What are the general features of CP spastic Hemiplegia?
Infantile hemiplegia is a movement defect of one side of the body only, either the right side or the left. The disability is not always uniform. In the typical spastic form in the older child, the following patterns are seen. • the upper limb is held with the arm adducted and internally rotated, • the forearm flexed and pronated, • the wrists flexed, • and the fingers flexed • with the thumb pressed into the palm. Unless, the child is helped to use the arm, contracture develops in the elbow, wrist flexors and the forearm pronators. The arm becomes fixed and useless in that position. There is often little abnormality of hip movements and adductor spasm is not usually noted. There is severe spasticity of the calf muscles and the foot is held in plantar flexion. Dorsiflexors of the foot is always weak in hemiplegia. Unless, practiced very adequately from an early age, the spasm in the calf muscles may lead to permanent contractures. Because of poor dorsiflexion, the child tends to walk wi
