Summary:
Indication for surgery in patients with infantile cerebral palsy depends in addition to the orthopaedic
finding on other aspects. One of the important factors, which must be accepted, is the law of motor
development, which ensues from the controlling processes of the CNS (3, 4). In this context we
divide the children into locomotion stages and assess the retardation quotient. The latter is the ratio
between developmental and calendar age. This enables us to assess the locomotion prognosis and
to control the motor development in patients with infantile cerebral palsy. Another orientational
element, which follows up the motor development, is examination of the ability of locomotor
differentiation and primitive reflexology. Assessment of the motor level is projected into selection of
the age suitable for surgery, selection of the type of operation in relation to its purpose, assessment
of postoperative rehabilitation procedures, and it makes better prediction of the motor consequences
of the surgical operation possible.
Key words:
infantile cerebral palsy, motor development, locomotion stages, retardation
quotient
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