diplegia

Definition

CP is a permanent disorder of movement and posture 

- non-progressive 

- brain injury before the age of two years

Strict definition excludes familial & progressive congenital problems & those acquired in childhood as a result of head injuries

Incidence

2-3 per 1000 live births

Higher in 

Benefit most from Treatment

Problems

1. Tight psoas / Adductors / Hamstrings / T Achilles

2. Increased Femoral Anteversion

3. External Tibial Torsion

4. Valgus Foot

Principles

Surgery once walking but before school (3-4)

SEML surgery

Gait analysis lab

Gait

True equinus

Apparent equinus (FFD knee and hip)

Jump

Crouch