0 Item(s)
Evaluation, Surgical Tx, and Post-Operative Therapy in Cerebral Palsy (IC07) - 2012 Annual Meeting (Lecture 05)
Faculty: Lorene Janowski, MD
Learning Objectives:
- Understand assessment and pre-operative evaluation of upper extremity
- Become familiar with surgical treatment options
- Manage post operative rehabilitation
Duration: 12:48
Description
Patients with cerebral palsy may develop upper extremity contractures
and deformities due to imbalances in muscle tone, leading to limitations
in function. Upper extremity reconstructive surgery can correct
deformity and rebalance the muscles to increase functional use and
improve hygiene and cosmesis. This course will provide an overview of
the pre-operative evaluation, surgical planning and treatment, and
post-operative therapy of the upper extremity in cerebral palsy. Through
an interdisciplinary approach, the evaluation of the child with
cerebral palsy will first be discussed including important points in the
history and physical examination. Pre-operative evaluation including
videotaping will be reviewed along with the use of Botox. A scheme for
an operative plan will be developed with goals, guidelines, and options
for surgical intervention.
A discussion of surgical and non-surgical treatment options for upper extremity will be presented for:
A discussion of surgical and non-surgical treatment options for upper extremity will be presented for:
- Shoulder deformity
- Elbow flexion
- Forearm pronation
- Wrist flexion
- Digital flexion & swan-neck deformity
- Thumb-in-palm deformity
- Post-surgical therapy will be reviewed including splinting, therapeutic exercises and activities, precautions based on surgical procedures performed, and constant induced therapy