Hemiplegic spastic cerebral palsy

 In Case Study
Hemiplegic spastic cerebral palsy typically affects upper & lower limb on one side. Children can have weakness in muscle group along with contracture & deformity. It may be only mild impairment in functional activity or sever disability. If left for long duration there can be shortening of limb. Most common presentation is Equinus deformity in lower limb with pronation deformity in upper limb.

Cerebral PalsyProblem: Most of the time heels do not touch ground during walking and running. They can be present in variety of ways based on involvement of foot, knee & hip joint. 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 proximaly. shortening of limb can also occur in late age.

Management Protocol: In early age this problem can be easily managed by therapy, AFO & botulinum toxin but in later age they may need surgical intervention followed by therapy & brace. Associated problem at knee & hip also need correction in same setting.

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