title: [Bilateral spastic paresis without the ability to walk].
abstract: BACKGROUND
  Developmental disorders and severe damage to major parts of the brain cause loss of motor, sensor, cognitive and mental function. These disorders cannot be medically treated in a sufficiently curative manner and are likely to develop into severe disability in children and adults.
  
  
  METHODS
  Medical nursing care and treatment aims to achieve the best possible quality of life by a lack of pain, ability to communicate, autonomy, and activities of daily life. As part of the team neuro-orthopedic surgeons have to analyze the orthostatic effects of motor functional disorders in order to set up a treatment plan that includes preventive and palliative treatment options by movement therapy, orthotic, medicinal, and surgical interventions.
  
  
  CONCLUSIONS
  Pain and severe progressive deformities, such as contracture of extremity joints, hip dislocation, and spinal deformity must be prevented as far as possible. Activities of daily life should be enhanced by balancing and promoting muscle power and stabilizing weak and unstable parts of the body when possible.
authors.affiliation: Klinik für Kinder-, Jugend- und Neuroorthopädie, Krankenhaus Rummelsberg, 90592, Schwarzenbruck, Deutschland, walter.strobl@sana.de.
authors.forename: W M
authors.initials: WM
authors.lastname: Strobl
authors.forename: A
authors.initials: A
authors.lastname: Krebs
mesh_terms: D001696:Biomechanical Phenomena / Q000502:physiology; D002547:Cerebral Palsy / Q000503:physiopathology* / Q000601:surgery*; D002648:Child; D003131:Combined Modality Therapy; D003299:Cooperative Behavior; D004185:Disability Evaluation; D006801:Humans; D033183:Interdisciplinary Communication; D053580:Muscle Strength / Q000502:physiology; D009129:Muscle Tonus / Q000502:physiology; D019637:Orthopedic Procedures; D004856:Postural Balance / Q000502:physiology; D016059:Range of Motion, Articular / Q000502:physiology; D016138:Walking / Q000502:physiology*