GMFCS 1 & 2
MANAGEMENT BASED ON GMFCS SCORES
Problem: Children with GMFCS level 1 are fully independent but in GMFCS level 2 need the same support during outdoor activity.
Management Protocol: In these stages, our aim of management is to correct all the deformity / muscular imbalances with fine tuning of muscle tone balance so that their gait efficiency can improve up to the maximum as much as possible. At an early age they need good exercise, brace +_ and botulinum toxin but at late age they may need surgical intervention. With good evaluation and planning they can be given good quality of ambulation.
