Crouching is a very common presentation in diplegic spastic cerebral palsy. Initially, most of the children affected with cerebral palsy start walking on the tip of their toes but with time, their gait pattern may change into crouch gait. Crouch gait develops because of multiple factors like overstretched gastrocsoleus, tight knee flexor, planovalgus feet & ext tibial torsion.
Crouching should be prevented by good therapy and judicious use of a brace, hamstring spasticity by botulinum toxin but fixed contracture & torsion can only be managed by surgical intervention. Post-surgical therapy & proper brace should be continued for a long duration to prevent recurrence and increase in deformity.
👉About Dr Jitendra Kumar Jain
Dr Jitendra Kumar Jain, MS Ortho (PGI Chandigarh) & DNB Ortho is a Senior Paediatric Orthopaedic Surgeon & Chairman of Trishla Foundation, India.
With a rich experience of 20 years in managing children with orthopedic problems, cerebral palsy & congenital limb deficiency, Dr. Jitendra Kumar Jain has successfully treated more than 1 Lac child with Cerebral Palsy & orthopedic problems across the globe. He is also a respected member of various Government & non-government organizations, and his expertise is sought by cerebral palsy children from every state of India & 20 countries.
👉About Dr. Varidmala Jain
Dr. Varidmala Jain, MBBS & MD (Community Medicine), PhD (Public Health), is the Secretary of the Trishla Foundation. She has 15 years of experience counseling and guiding parents of children with Cerebral Palsy and has 23 research publications in state and national journals. She has also been the ex-program coordinator of the MPH program at the Faculty of Health Sciences, SHIATS, for 13 years.
👉About Trishla Foundation
Trishla Foundation, a leading non-profit non-governmental organization, is dedicated to the well-being of children with cerebral palsy. It offers various services, including diagnosis, guidance, awareness campaigns, research, and rehabilitation services to families of children with cerebral palsy. These services, which encompass therapy, bracing, and surgical intervention, are provided at affordable fees making them accessible to all.
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