Acta Scientific Orthopaedics (ISSN: 2581-8635)

Editorial Volume 5 Issue 11

SEMLS in Young Children with Cerebral Palsy - need of Orthopedic Surgery Reviewed

Mythili Kasthurirengan*

Department of Physiotherapy, Recoup Neuromusculoskeletal Rehabilitation Centre, India

*Corresponding Author: Mythili Kasthurirengan, Department of Physiotherapy, Recoup Neuromusculoskeletal Rehabilitation Centre, India.

Received: September 26, 2022; Published: October 01, 2022


By definition cerebral palsy is an umbrella term for group of disorders that affect movement, muscle tone, posture and coordination, caused by hypoxic injury to be developing brain [1]. Though it is a non-progressive neurological condition the effect of the condition varies according to the area of the brain affected and changing motor impairment syndromes based on development of brain [2]. It is the leading cause of motor and postural deformities in children. The primary motor disorders in children with CP are muscle tone abnormalities which lead to impairments in posture, movement, decreased strength, loss of selective motor control, balance and coordination. The secondary musculoskeletal problems are muscle contractures and bony deformities like scoliosis, pelvic obliquity, windswept hip deformity, hip subluxation/dislocation, excessive femoral anteversion, tibial torsion and ankle equinus which develop progressively in response to the primary deficits and causes further motor dysfunction and the need for orthopaedic surgery [3,4].


  2. Bari MM., et al. “Deformities of Cerebral Palsy Treated by Ilizarov Technique”. MOJ Orthopedics and Rheumatology 1 (2016): 00121.
  3. AS Papavasiliou. “Management of motor problems in cerebral palsy: a critical update for the clinician”. European Journal of Paediatric Neurology (2009).
  4. Haruhiko SATO. “Postural deformity in children with cerebral palsy: Why it occurs and how is it managed”. Indian Journal of Physical Therapy and Research 1 (2020): 8-14.
  5. Nahm NJ., et al. “Single-event multilevel surgery in cerebral palsy: value added by a co-surgeon”. Medicine 100 (2021): 24 (e26294).
  6. Andrew Jea., et al. “Single-Event Multilevel Surgery: Contender or Pretender”. Pediatrics4 (2019): e20190102.
  7. Deepak sharan. “Orthopedic surgery in cerebral palsy: Instructional course lecture”. Indian Journal of Orthopaedics 3 (2017): 240-255.
  9. Deepak Sharan. “Neuromusculoskeletal rehabilitation of cerebral palsy using SEMLARASS”. Cerebral palsy challenges for the future.
  10. Olfa Solovyova. “Acetabular remodeling after a varus derotational osteotomy in children with cerebral palsy”. Journal of Pediatric Orthopaedics 2 (2016): 198-204.
  11. David M Walton., et al. “Proximal tibial derotation osteotomy for torsion of tibia: a revuew of 43 cases”. Journal of Children's Orthopaedics1 (2012): 81-85.


Citation: Mythili Kasthurirengan. “SEMLS in Young Children with Cerebral Palsy - need of Orthopedic Surgery Reviewed".Acta Scientific Orthopaedics 5.11 (2022): 01-02.


Copyright: © 2022 Mythili Kasthurirengan. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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