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Journal of Current Pediatric Research | Volume: 23
March 14-15, 2019 | London, UK
International Conference on
Pediatrics & Neonatal Healthcare
C
erebral palsy (CP) arises due to an injury in the immature
brain, and even in patients in whom the disorder is
nonprogressive the resulting disability is lifelong. During the
growth of a child with CP deformities get worse, and lead to
decreased function and ability to perform daily life activities,
depending on orthopedic and general management program
implemented. International guidelines for early diagnosis
and intervention for cerebral palsy were published in 2017.
They state that early recognition of CP should occur as
early as possible leading to provide diagnostic-specific early
intervention and surveillance to optimize neuroplasticity
and prevent complications, as well as to provide parents
the available support. Orthopedics and CP rehabilitation has
changed significantly over the past 10 years. It is a common
ground that long term best results come from individualized
and multidisciplinary approach. Physiotherapy has shifted
towards approaches that emphasize goal-oriented activity-
based therapy, and intensive task training creating an
optimal environment for motor learning. It is a recent
concept that low muscle strength, and not spasticity, causes
the greatest limitations in motor function in children with
CP2, and this has shifted focus from spasticity management
towards active, intensive and task specific training for these
children. During the past twenty years, increasing emphasis
has been placed on correction of soft tissue contractures and
bony deformities in a single event multilevel surgery (SEMS),
which has become the standard of care in CP management
despite difficulties of make its results objectively measurable
3,4. One of the most important aspect of successful SEMS is
to custom made the surgical technique and choosing right
surgical dose according to patient’s functional level. Author’s
surgical rational and multidisciplinary experience will be
exposed in this oral presentation.
e:
joseperezneo@gmail.comComprehensive multidisciplinary approach for children with Cerebral Palsy – Together we can make a
change
Simone Battibugli
The Children’s Medical Centre, UAE
Curr Pediatr Res, Volume 23
DOI: 10.4066/0971-9032-C1-012