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• The Child, The Parent and the Goal
• Prematurity
• Congenital malformation
• Infections
• Congenital Metabolic
• In utero Stroke
• Problem during delivery
• Post natal encephalopathy
• Over-view of the past 50 Years
• American experience
• European Experience
• Asian experience
• African experience
• Physical pathology
• Current Imaging -PET
• Muscle changes at the cellular level
• Gross Anatomic Muscle changes in CP
• Neuro-motor junction changes
• Bone Alterations in CP
• Over view of when and how to evaluate
• Who should get Imaging
• Indications for metabolic work up
• Indications for full genetic work up
• Prognosis assessment - role of PE -Pathologic Reflexes
• Classification Terminology
• Over view of Normal Natural history
• The Irritable Child with CP
• Pain in The Non-communicative Patient
• Post-operative Pain Management
• Seizures - Diagnosis, Natural History
• Seizures - Medical Management
• Seizures - Ketogenic Diet - Indication and Description
• Seizures - Role of VNS
• Seizures - Role of Surgical Removal
• Seizure Surgery - Workup and technique Description
• Pseudo-seizures - Diagnosis and Treatment
• Hydrocephalus Diagnosis and treatment indications
• Shunting for Hydrocephalus
• Surgical Ventriculostomy for Hydrocephalus
• Attention Deficient associated with CP
• Autism and CP as Comorbidities
• Family Stress Secondary to Disability
• Impact on Siblings
• Depression associated with CP
• Mood disorders (Bipolar and CP)
• Thought disorder and CP
• Overview and natural of feeding issues with growth and development
• Aspiration - risks, work up, when is it a problem
• Gastrostomy feeding - when indicated
• Tracheostomy or diversion - When indicated and how done
• Weight and growth in the child with CP
• Feeding Therapy - Indications how long
• GE reflux - Work up and medical Management
• GE Reflux - Work up and Surgical Management
• Poor Intestinal Motility
• Constipation - Implications long term and treatment
• Toilet training and bladder control
• Neurogenic Bladder
• Renal stones - risks, prevention and management
• Undescended Testicles
• Drooling - diagnosis, measurement and medical management
• Drooling - management with local injections - Botulinum
• Drooling - Surgical treatment options and outcomes
• Hearing Evaluation - When and How
• Cochlear Implant Indication and role in CP
• Upper Airway Obstruction - Indication for adenoid and tonsillectomy
• Bronchopulmonary Dysplasia - Natural History, etiology and outcome
• Bronchopulmonary Dysplasia - Medical management
• Reactive airways - Chronic aspiration
• Airway obstruction - Work up and medical management
• Airway obstruction - Indication and options for surgical management
• Pitutary-hypohoseal dysfunction
• Adrenal insufficency
• Short Stature - Work up and treatment indications
• Pillow angel treatment - indication ethics approach
• Glucose intolerance due to intramuscular fat
• Premature or Delayed Sexual Maturation
• Testing Sight - how when and the outcome
• Strabismus
• Cortical blindness
• Routine hygiene, When and how for child with CP
• Dental Caries - When to treat, how often to check outcome
• Gum Hypertrophy - etiology, and management and outcome
• Malignments - when to treat and expected outcome
• Bruxism - Management and long term outcome
• Lip biting - Management and long term outcome
• Neurologic Control of the Muscluosketal System
• Muscle tone - Spasticity - Assessment
• Movement disorders - Description and assessment
• Medical Management of Spasticity
• Medical Management of Movement disorders
• Local treatment - Botulinum, Phenol, Neurectomy
• Inthrathecal Baclofen Therapy
• Dorsal Rhizotomy
• Deep Brain Stimulation
• Ataxia - Disorder of Balance, Description and Assessment
• Assessing dynamic Balance
• Normal Gait
• Overview and Natural history of CP Gait
• Use of Diagnostic Gait Analysis to Guide Treatment
• Using Gait Analysis as an Outcome Assessment
• Managing Hemiplegic Gait
• Diplegic Gait
• Torsional Malignments
• Stance phase - Crouch and Back Kneeing
• Swing Phase - Toe drag
• Gait with Movement Disorders
• Gait in Ataxia
• Complications of Gait Management and Gait Analysis
• Overview of Natural History and Outcome
• Assessment of the Upper Extremity for Diagnostic Assessment
• Assessment of the Upper Extremity for Outcome Evaluation
• Tone Management - Botulinum, Neurectomy, Rhizotomy
• Single Event Multi-level Surgery Approach
• Shoulder
• Elbow
• Forearm and Wrist
• Thumb
• Fingers
• Overview and Natural History
• Non-operative Management of CP scoliosis
• Surgical Planning - Medical Evaluation Pre-op
• Role and Response to Spinal Cord Monitoring
• Anesthesia for CP Spinal Fusion
• Surgical Management of Scoliosis (operative Procedure)
• Surgical Management of Kyphosis and Lordosis
• Post-operative Management
• Managing Early Onset Scoliosis in CP
• Managing Complications related to Spinal Fusion
• Cervical Spinal Problems in CP
• Lumbar Spondolethesis
• Ambulatory child CP and Scoliosis
• Scoliosis and Hip dislocation - Management considerations
• Summary Overview
• Etiology and Natural History
• Screening and Surveillance
• Prophalactic Treatment
• Reconstruction of Common Posterior Lateral Displacement
• Reconstruction of the Atypical- Anterior or Inferior Displacement
• Palliative or Salvage Treatment
• Complications of CP hip Management
• Summary of Knee problems
• Patella-femoral instability
• Apophositis and stress fractures
• Rotatory or torsion Instability
• Fixed knee flexion Contracture
• Hyper-extension knee deformity
• Knee extension Contracture and Stiff Knee Gait
• Tibial Torsion and Bowing
• Over view of the FOOT in CP
• Natural History of Foot posture in Children with CP
• Equinus
• Ankle Varus and Valgus
• Planovalgus
• Varus
• Calcaneovalgus
• Hallux
• Claw toes, Over Lap, and Crossing Toes
• Toe Nail Problems
• Complications of Managing Foot Problems
• Over view and history of therapy for CP
• Early Intervention - techniques and outcome
• Habilation therapy - in middle childhood - role and outcome
• Short High Intensity VS Long-term Low frequency
• Rehabilitation Therapy -(Post op) Frequency and Approach
• Role of Therapy in Teenagers to prevent function loss
• Educational Therapy - Technique outcome, how not medical therapy
• Therapy Theories - NDT ECT outcome expectations
• Hydrotherapy
• Strength Training
• Cardiovascular Endurance training
• Hippotherapy
• Robotic training, Suspended Treadmill training
• Over view theories and expectations
• Early intervention expectations and outcome
• UE Habilation techniques - Outcomes
• Constrained use - Enforced use Therapy Techniques and expected outcome
• UE splinting VS use encouragement
• Evaluation for Driver Training and adaptations
• Over view of ST and expect outcome
• Feeding Therapy Indications, techniques, outcome
• Speech therapy, When techniques and expected outcome
• Augmentative communication, When and expected outcome how to evaluate
• Training oral control for Drooling - Techniques and outcome
• Overview of the wide range
• Swimming with Dolphins
• Hyperbaric Oxygen
• Acupuncture
• Pressure suits and vests
• Elastic Space suits
• Votja Technique
• Standers - Which, when how long, who and what is the benefit
• Reclining - Side Lyers, wedges, beds - Benefit for who and when
• Gait trainers - Who when how long - Benefit
• Walkers - WHO WHEN how long and what is the benefit
• Crutches, and canes and sticks
• UE - Self feeders - WHO W WH outcome
• General Over view of issues to be considered
• Wheel chair VS stroller - difference and why and when and outcome
• Power Wheel chair - WHEN WHO outcome
• Early power wheeled toy mobility - Benefit outcome
• Consideration of the appropriate WHEEL chair for permanent use
• One arm drive chair for who and when
• General Overview when indicated benefits and risks
• Control Foot posture - Arch supports, UCBL and SMO
• Ankle control
• Knee control options
• Hip control
• UE orthotics.

