The Musculoskeletal System in Children with Cerebral Palsy: A Philosophical Approach to Management

This book advocates a new approach to the clinical management of the  musculoskeletal system in children with cerebral palsy based on the  concept of intervention to a complex adaptive system with the aim of  improving the lived experience of the child with cerebral palsy.
Provides  a critical review of the current understanding and management of  musculoskeletal deformity in children with CP, in the context of the  available evidence base and models of clinical practice.Transfers  current understanding of muscle and bone physiology and impairment, from  the realms of research into mainstream clinical thinkingDiscusses an  alternative clinical model of assessment and intervention, focusing on  impairment of muscle growth and functionConsiders the musculoskeletal  system in a child with cerebral palsy as a linked system of interactive  processes and subsystems, extending from individual molecules to the  child and their environment.
The concepts discussed regarding  clinical knowledge, evidence, causation, and complex adaptive systems  are relevant to the clinician, child, and family, and the possibility of  new models and new therapeutic approaches offer exciting future  opportunities to improve the child’s interaction with, and experience  of, the world of which they are a part.