Cerebral Palsy maybe/maybe not

This is the basis of our two main ambulatory treatment groups.

In group 1, the dynamic group, both surgery and bracing seek making and keeping the movemengt transition points fluid and not destructive of momentum and energy. A walk has dd/dt as a straight line. In group 2, stability seeking, both surgery and bracing are aimed at allowing stable stance (even some comforting back knee if not slamming), but not so stable as to require a complex unlocking in order to take the next step. Trial & error with shims in the shoe heels is a simple way to determine how much stability is too much. We don’t want a collapsing leg.

Made with FlippingBook flipbook maker