This new edition will grow to three volumes and significantly expand existing sections on medical management of children with cerebral palsy, research, education and therapies. The first volume will cover the cause of CP, the underlying pathology in the brain and the secondary pathologies in different tissues, such as muscle and bone. There are a fair number of controversies and new techniques, such as PET scans, that are getter attention to make earlier diagnosis. It is still not clear whether early diagnosis makes a long term difference. Epidemiology will also be discussed. The second volume will focus on general medical concerns related to CP on each of the medical specialties and the musculoskeletal section - which served as the main focus of the previous edition. This volume will be updated with an emphasis on gait disorders, spasticity, seizures and movement disorders. New research and techniques on the hip and spine areas will be added as well. The third and final volume will be an expanded and comprehensive resource on therapies. More detail on the latest outcome research and techniques will be provided along with sections on orthotics and novel treatments and techniques. This reference work will build on gaps within the first edition and continue to be the definitive guide for rehabilitation physicians, orthopedics, neurologists and therapists who treat children with CP.

• Details pathology and impact on the musculoskeletal system
• Covers research, therapy and patient management techniques
• Explores medical management of children with the disability

• Freeman Miller, MD. Co-Director Cerebral Palsy Program.. AI DuPont Hospital for Children. Wilmington, DE
• Steven Bachrach, MD. Co-Director Cerebral Palsy Program. AI DuPont Hospital for Children. Wilmington, DE
• Nancy Lennon, PT. Cerebral Palsy Program Manager. AI DuPont Hospital for Children. Wilmington, DE
• Margaret E. O'Neil, PT, PhD, MPH. Professor Columbia University Medical Center. Department of Rehabilitation and Regenerative Medcine. Programs in Physical Therapy. New York, NY
• Dr. Freeman Miller is a pediatric orthopedic surgeon with special expertise in neuro-orthopedics. He’s past president of North American Society of Gait & Clinical Movement Analysis; past editor-in-chief, Gait and Posture; guest lecturer at hundreds of national and international events; and author of 145 articles in peer-reviewed journals.

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