crouch gait

Background

Definition

 

CP is a permanent disorder of movement and posture 

- non-progressive 

- brain injury before the age of two years

 

Strict definition excludes familial & progressive congenital problems & those acquired in childhood as a result of head injuries

 

Incidence

 

2-3 per 1000 live births

 

Higher in 

CP Knee Foot Ankle

Principles

 

Foot

 

A little equinus is better than calcaneus

A little valgus is better than varus

A little varus is better than severe valgus

TA lengthening is most over used operation in CP

 

Knee

 

A little knee flexion is better than recurvatum

 

Knees

 

Problems

 

Tight hamstrings 

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