Management protocol in 2-7 year age group
2-7 year age group is the most active part of childhood. Normal children start walking at the age 15 month and gets full confidence in independent walking around 2 year. Most of the developmental milestone achieves between 2-7 year ages. Gait of children mature between 5- 6 year age. So it is very important to intervene therapeutically to get best outcome
Therapeutic modalities along with braces are used judiciously in this age group. Botulinum toxin is required to manage spasticity. Botulinum toxin is used in early age spastic children from 2 to 5 years of age. Its effect last for 3-4 months but the effect can be prolonged by the application of plaster & continuation of good therapy protocol. Oral drugs for control of abnormal movement are also being used in athetoid & dystonic cerebral palsy but less use is needed in spastic variety.