Friday, November 28, 2008
Spastic Cerebral Palsy
Spastic cerebral palsy is by far the most common and is present in approximately 75 percent of all children with cerebral palsy. Spasticity is described as a velocity-dependent resistance to passive movement. This means that the faster you pull against a muscle, the harder it resists or pulls back. Spastic cerebral palsy is divided into diplegic, hemiplegic and quadriplegic/tetraplegic types. Diplegia shows an involvement of legs more than the arms and is the most common type of cerebral palsy. Many times the arms do not seem involved but exhibit at least small deficits in function. Hemiplegia is involvement of the arm and leg on the same side. Classically the arm is more involved but sometimes they seem equally involved. Quadriplegia or tetraplegia is involvement of both arms and both legs, generally worse in the legs than in the arms. In spastic cerebral palsy there are generally signs of upper motor-neuron involvement with increased muscle reflexes, upgoing toes and persistence of primitive reflexes such as the Moro response
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