James Gage and a range of experts who manage gait problems in cerebral palsy examine the way the brain controls locomotion and the types of brain pathology associated with cerebral palsy. Current treatment modalities and treatments of specific gait problems are covered in detail, including computerized gait analysis and methods of assessing the child and evaluating treatment outcomes. An attached CD-ROM displays pre- and post-treatment examples, illustrating the process of gait analysis. Clinicians, therapists and bioengineers will find this reference useful.
Table of Contents
Introduction James R. Gage; Part I. Clinical Background: 1. The neurological control system for locomotion Warwick J. Peacock; 2. Mechanisms and consequences of neonatal brain injury Adre J. du Plessis; 3. The nature and pathogenesis of spasticity Warwick J. Peacock; 4. A qualitative assessment of normal gait James R. Gage; Part II. Patient Assessment: 5. Physical examination and observational gait analysis Joyce Trost; 6. The motion analysis laboratory (equipment, organization) Roy Davis; 7. Kinematics of normal gait Michael Schwartz; 8. Kinetics of normal gait Roy Davis and Sylvia Ounpuu; 9. Dynamic EMG Henry G. Chambers; 10. Energy consumption Steven E. Koop and Jean Stout; 11. Musculo-skeletal modeling Scott L. Delp; Part III. Gait Pathology in Cerebral Palsy: 12. An overview of pathological gait James R. Gage; 13. Lever-arm dysfunction James R. Gage and Michael Schwartz; 14. Patterns of gait pathology Sylvia Ounpuu; Part IV. Treatment: 15. An overview of treatment James R. Gage; 16. Non-operative: a) physical therapy Sue Murr; b) Orthotics Deborah Quanbeck and Kathy Molina; c) Oral and injectable medications Linda Krach and Mark Gormley; d) Alternative treatments Linda Krach; 17. Spasticity reduction: a) Selective dorsal rhizotomy Warwick J. Peacock; b) Intrathecal baclofen Leland Albright; c) Rehabilitation post spasticity reduction Linda Krach; 18. Hemiplegia: a) Lower extremity - pathology and treatment Jean Stout and James R. Gage; b) Upper extremity - pathology and treatment Ann Van Heest; 19. Diplegia: pathology and treatment Tom F. Novacheck; 20. Crouch gait: pathology and treatment James R. Gage; 21. Quadriplegia: pathology and treatment Henry G. Chambers and James R. Gage; 22. Postoperative care Lynn Christianson; 23. Postoperative rehabilitation Sue Murr; Part V. Assessment of Outcome: 24. Functional assessment Tom F. Novacheck and Michael Schwartz; Epilogue James R. Gage; Index; CD-ROM.