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Lower-Extremity Surgery for Children with Cerebral Palsy: Physical Therapy Management

Susan E Harryman
Published 1 January 1992
Susan E Harryman
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Abstract

The purpose of this article is to discuss physical therapy for children with cerebral palsy who undergo orthopedic surgery. Children with spasticity (increased tone) often undergo surgical procedures to increase the length of the hip, knee, and ankle musculature in an attempt to improve musculoskeletal alignment and functional abilities. Presurgical assessment of posture and movement to determine potential for change in function and postsurgical management are discussed. Intervention immediately following soft tissue surgery at the hips and knees and intervention at the time of cast removal for those children immobilized in a hip spica cast are reviewed. Specific postsurgical management protocols related to immobilization in splints/casts, positioning, and treatment activities are presented.

Key Words:
  • Cerebral palsy, surgery
  • Lower extremity, hip/knee
  • Orthopedics, general
  • Orthotics/splints/casts, lower extremity
  • Pediatrics, treatment
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    Vol 96 Issue 12 Table of Contents
    Physical Therapy: 96 (12)

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    Lower-Extremity Surgery for Children with Cerebral Palsy: Physical Therapy Management
    Susan E Harryman
    Physical Therapy Jan 1992, 72 (1) 16-24;

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    Lower-Extremity Surgery for Children with Cerebral Palsy: Physical Therapy Management
    Susan E Harryman
    Physical Therapy Jan 1992, 72 (1) 16-24;
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    More in this TOC Section

    • The Ilizarov Procedure: Limb Lengthening and Its Implications
    • Assessment of Lower-Extremity Alignment in the Transverse Plane: Implications for Management of Children with Neuromotor Dysfunction
    Show more Special Series: Pediatric Orthopedics

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