Dr. Vinod Dubey

  • Kandivali | Malad | Mira Bhayandar | Thane
  • +91 8108127022 / 6358854077 / 8369338859
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Cerebral Palsy & Gait disorders

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What are cerebral palsy gait disorders?

Children with cerebral palsy may have a number of bone, joint and muscle problems that affect their walking (gait).

  • Spasticity or contractures of muscles can cause the the lower limb to flex at the hip knee and ankle which can cause difficulty or increased energy requirement of walking.
  • Internal rotation of the thigh bone, external rotation of the lower legs, and severe flat feet combine to limit the “push-off” ability to move forward, making walking slow.
  • When the muscles are too strong on one side and too weak on the other side, the muscle imbalance can result in gait abnormalities or dysfunction.

Testing and diagnosis

Before the medical team decides on a surgical treatment for your child with a gait disorder, he will undergo a gait analysis. Gait analysis allows our surgeons to treat your child with more precision, and makes it possible to address all of your child’s gait problems at once.

Most children with cerebral palsy with gait disorders have issues which need to be addressed either with surgery, bracing or medications at multiple levels. We design surgeries to correct as many bony and soft tissue deformities as possible during a single trip to the operating room.

In the case of children with involvement of both legs, this involves the use of two surgical teams, allowing for a more comprehensive approach to treatment. After the one surgical event, your child will only require one course of rehabilitation, rather than multiple surgical episodes and multiple courses of rehabilitation and recovery.

Surgical options

Muscle lengthening procedures

Muscle lengthening procedures may be performed surgically to improve joint motion and gait, and to prevent deformities. Lengthening procedures can also be used to decrease the need for bony surgery in younger children, and reduce tone on a more permanent basis than botulinum toxin.

Tendon transfers

Tendon transfers allow muscles to be partially transferred to a different location in the joint, which can balance the forces across a joint in a better way.

Bony reconstruction

Bony reconstruction allows for direct restoration of anatomic position of joints, or relief of rotational abnormalities which result in brace intolerance.

Joint fusion

In cases where the deformity is too severe to be managed with simple realignment, fusion can provide a durable option to provide long term support of a child’s skeleton.

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FAQ'S

What is the basic knowledge of cardiology?

Cardiology is the medical specialty that deals with the diagnosis and treatment of diseases related to the heart and blood vessels. Basic knowledge of cardiology includes understanding the anatomy and function of the heart, the various cardiovascular diseases, risk factors for heart disease, diagnostic techniques such as electrocardiograms (ECGs) and echocardiograms, treatment options including medications, interventions, and surgeries, and preventive measures to maintain heart health.

What are some good questions to ask a cardiologist?
  • What lifestyle changes can I make to improve my heart health?
  • What are the risk factors for heart disease, and how can I manage them?
  • What symptoms should I be aware of that might indicate a heart problem?
  • What diagnostic tests might be necessary to assess my heart health?
  • What are the treatment options available for my specific condition?
  • Are there any potential side effects or risks associated with the prescribed medications?
  • How often should I have follow-up appointments to monitor my heart health?
  • Are there any specific dietary recommendations I should follow?
  • Can you provide information on cardiac rehabilitation programs?
  • What steps can I take to prevent future heart problems?
What Type of Cardiologist Should You See for Specialized Heart Care?
  1. The type of cardiologist you should see for specialized heart care depends on your specific condition. Here are a few examples:
  • Interventional Cardiologist: Specializes in performing procedures such as angioplasty, stenting, and catheter-based treatments for coronary artery disease and other structural heart problems.
  • Electrophysiologist: Focuses on the diagnosis and treatment of heart rhythm disorders (arrhythmias) using techniques like electrophysiology studies and cardiac ablation.
  • Heart Failure/Cardiomyopathy Specialist: Specializes in managing heart failure and cardiomyopathy, including the use of advanced therapies like implantable devices or heart transplantation.
  • Adult Congenital Heart Disease Specialist: Deals with the diagnosis and treatment of heart conditions that were present since birth but persist into adulthood.
  • Cardiovascular Surgeon: Performs surgical procedures on the heart and blood vessels, such as coronary artery bypass grafting, heart valve repair or replacement, and heart transplantation.
What are the different types of heart disease?
  1. Coronary artery disease (CAD): This is the most common type of heart disease and occurs when the coronary arteries, which supply blood to the heart, become narrow or blocked due to a buildup of plaque.
  2. Heart failure: This refers to a condition where the heart is unable to pump enough blood to meet the body’s needs. It can result from various underlying causes such as CAD, high blood pressure, or heart valve disease.
  3. Arrhythmias: These are abnormal heart rhythms that can occur due to electrical disturbances in the heart. They can cause the heart to beat too fast, too slow, or irregularly.
  4. Heart valve disease: This condition occurs when one or more of the heart valves do not function properly. It can involve valve stenosis (narrowing) or valve regurgitation (leakage).
  5. Cardiomyopathy: This refers to diseases of the heart muscle, where the muscle becomes thick, rigid, or weak, affecting the heart’s ability to pump effectively.
  6. Congenital heart disease: This is a type of heart disease that is present at birth. It involves structural defects in the heart that affect its normal function.
  7. Pericardial disease: This involves inflammation or abnormalities of the pericardium, the sac-like membrane surrounding the heart.
What are the common symptoms of heart disease?
  1. Chest pain or discomfort (angina): This is a common symptom of coronary artery disease. It may feel like pressure, tightness, or a squeezing sensation in the chest.
  2. Shortness of breath: Difficulty breathing or feeling breathless, especially with exertion or when lying flat, can be a sign of heart disease.
  3. Fatigue: Feeling excessively tired or lacking energy, even with minimal physical activity, may be a symptom of heart disease.
  4. Heart palpitations: Sensations of a rapid, fluttering, or pounding heartbeat may occur with certain heart conditions.
  5. Dizziness or fainting: Feeling lightheaded, dizzy, or actually fainting can be a result of inadequate blood flow to the brain due to heart problems.
  6. Swelling: Fluid retention can cause swelling in the legs, ankles, feet, or abdomen.
  7. Rapid weight gain: Sudden and unexplained weight gain may be a sign of fluid buildup related to heart failure.

It is important to note that these symptoms can also be caused by other conditions, and some individuals with heart disease may not experience any symptoms until a more advanced stage. If you are experiencing any concerning symptoms, it is recommended to consult a healthcare professional for a proper evaluation.