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Spasticity Effect in Cerebral Palsy Gait

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Handbook of Human Motion

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Abstract

A high number of children with cerebral palsy (CP) have spastic gait and consequently abnormalities in joint patterns. Several factors have been contributing to the lack of consensus on the spasticity effect in cerebral palsy gait and would be summarized and discussed in this chapter, e.g., spastic gait patterns are in constant evolution during the process of growth; there are still considerable limitations in the methodologies used to assess spasticity during gait; a wide range of rehabilitation strategies have been explored to control spasticity during gait. Spastic gait patterns are divided in hemiplegic (5 types) and diplegic (4 types) with the most prevalent joint abnormalities described in the sagittal plane. Ashworth, Tardieu, and DAROM scales and Pendulum Tests are widely used to assess spasticity but do not reliably explain the spasticity effects during gait. Orthotics, adequate exercise or handling techniques, botulinum injections, or surgical procedures have been used to manage spasticity effects.

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Authors and Affiliations

  1. Piaget Institute, Viseu, Portugal

    Marlene Cristina Neves Rosa

  2. Physiotherapy, University of Averio, Aveiro, Portugal

    André Gonçalo Gomes Roque

Authors
  1. Marlene Cristina Neves Rosa
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  2. André Gonçalo Gomes Roque
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Corresponding authors

Correspondence to Marlene Cristina Neves Rosa or André Gonçalo Gomes Roque .

Editor information

Editors and Affiliations

  1. Motion & More, Barcelona, Spain

    Bertram Müller

  2. Klinik für Orthopädie und Unfallchirurgi, Universitätsklinikum Heidelberg, Heidelberg, Germany

    Sebastian I. Wolf

  3. Institut for Biomechanics und Orthopedic, German Sport University Cologne, Cologne, Germany

    Gert-Peter Brueggemann

  4. Houston, Texas, USA

    Zhigang Deng

  5. ACRISP, FedUniversity, Cremorne, New South Wales, Australia

    Andrew McIntosh

  6. Wilmington, Delaware, USA

    Freeman Miller

  7. Research, C-Motion, Inc., Germantown, Maryland, USA

    William Scott Selbie

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© 2016 Springer International Publishing Switzerland

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Rosa, M.C.N., Roque, A.G.G. (2016). Spasticity Effect in Cerebral Palsy Gait. In: Müller, B., et al. Handbook of Human Motion. Springer, Cham. https://doi.org/10.1007/978-3-319-30808-1_55-1

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  • DOI: https://doi.org/10.1007/978-3-319-30808-1_55-1

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  • Publisher Name: Springer, Cham

  • Online ISBN: 978-3-319-30808-1

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