The initial presentation is commonly in the first year of life, with failure to thrive and hepatosplenomegaly. [adc.bmj.com]

[…] to Thrive Respiratory Problems Incontinence Intellectual Impairment This image gives a nice pictorial overview of the problems experienced by children with Cerebral Palsy. [physio-pedia.com]

Other signs and symptoms may include delayed motor or movement milestones (i.e. rolling over, sitting, standing); walking on toes; and a "scissored" gait (style of walking). [1] [2] As with other types of cerebral palsy, spastic diplegia is usually caused [rarediseases.info.nih.gov]

People with spastic diplegia often walk with a “scissor gait” caused by tight muscles in the hips and legs. The muscles become so tight the legs want to turn inward and sometimes cross over each other at the knees. [cerebral-palsy-information.com]

They may walk on their toes, or walk with a scissored gait. Fortunately, although symptoms may change as the child grows older, spastic diplegia does not worsen over time. [birthinjurysafety.org]

Standing chair can be used.For scissors gait, You should use physio ball to reduce that position. 29-07-2008 11:49 AM #6 Forum Member Array Re: Cerebral Palsy - spastic diplegia...help!!! [physiobob.com]

There are a host of ways that specialists use to correct the “scissor gait” of patients diagnosed with Spastic Diplegia. [medicalook.com]

Cerebral palsy surgery is also a suggested option for muscle spasticity control Advanced technologies help individually for their mobility for example wheelchair. [trishlafoundation.com]

Bohannon RW, Smith MB (1987) Inter-rater reliability of a Modified Ashworth Scale of muscle spasticity. PhysTher 2: 206-208. [omicsonline.org]

The motor disorder may range from difficulties with fine motor control to severe spasticity (see MUSCLE SPASTICITY) in all limbs. [fpnotebook.com]

Spasticity in the muscles of one or both legs may affect a person’s ability to Stand upright Sit upright Transfer from one position to another Move and reposition in bed Walk and run Effect on speech Spasticity can also be present in smaller muscles [cerebralpalsy.org.au]

Spasticity Long-term outlook for the child with cerebral palsy Since CP is a lifelong condition that is not correctable, management includes focusing on preventing or minimizing deformities and maximizing the child's capabilities at home and in the community [stanfordchildrens.org]

His body was completely stiff with marked asymmetrical spasticity in lower limbs, truncal dystonia, and chest deformity with cardio respiratory complications. [ijcpjournal.org]

[2003]-Conducted a study on effects of MET in patients with acute low back pain. The results showed that MET was effective in decreasing disability and improving function in patients with acute low back pain. [ukessays.com]

Long leg braces and knee braces are almost never needed for children with diplegia. Surgery is not usually recommended for children of this age. [disabled-world.com]

During testing we observed clonus only in gastrocnemius and soleus muscles. [omicsonline.org]

Ankle clonus. Bilateral Babinski sign. Scissoring posture of legs when held in the air supported by the axillae due to spasticity in the hip adductor muscles. Tiptoe walking. Atrophy and impaired growth of legs in severe cases. [pathophys.org]

However, children aged 2 years and over with evolving CP will also have clonus and exaggerated deep tendon reflexes (DTRs) in the lower limbs. [adc.bmj.com]

Further evidence of brain movement involvement on the hemiplegic side includes hyperreflexia of the deep tendon reflexes, ankle clonus, and extensor toe signs. [childneurologyfoundation.org]

Clonus and muscle spasms are not uncommon. Clonus is a series of involuntary rhythmic muscular contractions and relaxations. These are caused by the pain and/or stress of muscle tightness, indicating especially hard-working and/or exhausted muscles. [abclawcenters.com]

Classification Physiologic Classification Spastic (most common) Velocity-dependent increased muscle tone and hyperreflexia with slow, restricted movement due to simultaneous contraction of agonist and antagonist muscles. [orthobullets.com]

It is part of the upper motor neuron syndrome characterized by hyperreflexia, clonus, extensor plantar responses and primitive reflexes. Spastic Cerebral Palsy is the most common form of Cerebral Palsy. [physio-pedia.com]

Hyperreflexia – Abnormal increase in deep tendon reflexes. Deep tendon reflexes are elicited by the striking of the muscle tendon with a reflex hammer. Hypertonia – Increased muscle tone from expected (See muscle tone). [childneurologyfoundation.org]

Common patterns can be seen in people with Cerebral Palsy and movement-limiting symptoms can include: Contractures, or joints will not extend fully Movements can be exaggerated Abnormal reflexes Abnormal gait Crossed knees Walking on tiptoes Quick links [cerebralpalsy.org.uk]

The abnormal gait is often quite bizarre and may initially be interpreted as psychogenic in origin or “hysterical”. The gait disturbance usually shows a dramatic and sustained response to small doses of levodopa. [adc.bmj.com]

hyperactive deep tendon reflexes, bilateral ankle clonus, extensor toe signs)[see above]. [childneurologyfoundation.org]