A scissoring gait is characterized by the knees & thighs pressed together or crossing each other while walking. Scissoring gait is common in diplegic spastic cerebral palsy. This gait pattern are common in non-walker (GMFCS-4&5) & supported walker (GMFCS-3). Spasticity or contracture of adductor group & medial hamstring (Semitendenosis). Also occur because of hip subluxation & femoral internal torsion. Treatment is based on age of presentation & walking capability. In early age it is managed by therapy and braces but in late age it may require surgery.
Problem: Scissoring Gait occur because of medial hamstring & adductor contracture.
Management Protocol: They need therapy with or without botulinum toxin in early age and surgical intervention in late age. In surgical intervention they need detail evaluation and all deformity has to be corrected in single stage surgery followed by intensive therapy for few months.
