Hemiplegic spastic cerebral palsy typically affects the upper & lower limbs on one side. Children can have weakness in muscle groups along with contracture & deformity. It may be only mild impairment in functional activity or severe disability. If left for a long duration there can be shortening of limbs. The most common presentation is Equinus deformity in the lower limb with pronation deformity in the upper limb.
Problem: Most of the time heels do not touch the ground during walking and running. They can be present in a variety of ways based on the involvement of the foot, knee & hip joints. This non-touching of ground can be due to real equinus which is due to gastrocnemius contracture or may be one of the apparent equinus because of deformity proximally. shortening of limbs can also occur in late age.
