04-05-2011

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StudieopholdMinneapolis/ St. Paul

Niels Wisbech Pedersen

Center for Cerebral PalsyJames Gage, M.D., program medical director

A Team Approach to Cerebral Palsy Care

Cerebral Palsy Specialists and Related Services:

•Center for Gait and Motion Analysis

•Spasticity Evaluation Clinic

•Pediatric Orthopedics

•Pediatric Neurology

•Rehabilitation Therapies

•Assistive Technology Department

•Cerebral Palsy Surgery Tone-management plans

04-05-2011

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Center for Cerebral PalsyJames Gage, M.D., program medical director

A Team Approach to Cerebral Palsy Care

Cerebral Palsy Specialists and Related Services:

•Center for Gait and Motion Analysis

•Spasticity Evaluation Clinic

•Pediatric Orthopedics

•Pediatric Rehabilitation Medicine

•Pediatric Neurology

•Rehabilitation Therapies

•Assistive Technology Department

•Cerebral Palsy Surgery Tone-management plans

Spasticity Evaluation Clinic

Evaluation ProcessCenter for Gait and Motion Analysis

Passive range of motion

Functional skills – a child’s ability to roll, sit, stand or walkStrengthAbility to participate in therapy

Pediatric Rehabilitation MedicineAssess how spasticity affects a child’s mobility, daily activities and care needs.

They develop goals to guide treatment plans, order rehabilitation therapy, and recommend medications and assistive equipment.Pediatric NeurosurgeryPediatric Orthopedics

Child and Family Services

Treatments for Spasticity

• Physical and Occupational Therapy

• Casting and Orthoses

• Oral Medications

• Injected MedicationsBotulinum Toxin Type APhenol

•SurgeryIntrathecal Baclofen Pump ImplantationSelective Dorsal Rhizotomy SurgerySingle-Event Multilevel Surgery (SEMLS)

Center for Cerebral PalsyJames Gage, M.D., program medical director

A Team Approach to Cerebral Palsy Care

Cerebral Palsy Specialists and Related Services:

•Center for Gait and Motion Analysis

•Spasticity Evaluation Clinic

•Pediatric Orthopedics

•Pediatric Rehabilitation Medicine

•Pediatric Neurology

•Rehabilitation Therapies

•Assistive Technology Department

•Cerebral Palsy Surgery Tone-management plans

04-05-2011

3

Lever arm dysfunctionExcessive femoral neck anteversion

Leverarm dysfunctionExternal tibia torsion

Hindfoot valgusForefoot pronation

Crouch – lever arm

dysfunctionPatella alta

Knee joint contractureect.

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http://www.gillettechildrens.org