Evidence brief
Gait Analysis in Cerebral Palsy
3D gait analysis guides surgical planning
Single-event multilevel surgery (SEMLS) approach
GMFCS classification predicts motor function
Spasticity management: botulinum toxin, SDR, ITB
Comprehensive approach improves outcomes
Instrumented gait analysis enables rational surgical planning in CP, leading to the single-event multilevel surgery approach that reduces total surgical burden.
Know GMFCS levels I-V. Gait patterns: crouch, stiff knee, jump knee, true equinus. Lever arm dysfunction concept. SEMLS: address all issues in one surgery. Treatment options: physiotherapy, orthotics, botulinum toxin, SDR, soft tissue surgery, bony procedures. Discuss goals and family expectations.
Gage JR. Gait Analysis in Cerebral Palsy. London: Mac Keith Press; 1991.
Level V
Expert opinion or mechanism-based reasoning