia, Paraplegia, Diplegia, Total Body
Involvement, Management, Special Considerations
in Adult Patients, Musculoskeletal
Problems, Mobility, Treatment
of Patients with Lower Extremity Problems, Hips, Knees, Feet, Treatment
of Patients with Upper Extremity Problems, The Functional
Upper Extremity, The Nonfunctional
Upper Extremity, Treatment
of Patients with Total Body Involvement. Topics Discussed: achilles tendon; ambulation; ankle-foot orthosis; arm injuries; cavus foot; cerebral palsy; diplegic cerebral palsy; equinus deformity; flexion deformity; hemiplegia; knee flexion deformity; limb deformity; lower limb function; monoplegia; movement disorders; musculoskeletal diseases; paraplegia; quadriplegia; rehabilitation; upper limb function.
Excerpt:
"Cerebral palsy is a nonprogressive and nonhereditary disorder
of impaired motor function. The onset may be prenatal, perinatal,
or postnatal. An exact cause is not always known, but the impairment
is sometimes associated with prematurity, perinatal hypoxia, cerebral
trauma, or neonatal jaundice. In the United States, more than 500,000
people are affected by cerebral palsy. The degree of neurologic
impairment is severe in a third of patients and mild in approximately
a sixth.Because of the diversity of neurologic findings seen in patients
with cerebral palsy, a classification system is essential. The disease
can be classified by the types of movement disorder and by the patterns
of neurologic deficit.Three types of disorder are seen.These are characterized by the presence of clonus and hyperactive
deep tendon reflexes. Patients with spastic movement can be helped
by orthopedic intervention.With single-limb involvement, the disorder is usually spastic
in nature. Because monoplegia is rare, it is advisable to test the
patient before making the diagnosis. The stress of performing an activity
such as running at a fast pace often uncovers..."
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