Spastic hemiplegia
- have voluntary grasp and release
Spastic quadriplegia
- many patients have sensory neglect for affected limbs
- won't use limb post surgery regardless
- may need some releases for hygiene / dressing
Decreased tone
- Polio
- Down's syndrome
- spina bifida
Increased tone
- cerbral palsy
- Parkinson's
- CVA
Rare
- case reports only
Acetabular dysplasia not uncommon in this group
Results
1. Tight psoas / Adductors / Hamstrings / T Achilles
2. Increased Femoral Anteversion
3. External Tibial Torsion
4. Valgus Foot
Surgery once walking but before school (3-4)
SEML surgery
Gait analysis lab
True equinus
Apparent equinus (FFD knee and hip)
Jump
Crouch