The physiotherapist should help the surgeon prepare the child and his family for surgery ,if that has been recommended .Their cooperation is most important .The child and family should understand:
(1)The surgery is not a cure ,but an episode in the total rehabilitation programme .The degree of drive and sometimes intelligence of the child affects the results of surgery.
(2)There will be a setback before the ultimate progress is more obvious.
(3)How to look after the child in plaster.
(4)How to help with postoperative physiotherapy.
(5)How to apply any splintage or braces to maintain improvement by surgery.
(6)To try and maintain confidence and an encouraging atmosphere.
It is best if the child's own physiotherapist can be the one to treat him before the operation in the hospital and follow up in the home or centre .Otherwise she and the parents should at least introduce the child to the hospital environment ,meet some of the staff and generally let the child know what is going to happen there .Possible psychological disturbance due to surgery and its associated hospitalization must not be ignored ,as it has been known to affect children for years ,and also hamper the physical advances gained by the surgery.