Cerebral Palsy-Cerebral Palsy - Surgical indications and planning part 2

Video Transcription

Video Summary

The speaker starts off by saying that they don't know much about cerebral palsy, but over time they have realized how humbling it is to work with these patients. They explain that cerebral palsy is a static encephalopathy, with a prevalence of 1.5 to 2 per thousand live births. It is a non-progressive neurologic disorder that affects the upper motor neurons. The speaker discusses how the musculoskeletal system responds to persistent deforming forces, leading to the typical positions seen in cerebral palsy patients. They mention that manifestations of cerebral palsy include motor control disorders, sensory abnormalities, and cognitive impairments. The speaker goes on to discuss hypertonia, which is defined as abnormally increased resistance to externally imposed movement about a joint. They explain the different types of cerebral palsy, such as spastic, dystonic, and mixed, and discuss the deformities commonly seen in cerebral palsy patients, such as internal rotation of the shoulder, flexed elbows, pronated forearms, and flexed fingers and thumb. The speaker also describes the House Classification system used to assess functional capacity in cerebral palsy patients. They discuss non-surgical treatment options, such as intensive therapy and Botox injections, as well as surgical options, including tendon transfers and joint fusions. The speaker emphasizes the importance of realistic expectations and a multidisciplinary approach when treating cerebral palsy patients.

Keywords

cerebral palsy

neurologic disorder

motor control disorders

hypertonia

deformities

treatment options