Download - Mr P Henman
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Surgical Treatment
Are we doing the right thing?
What should we do next?
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A European Register
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Motor Cortex Joint movement
Motor pathways
Basal gangliaSpinal cord Peripheral
nerveNeuromuscular junction
Muscle
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Motor Cortex Joint contracture
Motor pathways
Basal gangliaSpinal cord Peripheral
nerveNeuromuscular junction
Muscle
Damage
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Motor Cortex Joint contracture
Motor pathways
Basal gangliaSpinal cord Peripheral
nerveNeuromuscular junction
Muscle
DamageOrthopaedic Intervention
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Preserving Strength
• Avoid surgical tendon and muscle lengthening
• Care with botulinum toxin
• ‘Dynamic’ use of orthoses
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Preserving Strength
• Guided Growth
• Closed joint deformity correction
• Neurological manipulation
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Motor Cortex Joint contracture
Motor pathways
Basal gangliaSpinal cord Peripheral
nerveNeuromuscular junction
Muscle
DamageOrthopaedic Intervention
Peripheral nerve Stimulation
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Motor Cortex Joint contracture
Motor pathways
Basal gangliaSpinal cord Peripheral
nerveNeuromuscular junction
Muscle
DamageOrthopaedic Intervention
medication Peripheral nerve Stimulation
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Standards
• Have a reason for an intervention
• See if it worked
• Record the result
• Let everyone else know
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Cerebral Palsy Register