Module 43, General Medical Level

A six year old female followed for spastic quadriplegic cerebral palsy presented with increasing difficulty with ambulation secondary to bilateral hamstring tightness and progressive planovalgus deformity of the feet. Examination revealed a small thin six year-old female with severe bilateral planovalgus deformity. While walking, the bilateral planovalgus deformity causes her to bear weight on her medial midfoot.

Question 43A

Flat feet is another term for planovalgus deformity.

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Question 43B

Children with cerebral palsy often have flat feet and therefore it is normal and should not be of concern to the parents. Walking problems are due to the cerebral palsy.

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Question 43C

A common treatment for foot problems in children with cerebral palsy is using foot orthotics.

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Question 43D

If foot orthotics are to be considered, these can be ordered from a catalogue by a physical therapist.

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Question 43E

It is common to expect increased difficulty walking in a six year old child with cerebral palsy.

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