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.