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Table 2 Considerations before recommending interdisciplinary interventions. To facilitate an objective recommendation for treatment selection, we created a list of the most common underlying neuro-musculoskeletal impairments of the primary movement features found in IGA. The table describes the primary segment of movement feature (column 1), underlying neuro-musculoskeletal impairment (column 2–3) and the interdisciplinary interventions under consideration (column 4–7)

From: The use of instrumented gait analysis for individually tailored interdisciplinary interventions in children with cerebral palsy: a randomised controlled trial protocol

Primary segment of movement feature

and underlying neuro-musculoskeletal impairment

Interdisciplinary interventions under consideration

Orthopaedic surgery

Spasticity management

Physical therapy

Orthotics

Pelvic

 

Altered range of movement in anterior/posterior tilt, caused by impairments in:

  

Body structures

x

   
  

Muscle tone function

 

x

  
  

Muscle power or endurance function

  

x

 
 

Altered range of movement in pelvic obliquity, caused by impairments in:

  

Body structures (Limb length discrepancies)

x

  

x

 

Compensation for reduced control of movements

  

x

 

Hip

 

Altered range of movement in flexion/extension, caused by impairments in:

  

Body structures

x

 

x

 
  

Muscle tone function

 

x

  
  

Muscle power or endurance function

  

x

x

 

Altered range of movement in abduction/adduction, caused by impairments in:

  

Body structures

x

 

x

 
  

Muscle tone function

 

x

  
  

Muscle power or endurance function

  

x

x

 

Altered range of movement in rotation, caused by impairments in:

  

Body structures

x

   
  

Muscle tone function

 

x

  
  

Muscle power or endurance function

  

x

x

 

Compensation for reduced control of movements

  

x

 

Knee

 

Altered range of movement in flexion/extension, caused by impairments in:

  

Body structures

x

 

x

 
  

Muscle tone function

 

x

  
  

Muscle power or endurance function

  

x

x

 

Compensation for reduced control of movements

  

x

x

Ankle and foot progression

 

Altered range of movement in dorsi- or plantarflexion, caused by impairments in:

  

Body structures

x

 

x

x

  

Muscle tone function

 

x

  
  

Muscle power or endurance function

  

x

x

 

Altered range of movement in foot progression, caused by impairments in:

  

Body structures and/or function

(Tibial torsion, Planovalgus, Equinovarus))

x

  

x

 

Compensation for reduced control of movements

  

x

x