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What's New in the Management of Foot Deformities in Children With Cerebral Palsy
John A Heydemann1, Oussama Abousamra, Jeanne M Franzone
1Department of Orthopaedics, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE.
Insights
Recent advances in managing foot deformities in children with cerebral palsy (CP) show significant improvements in gait assessment, conservative treatments, and surgical correction for better orthopaedic care.
Area of Science:
- Orthopaedics
- Paediatric Neurology
- Rehabilitation Medicine
Background:
- Foot deformities are common in children with cerebral palsy (CP).
- Recent advancements offer improved diagnostic and treatment options for CP management.
- Effective management aims to enhance the quality of life for affected children.
Purpose of the Study:
- To review recent advances in the diagnosis and management of foot deformities in children with cerebral palsy.
- To summarize new findings in clinical evaluation, gait analysis, orthotic management, botulinum toxin A therapy, and surgical interventions.
- To highlight progress in achieving better orthopaedic care and optimizing functional outcomes.
Main Methods:
- A comprehensive literature search of English-language articles published between January 2013 and March 2016.
- Inclusion of older relevant articles for original descriptions or developmental context.
- Literature review methodology (Level IV evidence).
Main Results:
- The review synthesized findings from 46 recent articles and abstracts.
- New developments were identified across clinical and gait evaluation, orthotic management, botulinum toxin A treatment, and surgical correction.
- Significant progress has been made in understanding and treating foot deformities in CP.
Conclusions:
- Foot deformity assessment is crucial in evaluating children with CP.
- Substantial advances in gait assessment, conservative management, and surgical correction have been achieved.
- Ongoing research and treatment innovations promise enhanced orthopaedic care and functional potential for children with CP.
Background:
Foot deformities have been frequently reported in cerebral palsy (CP), and numerous diagnostic modalities and treatment options have recently been developed to achieve a better level of management for children with CP.
Methods:
A thorough search of the English literature, published between January 2013 and March 2016, was performed. A summary of the new findings that had not previously described was reported. The review included recent advances regarding clinical and gait evaluation, orthotic management, botulinum toxin A treatment, and surgical correction.
Results:
The review summarized new findings reported in 46 articles and abstracts that were published between January 2013 and March 2016. Older articles were included and cited when an original description was mentioned, or when a change or development of some findings was discussed.
Conclusions:
Foot deformity forms an essential part of evaluating children with CP. Dramatic advances have been achieved in gait assessment, conservative management, and surgical correction. Promising results have been reported with the goal to reach a higher level of orthopaedic care and optimize the functional potentials for children with CP.
Level Of Evidence:
Level IV-literature review.
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