The Orthopaedic Aspect of Spastic Cerebral Palsy

Overview

Journal J Orthop

Specialty Orthopedics

Date 2020 Nov 20

PMID 33214743

Citations 9

Authors

Vasileios C Skoutelis

Anastasios D Kanellopoulos

Vasileios A Kontogeorgakos

Argirios Dinopoulos

Panayiotis J Papagelopoulos

Affiliations

Soon will be listed here.

Abstract

Spastic Cerebral Palsy (CP) is the most common form of CP, comprising of 80% of all cases. Spasticity is a type of hypertonia that clinically manifests as dynamic contractures. The dynamic contracture along with the reduced level of physical activity in a child with CP leads to secondary structural and morphological changes in spastic muscle, causing real musculotendinous shortening, known as fixed contractures. When fixed muscle contractures are not treated early, progressive musculoskeletal deformities develop. As a consequence, spastic CP from a static neurological pathology becomes a progressive orthopaedic pathology which needs to be managed surgically. Orthopaedic surgical management of CP has evolved from previous "multi-event single level" procedures to a "single event multilevel" procedures, with changes in selection and execution of treatment modalities. There is increasing evidence that multilevel surgery is an integral and essential part of therapeutic management of spastic CP, but more research is needed to ensure effectiveness of this intervention on all domains of physical disability in CP.

Citing Articles

Changes in Lower Extremity Passive Range of Motion and Muscle Strength After Selective Percutaneous Myofascial Lengthening and Functional Physiotherapy in Children With Cerebral Palsy.

Skoutelis V, Dimitriadis Z, Kanellopoulos A, Dinopoulos A, Papagelopoulos P, Kanellopoulos V Cureus. 2024; 16(8):e67325.

PMID: 39301341 PMC: 11412655. DOI: 10.7759/cureus.67325.

Radial extracorporeal shock wave therapy for the management of spasticity in cerebral palsy: study protocol for a randomized controlled trial.

Tur Segura M, Gimeno Esteve F, Biedermann Villagra T, Jimenez Redondo J, Garcia Rodriguez N, Mila Villarroel R Front Neurol. 2024; 15:1402452.

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Boarini M, Tremosini M, Di Cecco A, Gnoli M, Brizola E, Mordenti M Qual Life Res. 2024; 33(5):1323-1334.

PMID: 38457053 PMC: 11045590. DOI: 10.1007/s11136-024-03604-4.

Bone Deformities through the Prism of the International Classification of Functioning, Disability and Health in Ambulant Children with Cerebral Palsy: A Systematic Review.

Bailly R, Pons C, Haes A, Nguyen L, Thepaut M, Houx L Children (Basel). 2024; 11(2).

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