The Identification and Treatment of Gait Problems in Cerebral Palsy / Edition 2

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Overview

The only book to deal specifically with the treatment of gait problems in cerebral palsy, this comprehensive, multi-disciplinary volume will be invaluable for all those working in the field of cerebral palsy and gait (neurologists, therapists, physiatrists, orthopaedic and neurosurgeons, and bioengineers). The book is divided into two parts. The first is designed to help the reader evaluate and understand a child with cerebral palsy. It deals with neurological control, musculoskeletal growth, and normal gait, as well as cerebral injury, growth deformities and gait pathology in children with cerebral palsy. The second section is a comprehensive overview of management. It emphasizes the most fundamental concept of treatment: manage the child's neurologic dysfunction first and then address the skeletal and muscular consequences of that dysfunction.

The book has been thoroughly updated since the previous edition, with a greater focus on treatment and several entirely new topics covered, including chapters on the operative treatment of orthopaedic deformities.

The book is accompanied by a DVD containing a teaching video on normal gait and a CD-ROM containing the videos and motion analysis data of all case examples used in the book, as well as teaching videos demonstrating the specifics of many of the procedures used in the correction of gait deformities and gait modelling examples from the Department of Bioengineering at Stanford University.

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Editorial Reviews

Doody's Review Service
Reviewer: Edward Abraham, MD (University of Illinois at Chicago College of Medicine)
Description: This second edition book details the study and care of abnormal gait patterns seen in walking cerebral palsy (CP) individuals.
Purpose: The purpose is to aid in the diagnosis and management of gait abnormalities in cerebral palsy patients.
Audience: The main audiences are pediatric orthopedists, neurosurgeons, neurologists, physiatrists, physical and occupational therapists, orthotists, mechanical and biomechanical engineers, and pediatricians. Trainees also can benefit from this work.
Features: There are two distinct parts of this book. The first part arms readers with the necessary information to help them better analyze and understand a person with CP. The second part focuses on multidisciplinary treatment options to improve patient gait and overall well-being. For instance, in the first part we learn about normal musculoskeletal development, then pathologic gait patterns are presented in depth, starting with the role of brain injury on musculoskeletal development and, eventually, gait. The clinical evaluation for each patient is presented, with an emphasis on gait analysis. In the treatment section, all important modalities are covered: physical therapy, braces, drugs (oral intramuscular and intrathecal), neurosurgical procedures (e.g. selective dorsal rhizothomy for spasticity), orthopedic operations of the extremities, and rehabilitation. Useful graphs, photographs, tables, and drawings are provided. A DVD and a CD supplement chapters with case reports, surgical procedures, and demonstrations of normal gait patterns.
Assessment: This outstanding book is the brainchild of James R. Gage, MD, medical director emeritus, Gillette Children's Specialty Healthcare, St. Paul, Minnesota, and professor of orthopedics emeritus at University of Minnesota, Minneapolis. He is supported by local associate editors and others, including: Michael H. Schwartz, PhD, director of bioengineering research; Steven E. Koop, MD, professor of orthopedics; and Tom F. Novacheck, MD, associate professor of orthopedics. Gates has devoted his entire medical career to caring for children with CP and teaching other medical professionals. His pioneering work on gait analysis is recognized around the world. The diplegic CP child with a crouch gait is the focus of this work. The availability of a gait analysis study forms the basis for planning treatment and evaluating outcome. This is the most authoritative work on the subject worldwide. It is a must purchase for all those who care for these children. Medical libraries are expected to have this in their reference section.
From the Publisher
"It is an excellent book which should be read by all clinicians caring for patients with CP. This book provides an excellent starting point for approaching understanding and treatment to improve the lives of our patients with CP." (J Child Orthop, 2010)

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781898683650
  • Publisher: Wiley
  • Publication date: 9/22/2009
  • Series: Clinics in Developmental Medicine Series, #180
  • Edition description: 2nd Edition, 180-181
  • Edition number: 2
  • Pages: 660
  • Sales rank: 1,423,044
  • Product dimensions: 7.00 (w) x 9.60 (h) x 2.10 (d)

Meet the Author

James R. Gage MD (Medical Director Emeritus, Gillette Children's Specialty Healthcare, St Paul, Minnesota; Professor of Orthopaedics Emeritus, University of Minnesota, Minneapolis, Minnesota, USA) Michael H. Schwartz PhD (Director of Bioengineering Research, Gillette Children’s Specialty Healthcare, St Paul, Minnesota; Associate Professor, Orthopaedic Surgery Graduate Faculty, Biomedical Engineering, University of Minnesota, Minneapolis, Minnesota, USA) Steven E. Koop MD (Medical Director, Gillette Children’s Specialty Healthcare, St Paul, Minnesota; Associate Professor of Orthopaedics, University of Minnesota, Minneapolis, Minnesota, USA) Tom F. Novacheck MD (Director, Center for Gait and Motion Analysis, Gillette Children’s Specialty Healthcare, St Paul, Minnesota; Associate Professor of Orthopaedics, University of Minnesota, Minneapolis, Minnesota, USA)
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Table of Contents

