Functional evolution of children cerebral infirm motors (IMC) walking outside the surgery multi-sites: About 47 cases.

OBJECTIVE: Orthopedic disorders of IMC walking children associated with other disorders of posture and movement get progressively worse with growth causing major deformations that can impede walking from the age of 2 years. The treatments implemented by physiotherapy, botulinum toxin and multi-site surgery significantly improve the functional prognosis of these children. The goal is to evaluate the fate of children who have not benefited from multi-site surgeries that have benefited from physiotherapy, stretching casts botulinum toxin and tenotomy on one or two sites.

PATIENTS AND METHODS: Retrospective studies 47 IMC patients aged between 2 and 14 years having a potential walk followed for a period of over 2 years. The evaluation was based on clinical data including an analytical review with custom specifications, radio review, analysis video, and temporal spatial parameters by Gaitrite. The treatments implemented by physiotherapy, botulinum toxin and multi-site surgery significantly improve the functional prognosis of these children. The goal is to evaluate the fate of children who have not benefited from multi-site surgeries that have benefited from physiotherapy, stretching casts botulinum toxin and tenotomy on one or two sites.

RESULTS: Fifteen patients who had a GILLETTE score from 6 to 7 and 8 obtained an autonomy walking and decreased spasticity. Twenty-one toxins muscles have passed from a score of 2 to 3 and 4 with an essentially internal market and a reduction spasticity. Eleven are tetraparetic children with a score of 2 to GILLETTE and in whom we have achieved a reduction of spasticity and pain which helped facilitate physical therapy. The treatments implemented by physiotherapy, botulinum toxin and multi-site surgery significantly improve the functional prognosis of these children. The goal is to evaluate the fate of children who have not benefited from multi-site surgeries that have benefited from physiotherapy, stretching casts botulinum toxin and tenotomy on one or two sites.

DISCUSSION/CONCLUSION: All means must be made to develop and improve independence and autonomy for IMC children; with growth and adolescent rehabilitation treatment may be insufficient, only the multi-site surgery can correct some architectural screw despite the constraints it has followed a demanding rehabilitation.