Teen Client with Cerebral Palsy

by Anthony Carey |   Date Released : 22 Jul 2006
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Anthony Carey

About the author: Anthony Carey

Anthony Carey M.A., CSCS, MES is PFP Magazine’s 2009 Personal Trainer of the Year and owner of Function First in San Diego, California and an international presenter on biomechanics, corrective exercise, functional anatomy and motor control and their relationships to pain and function. Anthony has developed the Pain Free Movement Specialist certification and is the inventor of the Core-Tex®.

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Comments (2)

Carey, Anthony | 05 Mar 2013, 01:13 AM

Hi. Secondary movement compensations are those that occur in response to the spasticity. For example, if the client is fixed in plantar flexion, you will notice to take a forward step on that leg he/she will elevate (hike) the pelvis on the same side for toe clearance. This creates change at the trunk that is secondary to the plantar flexion.

We may need to accept the fact that the changes to the tissue and joints effects directly by the neurological disorder will be slow and small. We may have more success instead, if we minimize some of the overall disruption to the body by focusing on the secondary changes.

We know the body needs these compensations to an extent, but quite often the compensation will exceed what is necessary.

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simon, brenda | 27 Feb 2013, 00:00 AM

Help. what do you mean by secondary movement compensations? and how does one address them?

thanks,

I have a new 21 year old client with cerebral palsy

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