PART 1: GAIT PROBLEMS IN CEREBRAL PALSY

SECTION 1 TYPICAL MUSCULOSKELETAL DEVELOPMENT

1.1 THE NEURAL CONTROL OF MOVEMENT
Warwick J. Peacock (San Francisco, California, USA)

1.2 MUSCULOSKELETAL GROWTH AND DEVELOPMENT
Steven E. Koop (St Paul, Minnesota, USA)

1.3 NORMAL GAIT
James R. Gage and Michael H. Schwartz (St Paul, Minnnesota, USA)

SECTION 2: GAIT PATHOLOGY IN INDIVIDUALS WITH CEREBRAL PALSY

2.1 MECHANISMS AND MANIFESTATIONS OF NEONATAL BRAIN INJURY
Adré DuPlessis (Boston, Massachusetts, USA)

2.2 THE PATHOPHYSIOLOGY OF SPASTICITY
Warwick J. Peacock (San Francisco, California, USA)

2.3 BASAL GANGLIA INJURY AND RESULTING MOVEMENT DISORDERS
Leland Albright (Madison, Wisconsin, USA)

2.4 CONSEQUENCES OF BRAIN INJURY ON MUSCULOSKELETAL DEVELOPMENT
James R. Gage and Michael H. Schwartz (St Paul, Minnesota, USA)

2.5 MUSCLE STRUCTURE AND FUNCTION IN CEREBRAL PALSY
Adam P. Shortland, Nicola R. Fry, Anne E. McNee and Martin Gough (London, UK)

2.6 CLASSIFICATION OF CEREBRAL PALSY AND PATTERNS OF GAIT PATHOLOGY
Sylvia Õunpuu (Hartford, Connnecticut, USA), Pam Thomason (Melbourne, Australia), Adrienne Harvey (Melbourne, Australia) and H. Kerr Graham (Melbourne, Australia)

2.7 NATURAL HISTORY OF AMBULATION WITH CEREBRAL PALSY
Steven E. Koop (St Paul, Minnesota, USA)

SECTION 3: PATIENT ASSESSMENT

3.1 CLINICAL ASSESSMENT
Joyce P. Trost (St Paul, Minnesota, USA)

3.2 FOOT BIOMECHANICS AND PATHOLOGY
Susan Sohrweide (St Paul, Minnesota, USA)

3.3 NEUROIMAGING OF THE BRAIN
Beverly Wical (St Paul, Minnesota, USA)

3.4 RAGIOGRAPHIC EVALUATION OF THE PATIENT WITH CEREBRAL PALSY
KevinWalker (St Paul, Minnesota, USA)

3.5 GAIT ANALSIS: KINEMATICS, KINETICS, EMG AND OXYGEN
James R. Gage and Jean Stout (St Paul, Minnesota, USA)

3.6 MODELING AND SIMULATION OF NORMAL AND PATHOLOGICAL GAIT
Jennifer L. Hicks (Stanford, California, USA), Michael H. Schwartz (St Paul, Minneosta, USA) and Scott L. Delp (Stanford, California, USA)

PART 2: TREATMENT

SECTION 4: NON-OPERATIVE TREATMENT

4.1 PHYSICAL THERAPY
Susan Murr and Katie Walt (St Paul, Minnesota, USA)

4.2 ORTHOSES
Tom F. Novacheck, Gary J. Kroll, George Gent, Adam Rozumalski, Camilla Beattie and Michael H. Schwartz (St Paul, Minnesota, USA)

4.3 PHARMACOLOGICALTREATMENT WITH ORAL MEDICATIONS
Marcie Ward (St Paul, USA)

4.4 PHARMACOLOGICAL TREATMENT WITH BOTULINUM TOXIN
Kaat Desloovere and Guy Molenaers (Leuven, Belgium)

SECTION 5: OPERATIVE TREATMENT

5.1 TREATMENT OF SPASTICITY WITH INTRATHECAL BACLOFEN
Linda E. Krach (St Paul, Minneosta, USA)

5.2 TREATMENT OF SPASTICITY WITH SELECTIVE DORSAL RHIZOTOMY
Joyce P. Trost, Mary E. Dunn, Linda E. Krach, Tom F. Novacheck and Michael H. Schwartz (St Paul, Minnesota, USA)

5.3 NEUROSURGICAL TREATMENT OF DYSTONIA
Leland Albright (Madison, Wisconsin, USA)

5.4 REHABILITATION FOLLOWING SPASTICITY REDUCTION
Linda E. Krach (St Paul, Minnesota, USA)

5.5 ORTHOPAEDIC TREATMENT OF MUSCLE CONTRACTURES
Tom F. Novacheck (St Paul, Minnesota, USA)

5.6 ORTHOPAEDIC TREATMENT OF LONG-BONE TORSIONS
James R. Gage (St Paul, Minnesota, USA)

5.7 ORTHOPAEDIC TREATMENT OF HIP DYSPLASIA
Henry G. Chambers (San Diego, California, USA)

5.8 ORTHOPAEDIC TREATMENT OF FOOT DEFORMITIES
Jon R. Davids (Greenville, South Carolina, USA)

5.9 POSTOPERATIVE CARE AND REHABILITATION
Steven E. Koop and Susan Murr (St Paul, Minnesota, USA)

5.10 GENERAL ISSUES OF RECURRENCE WITH GROWTH
James R. Gage (St Paul, Minnesota, USA)

5.11 TREATMENT OF CROUCH GAIT
Jean Stout, Tom F. Novacheck, James R. Gage and Michael H. Schwartz (St Paul, Minnesota, USA)

SECTION 6: ASSESMENT OF OUTCOME

6.1 MEASUREMENT TOOLS AND METHODS
Adrienne Harvey, Pam Thomason and H. Kerr Graham (Melbourne, Australia)

6.2 CONSEQUENCES OF INTERVENTIONS
Pam Thomason and H. Kerr Graham (Melbourne, Australia)

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