The functional priorities of a person with CP are, in order of importance, communication, activities of daily living, mobility in the environment, and walking. Medical professionals must remember that the patient and family have only a certain amount of time and energy to devote to these priorities and to various aspects of treatment. Gross motor function in CP is related to the degree of involvement, which in turn is a manifestation of the site and severity of the central nervous system (C.N.S.) lesion. This primary injury to the C.N.S. produces positive features such as spasticity, hyper-reflexia and co-contraction, and negative features including weakness, loss of selective motor control, sensory deficits and poor balance. Clinicians have traditionally focused more on the positive features because it is possible to treat spasticity, but it is the negative features which determine when or if a child will walk. The secondary abnormalities are best characterised as growth...
Cerebral palsy treatment is long-term and requires medical care of several medical professionals such as pediatrician, pediatric neurologist, orthopedic surgeon, physical, occupational and developmental therapist, mental health specialist, social worker and teacher.