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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.
Foreword
Acknowledgements
What We Think and Why We Think It: Our Clinical Model of Cerebral Palsy
A Made-Up Story About Data, Knowledge, and Clinical Judgement
The Musculoskeletal System: Not Just a Structure but a Process
Musculoskeletal System Development: Typical and Altered Trajectories
Evidence-Based Medicine and Cerebral Palsy
What Does All This Mean?
Conclusion: Putting it Into Practice
Back Cover