What are the general features of CP spastic diplegia?
• symmetrical or near symmetrical involvement • the legs are more involved that the arms. • In the erect or supine position the child shows the typical scissor pattern which is associated with the condition. • The head and back are held in an extended position, the hips are extended internally rotated and adducted, the knees are extended and the ankles are in the plantar flexion position. • It is extremely important, when examining these children, to look at the movement patterns in different postures. • If the child is placed in the sitting position, the head may be flexed, the back may assume an infantile totally flexed curve. • The hips knees and ankles may flex and the child can sit in the tailor position on the base of his spine. • If he is placed prone his head may rise from the couch and his body extended with extended hips, Knees and planter flexion of feet. • If he is maintained in an all fours crawling position, the head, hips, knees and ankles may flex, and he may show spasm
