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Doody's Review ServiceReviewer: 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.