{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T08:14:37Z","timestamp":1778746477756,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,10,17]],"date-time":"2017-10-17T00:00:00Z","timestamp":1508198400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The clinical care of children with physical disabilities is a major priority for paediatricians and paediatric orthopaedic surgeons. Cerebral palsy (<jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>) is the prototypical condition and remains the most common cause of physical disability in developed countries. The incidence is approximately 2 per 1000 live births, translating to between 600 and 700 new children per annum in Australia, with approximately 34\u2009000 children and adults currently living with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>. This figure is predicted to rise inexorably over the next 20 years. The care of children with physical disabilities, including those with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>, is usually coordinated by paediatricians, general practitioners and allied health teams including physiotherapists, with input from paediatric orthopaedic surgeons when appropriate. The emphasis in care for children with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> has moved from \u2018reactive\u2019 to \u2018proactive\u2019. In the past, children are often referred when symptomatic, for example when a hip dislocation had occurred and became painful. The emphasis now is on coordinated, multidisciplinary care in which musculoskeletal manifestations of disability are identified by screening programmes. Systematic screening, especially when population\u2010based and linked to a register, avoids children getting \u2018lost in the system\u2019. Early and more effective interventions may be offered for the prevention of contractures, dislocation of the hip and spinal deformities. In this review, we will focus on the assessment of gait in children with physical disabilities, and monitoring for hip and spine deformity.<\/jats:p>","DOI":"10.1111\/jpc.13735","type":"journal-article","created":{"date-parts":[[2017,10,17]],"date-time":"2017-10-17T05:52:38Z","timestamp":1508219558000},"page":"1111-1117","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Screening and referral for children with physical disabilities"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3624-8273","authenticated-orcid":false,"given":"Andrew G","family":"Georgiadis","sequence":"first","affiliation":[{"name":"Orthopaedic Department Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pam","family":"Thomason","sequence":"additional","affiliation":[{"name":"Gait Laboratory Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Willoughby","sequence":"additional","affiliation":[{"name":"Orthopaedic Department Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Centre of Research Excellence in Cerebral Palsy Murdoch Childrens Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6607-7631","authenticated-orcid":false,"given":"H Kerr","family":"Graham","sequence":"additional","affiliation":[{"name":"Orthopaedic Department Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Gait Laboratory Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Centre of Research Excellence in Cerebral Palsy Murdoch Childrens Research Institute  Melbourne Victoria Australia"},{"name":"Orthopaedic Department, University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,17]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2015.82"},{"key":"e_1_2_5_3_1","unstructured":"The Australian Cerebral Palsy Register Group.Report of the Australian Cerebral Palsy Register Report. Birth Years 1993\u20132009. Frenchs Forest: Australian Cerebral Palsy Register 2016. Available from:https:\/\/www.cpregister.com\/pubs\/pdf\/ACPR-Report_Web_2016.pdf[accessed 1 August 2017]."},{"key":"e_1_2_5_4_1","first-page":"8","article-title":"A report: The definition and classification of cerebral palsy April 2006","volume":"109","author":"Rosenbaum P","year":"2007","journal-title":"Dev. Med. Child Neurol. 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