This book is a practical guide to the effective treatment of cerebral palsy in children. It provides a set of principles by which to observe and analyze individual patients' problems and then plan treatment. With the help of this book, non-specialists working with children with cerebral palsy can make decisions and choose the appropriate therapeutic activities for each child. It includes examples of how to apply these principles to real-life situations, using easy-to-follow descriptions and illustrations. New to this revised edition is a chapter on sensory integration problems with children with cerebral palsy, which looks at ways of evaluating and then dealing with these problems. The author also integrates theory with practical skills more closely.

Contractures and Deformities

Contractures and deformities

Contractures and deformities are major problems in treating children with cerebral palsy. It is important to understand that, except in a very few instances, the children are not born with them. They arise over time as secondary problems and, of course, they are more likely to arise where the children have less access to treatment and where referrals are late.

  • A contracture is a permanent shortening of a muscle, muscle tendon or joint structure. A contracture becomes established once the soft tissues lose their elasticity. These peripheral tissues become increasingly fibrous, until they can only be lengthened by surgery.
  • A deformity is an abnormal body posture or limb position. The normal alignment of one bone with another is lost and distorted, and ...
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