Neurophysiology of lower-limb function in hemiplegic children.

Abstract:

:Equinus in hemiplegic children is multifactorial. In some cases it is due to a short muscle, in others to simple foot-drop, tonic spasticity, rigidity, compensation for a short limb, fixed flexion contracture at the hip, dominantly inherited forefoot deformity, forefoot equinus secondary to chronic toe-walking, or abnormalities of the visco-elastic properties of the muscle, with true intramuscular contracture. This neurophysiological study confirms that hemiplegia in children is not a homogeneous condition. Some have tonic spasticity; some, although stiff, show electrical silence on stretching; some appear to have a short muscle, with no hypertonicity; and others have hypertonicity in relation to position (i.e. rigidity). A short muscle is not always associated with tonic spasticity with reciprocal inhibition. Weakness can occur without spasticity. Speed of movement of toes, ankle and hip is also significantly reduced.

journal_name

Dev Med Child Neurol

authors

Brown JK,Rodda J,Walsh EG,Wright GW

doi

10.1111/j.1469-8749.1991.tb14825.x

subject

Has Abstract

pub_date

1991-12-01 00:00:00

pages

1037-47

issue

12

eissn

0012-1622

issn

1469-8749

journal_volume

33

pub_type

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