The Musculoskeletal System in Children with Cerebral Palsy: A Philosophical Approach to Management : 1st Edition

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 thinking Discusses an alternative clinical model of assessment and intervention, focusing on impairment of muscle growth and function Considers 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.

Do we need a paradigm shift in our approach to the assessment and management of the musculoskeletal system in children with cerebral palsy? This book encourages clinicians to reflect on how their thoughts and approaches are shaped by the clinical society. Using new perspectives and expertise, this book will inspire clinicians to rethink conventions about the child with cerebral palsy, consider how they communicate these new concepts to their fellow clinicians, and act to bring about positive changes in the management of children with cerebral palsy.Provides a critical review of the current understanding and management of musculoskeletal deformity in children with cerebral palsy.Transfers current understanding of muscle and bone physiology and function, from the realms of research into mainstream clinical thinking.Advocates for an alternative clinical model of assessment and intervention, focusing on the experience of the child with cerebral palsy and their experience of the world.Proposes the concept of the musculoskeletal system in the child with cerebral palsy as a linked system of interactive processes and subsystems, extending from individual molecules to the child and their environment.Readership A critical resource for clinicians and researchers involved in the care of children with cerebral palsy including Neurologists, Physical Therapists, Orthopaedic surgeons and Neurosurgeons, as well as researchers and clinicians in the philosophy of medicine.

Do we need a paradigm shift in our approach to the assessment and management of the musculoskeletal system in children with cerebral palsy? This book encourages clinicians to reflect on how their thoughts and approaches are shaped by the clinical society. Using new perspectives and expertise, this book will inspire clinicians to rethink conventions about the child with cerebral palsy, consider how they communicate these new concepts to their fellow clinicians, and act to bring about positive changes in the management of children with cerebral palsy. Provides a critical review of the current understanding and management of musculoskeletal deformity in children with cerebral palsy. Transfers current understanding of muscle and bone physiology and function, from the realms of research into mainstream clinical thinking. Advocates for an alternative clinical model of assessment and intervention, focusing on the experience of the child with cerebral palsy and their experience of the world. Proposes the concept of the musculoskeletal system in the child with cerebral palsy as a linked system of interactive processes and subsystems, extending from individual molecules to the child and their environment. Front Cover Title Page Copyright Contents Foreword Preface Acknowledgements CHAPTER 1: What We Think and Why We Think It: Our Clinical Model of Cerebral Palsy CHAPTER 2: A Made-Up Story About Data, Knowledge, and Clinical Judgement CHAPTER 3: The Musculoskeletal System: Not Just a Structure but a Process CHAPTER 4: Musculoskeletal System Development: Typical and Altered Trajectories CHAPTER 5: Evidence-Based Medicine and Cerebral Palsy CHAPTER 6: What Does All This Mean? Conclusion: Putting it Into Practice References Index Back Cover