GMFCS 1 & 2
Management based on GMFCS scores
Problem: Children with GMFCS level 1 are fully independent but in GMFCS level 2 need same support during outdoor activity.
Management Protocol: In these stages our aim of management is to correct all the deformity / muscular imbalance with fine tuning of muscle tone balance so that their gait efficiency can improve up-to maximal as much as possible. In early age they need good exercise, brace +_ botulinum toxin but in late age they may need surgical intervention. With good evaluation and planning they can be given good quality of ambulation.