When Claire started walking, her parents noticed something wasn’t quite right. After taking her to see her regular pediatrician, Claire was referred to Shriners Children’s Northern California. Her pediatrician suspected she had cerebral palsy (CP).
“When the doctor told us Claire had cerebral palsy, I was shocked and terrified,” said Claire’s mom, Audra. “Up until then, she was a normally functioning 5-year-old who just kept injuring herself. I wasn’t sure what cerebral palsy was and if it was chronic, degenerative or even deadly. Just like all parents, I wanted my child to have a happy, full life, and anything that threatened that goal was so upsetting. There were questions running through my mind such as ‘Will she be able to run and play?’, ‘Will she need to wear braces for the rest of her life?’, ‘Will this get worse?’, ‘Is this a condition that will affect her mentally?’, ‘Will she be able to lead a ‘normal’ life?’ It was such a scary time!”
The cerebral palsy program at Shriners Children’s Northern California is nationally and internationally renowned for its advancements in research and care. The surgeons leading the medical team are highly-esteemed by their peers, recognized as some of the world's foremost specialists in the field. These physicians have pioneered the use of technology to significantly advance research and treatment for CP.
Cerebral palsy is a general term applied to many conditions that can result from a disturbance to the developing brain. CP affects muscle tone, movement and coordination. This can make it difficult for a child to control the movement of their body. Common activities like speaking, standing or sitting can be challenging. Some children may have associated health conditions related to cognition, speech, vision, hearing, breathing issues, or difficulty eating and swallowing.
Bracing New Territory
After physical medicine and rehabilitation physician Loren Davidson, M.D., assessed Claire’s walking, he concluded that she would benefit from serial casting and hard plastic braces to correct her gait. “Dr. Davidson was so good to her – and us,” said Audra.
When a joint is unable to extend or flex, one of the connected muscles may be too tight or too short. To assist in turning the joint in the correct direction, our orthopedic specialists may recommend serial casting. Because one of Claire’s feet turned inward, she greatly benefitted from this type of treatment, and has not had to have surgery on her foot because of it.
After casting, Claire moved on to wearing braces. Bracing is used to correct a condition, and in this case, provided support for Claire’s knee, ankle and foot. To get her casts and braces, Claire visited the Pediatric Orthotic and Prosthetic Services (POPS) department regularly. POPS designs, fits and manufactures orthotics and prosthetics for patients, and the team was able to design beautiful casts and braces for Claire. She recalls that she had ones that were pink with purple hearts, black for Halloween, tie-dye, and butterflies. You name it, they could do it. Having this personal touch to her care made something that was uncomfortable much more personal and fun.
“I love how patient-centered it is,” said Claire. “Everything is designed to be not scary at all.”
Thanks to the amazing work by Dr. Davidson, Dr. Davids and the POPs team, Claire’s gait was completely corrected, and she stopped having follow-ups at Shriners Children’s around age 10. However, this didn’t stop her from wanting to come back.