Neuro-orthopedics corresponds to the evaluation and therapeutic management of the orthopedic consequences of damage to the central or peripheral nervous system. In case of neurological impairment, there may be joint, motor, sensory and cognitive impairments that limit the patient's activities. The management of these orthopedic problems falls within the specific framework of neuro-orthopedics because in the presence of neurological, problems are different and more complex than in classical orthopedics. In this context, a well-conducted evaluation is a prerequisite for appropriate treatment.

Inclusion Criteria:

Patient with a neurological condition that benefits:

• An injection of botulinum toxin in the context of spasticity : about 20 / week
• Pre or post-therapeutic clinical evaluation (botulinum toxin or surgery): approximately 10 / week
• Clinical or instrumental evaluation of the walking or upper limb (Physiological Functional Explorations): about 10 / week
• A medical and surgical multidisciplinary consultation about spasticity : about 15 / month
• A discussion during neuroorthopedic multidisciplinary consultation meeting about the patient's file and anomalies of walking: about 8 / month
• Implementation of a Baclofen pump (Neurosurgery): about 2 / month
• Functional surgery of the upper or lower limb (locomotor institute, orthopedic surgery and traumatology): about 4 / sem

Exclusion Criteria:

Patient (or the legal representative) who opposes the data collection.

Patients with central or peripheral nervous system disorders with orthopedic consequences.