Brainpalsy.com - Helping Parents Combat Cerebral Palsy

Spastic cerebral palsy is the most common form of cerebral palsy, accounting for between seventy and eighty percent of all cerebral palsy cases. People with this condition have stiff muscles that remain in a state of prolonged contraction. Such muscle stiffness and contraction makes normal movement difficult, and can lead to permanent muscle and joint damage over time.

While the muscles of the arms and legs are most severely affected in spastic cerebral palsy, the extent to which they are involved may vary. One type of spastic cerebral palsy is spastic diplegia. In this form, muscles in both legs are affected, resulting in the legs turning in and crossing at the knees. When a person with spastic diplegia tries to walk, the legs are stiff and cross at the knees, causing the characteristic scissors gait. In another type of spastic cerebral palsy called spastic hemiplegia, the limbs on one half of the body are affected. This type of cerebral palsy may be detected when a doctor tests an infant for hand preference. Before the age of one year, babies do not usually show hand preference. However, in spastic hemiplegia, an infant favors the hand that is on the unaffected side of the body.

The movement defects in spastic cerebral palsy are managed by combining physical therapy and surgery. Muscles and joints are exercised to prevent them from falling into disuse. A combination of disuse and abnormal posture may cause some muscles to permanently shorten, thereby worsening a patients range of movement and flexibility. Often, a substance that relaxes muscles, such as botulinum toxin or Botox, may be injected into a particular group of muscles in preparation for physical therapy or surgery. The spinal cord and nerves may also be operated upon to reduce the transmission of nerve impulses to certain muscles and thereby relax them. Orthopedic devices can help maintain limbs in their correct positions and improve movement.

Spastic diplegia is a form of cerebral palsy, where both his arms and legs have abnormal stiffness. The legs are usually more affected than the upper extremities. Spastic means stiff or contracted. The word diplegia is broken down into a “di”, ie, two, and “plegia,” the Latin word for weakness. Therefore, spastic diplegia means stiff or contracted muscles affecting two limbs, causing weakness. Spastic diplegia is sometimes also called paraplegia.

There are other forms of spastic diplegia, in addition to cerebral palsy. Some forms of hereditary spastic diplegia are. You can differentiate the two by several factors:

* The age of the patient begins to show symptoms of spastic diplegia
* The victim in the past medical history
* Recorded problems at birth or during pregnancy
* The presence of genetic factors

People who suffer from hereditary spastic diplegia typically have a family history of disease and do not show symptoms until late childhood or middle age. People suffering from cerebral palsy spastic diplegia form of often diagnosed with the condition of children. Cerebral palsy spastic diplegia is the result of brain damage and mainly affects the legs. The damage consists of malformations of the brain around the ventricles, which are the spaces filled with fluid. Normally, a lack of oxygen in the brain causes the formation of a failure of development in the pyramidal tracts. RM easily detect these errors of the areas that are called periventricular leukomalacias.
Disease and little spastic diplegia

Spastic diplegia was originally called “Little of the disease.” The disease was named for William Little, a British surgeon who first described the disorder in the 19th century. The children who observe with the disease had stiffness in the legs and arms that do not progress in severity, since years of age. Littles disease was soon recognized as a disorder, or group of disorders, rather than a disease, and the name changed to static encephalopathy, or spastic diplegia.
What are the symptoms of spastic diplegia?

Whatever you call the disorder, spastic diplegia, paraplegia, Littles disease or static encephalopathy, the symptoms are the same. Both legs spastic diplegia of the victims are spastic, in the sense of rigidity or hired. The legs are weak and it is hard to walk. People with spastic diplegia often walk with a “scissor gait” caused by tight muscles in the hips and legs. The muscles become so tight legs want to turn inward and sometimes cross each other in the knees. A spastic diplegia victim of the arm, face and neck muscles are affected to a lesser degree than the legs. Beyond the physical characteristics of spastic diplegia, the disorder is often accompanied by mental retardation.
What can be done to help people with cerebral palsy spastic diplegia?

Statistics show spasticity affects 80% of people with cerebral palsy and cause many problems for those suffering from the disease. In growing children, muscle rigidity inhibits the growth of the longitudinal muscle. This is especially bad because it causes muscle contractions and orthopedic deformities, the muscle that snaps into place permanently.

Spastic cerebral palsy symptoms are usually treated with a combination of drugs, physical therapy, braces, and if necessary, orthopedic surgery. However, a relatively new surgery called conducted selected dorsal rhizotomy (SDR.) The surgery works best in young children, 2 to 4 years old, but it can be beneficial for older children and some adults. SDR usually brings better results for people who suffer from spastic diplegia only and not spastic quadriplegia, which is important spasticity in the arms and legs.

DEG works to prevent the development of deformities by reducing the nerve fibers in the spinal cord. The elimination of the vertebrae to reach the spinal cord can cause problems in the spine. Experts agree, however, that the success of SDR surgery can improve the voice, vision and function of the leg. The surgery also helps reduce the number of orthopedic surgeries spastic diplegia a victim may require in the future.

Surgery: Surgery is not always necessary, but sometimes it is recommended to enhance development muscle contractures correct, and reduce spasticity in the legs. Before selecting any surgical procedure, make sure your doctor thoroughly examines the risks involved, the long-term effects and postoperative monitoring. In addition, always get a second opinion and talk to other parents whose children have had the same surgical procedure.

Children with cerebral palsy often walk on their toes. This may indicate a tight cordon heel. When other treatments to stop this, as splints and braces, surgery can help correct the lengthening of the tendon. This surgery can help improve the child’s ability to walk, improve balance and prevent further deformity. The surgery is also available to relieve spacticity in the legs and hips of children. This surgery involves identifying sensory nerve fibers to the spinal cord, then cut the selective nerve fibers spacticity reducing them. The investigation into this surgery is carried out yet. The adductors are groups of muscles that bring the legs together. If a child’s doctor determines that the adductors are causing deformities or problems with walking, he or she may suggest a surgical procedure to cut the tendon, which can release muscle contractions and improve mobility. Once again, surgery may not always be necessary, but in many cases, can help your child to reach their optimum level of functioning.