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Spastic diplegia is a form of cerebral palsy (CP) that is a chronic neuromuscular condition of hypertonia and spasticity in the muscles of the lower extremities of the human body, manifested as an especially high and constant "tightness" or "stiffness", [1] [2] usually in the legs, hips and pelvis. [3]
Lower Extremities-Moderate to severe involvement in both legs Spasticity Grade 4 to 3 usually rendering them non-functional for ambulation over long distances without the use of assistive devices. A wheelchair is usually the choice for sport. Trunk-Spasticity grade 2 to 1. Minimal limitation of trunk movements when wheeling and throwing.
Spasticity (from Greek spasmos- 'drawing, pulling') is a feature of altered skeletal muscle performance with a combination of paralysis, increased tendon reflex activity, and hypertonia. It is also colloquially referred to as an unusual "tightness", stiffness, or "pull" of muscles.
The Modified Ashworth scale (MAS) measures resistance during passive soft-tissue stretching and is used as a simple measure of spasticity. [1] Scoring (taken from Bohannon and Smith, 1987): 0: No increase in muscle tone
Spasticity can be in the form of the clasp-knife response, in which there is increased resistance only at the beginning or at the end of the movement. Rigidity can be of the leadpipe type, in which there is resistance throughout to passive movement, or it may be of cogwheel type, in which the resistance to passive movement is in a jerky manner.
Spasticity Grade 4 to 3+, with or without athetosis or with poor functional range of movement and poor functional strength in all extremities and trunk OR the severe athetoid with or without spasticity with poor functional strength and control. Dependent on a power wheelchair or assistance for mobility. Unable to functionally propel a wheelchair.
The spasticity athetosis level and location of a CP7 sportsperson. Cerebral Palsy-International Sports and Recreation Association defined this class in January 2005 as, "Hemiplegic This Class is for the true ambulant hemiplegic athlete. A Class 7 athlete has Spasticity Grade 3 to 2 in one half of the body.
Spastic quadriplegia, also known as spastic tetraplegia, is a subset of spastic cerebral palsy that affects all four limbs (both arms and legs). Compared to quadriplegia, spastic tetraplegia is defined by spasticity of the limbs as opposed to strict paralysis.
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