Cerebral Palsy-Cerebral Palsy: Surgical Treatment of the Upper Extremity

Cerebral Palsy: Surgical Treatment of the Upper Extremity– 2012 Comprehensive Review Course

Video Transcription

Video Summary

In the video, the speaker discusses the manifestations and treatment options for cerebral palsy (CP), specifically focusing on the hand. CP is a CNS disorder that affects movement and posture, causing activity limitations. The primary problem in CP is in the brain, leading to problems with equilibrium, loss of selective motor control, upper motor neuron signs and symptoms, spasticity, weakness, and impaired sensation. While the primary problems in the brain are not remediable, secondary problems in the hand can be addressed. Muscle imbalances lead to joint malpositioning and functional impairment. Treatment options for these secondary problems include therapy, medications, Botox (off-label use), and surgery. Surgery can involve releases to lengthen muscles, tendon transfers to augment the antagonist, or joint stabilization. The speaker also discusses evaluations and assessment tools used in evaluating CP patients, such as passive and active range of motion, functional use assessments, and EMG analysis. The speaker concludes by mentioning the treatment options for hand deformities in stroke and traumatic brain injury patients, including superficialis to profundus (STP) transfers for severe flexion deformities. No credits were mentioned in the video.

Keywords

cerebral palsy

hand manifestations

treatment options

muscle imbalances

surgery

evaluations

hand deformities