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Spastic cerebral palsy

MedGen UID:
137905
•Concept ID:
C0338596
•
Disease or Syndrome
Synonyms: Cerebral Palsy, Spastic; Spastic Cerebral Palsies; Spastic Cerebral Palsy
SNOMED CT: Pyramidal cerebral palsy (230773005); Congenital spastic paralysis (230773005); Spastic infantile paralysis (230773005); Little's disease (230773005); Infantile spastic cerebral palsy (230773005); Congenital spastic cerebral palsy (230773005); Spastic cerebral palsy (230773005)
 
Monarch Initiative: MONDO:0000396

Definition

A type of cerebral palsy defined by increased tone and pathological reflexes resulting in an abnormal pattern of movement and posture. [from SNOMEDCT_US]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • Spastic cerebral palsy

Professional guidelines

PubMed

Tone Reduction and Physical Therapy: Strengthening Partners in Treatment of Children with Spastic Cerebral Palsy.
Franki I, Bar-On L, Molenaers G, Van Campenhout A, Craenen K, Desloovere K, Feys H, Pauwels P, De Cat J, Ortibus E
Neuropediatrics 2020 Apr;51(2):89-104. Epub 2019 Nov 27 doi: 10.1055/s-0039-3400987. PMID: 31777043
Selection of treatment modalities in children with spastic cerebral palsy.
Steinbok P
Neurosurg Focus 2006 Aug 15;21(2):e4. doi: 10.3171/foc.2006.21.2.5. PMID: 16918225
Issues in the management of children with spastic cerebral palsy.
Kohn JG
Pediatrician 1990;17(4):230-6. PMID: 2259675

Recent clinical studies

Etiology

Acute Effects of Static and Proprioceptive Neuromuscular Facilitation Stretching of the Plantar Flexors on Ankle Range of Motion and Muscle-Tendon Behavior in Children with Spastic Cerebral Palsy-A Randomized Clinical Trial.
Kruse A, Habersack A, Jaspers RT, Schrapf N, Weide G, Svehlik M, Tilp M
Int J Environ Res Public Health 2022 Sep 15;19(18) doi: 10.3390/ijerph191811599. PMID: 36141875Free PMC Article
Effect of muscle strength training in children and adolescents with spastic cerebral palsy: A systematic review and meta-analysis.
Merino-Andrés J, García de Mateos-López A, Damiano DL, Sánchez-Sierra A
Clin Rehabil 2022 Jan;36(1):4-14. Epub 2021 Aug 18 doi: 10.1177/02692155211040199. PMID: 34407619Free PMC Article
Randomised trial of virtual reality gaming and physiotherapy on balance, gross motor performance and daily functions among children with bilateral spastic cerebral palsy.
Jha KK, Karunanithi GB, Sahana A, Karthikbabu S
Somatosens Mot Res 2021 Jun;38(2):117-126. Epub 2021 Mar 3 doi: 10.1080/08990220.2021.1876016. PMID: 33655813
Rehabilitation treatment of spastic cerebral palsy with radial extracorporeal shock wave therapy and rehabilitation therapy.
Lin Y, Wang G, Wang B
Medicine (Baltimore) 2018 Dec;97(51):e13828. doi: 10.1097/MD.0000000000013828. PMID: 30572548Free PMC Article
Pediatric aquatic therapy on motor function and enjoyment in children diagnosed with cerebral palsy of various motor severities.
Lai CJ, Liu WY, Yang TF, Chen CL, Wu CY, Chan RC
J Child Neurol 2015 Feb;30(2):200-8. Epub 2014 Jun 5 doi: 10.1177/0883073814535491. PMID: 24907137

Diagnosis

Effects of 8 weeks functional training programme on posture control and functional mobility in spastic hemiplegic cerebral palsy.
Gulzar A, Waris M; Qurat Ul Ain
J Pak Med Assoc 2022 Jul;72(7):1278-1281. doi: 10.47391/JPMA.3476. PMID: 36156543
Effect of oral sensorimotor stimulation on oropharyngeal dysphagia in children with spastic cerebral palsy: a randomized controlled trial.
Abd-Elmonem AM, Saad-Eldien SS, Abd El-Nabie WA
Eur J Phys Rehabil Med 2021 Dec;57(6):912-922. Epub 2021 May 7 doi: 10.23736/S1973-9087.21.06802-7. PMID: 33960181
A Critical Evaluation of Current Concepts in Cerebral Palsy.
Brandenburg JE, Fogarty MJ, Sieck GC
Physiology (Bethesda) 2019 May 1;34(3):216-229. doi: 10.1152/physiol.00054.2018. PMID: 30968751Free PMC Article
Neuromuscular electrical stimulation to improve gross motor function in children with cerebral palsy: a meta-analysis.
Salazar AP, Pagnussat AS, Pereira GA, Scopel G, Lukrafka JL
Braz J Phys Ther 2019 Sep-Oct;23(5):378-386. Epub 2019 Jan 23 doi: 10.1016/j.bjpt.2019.01.006. PMID: 30712812Free PMC Article
Pediatric aquatic therapy on motor function and enjoyment in children diagnosed with cerebral palsy of various motor severities.
Lai CJ, Liu WY, Yang TF, Chen CL, Wu CY, Chan RC
J Child Neurol 2015 Feb;30(2):200-8. Epub 2014 Jun 5 doi: 10.1177/0883073814535491. PMID: 24907137

Therapy

Acute Effects of Static and Proprioceptive Neuromuscular Facilitation Stretching of the Plantar Flexors on Ankle Range of Motion and Muscle-Tendon Behavior in Children with Spastic Cerebral Palsy-A Randomized Clinical Trial.
Kruse A, Habersack A, Jaspers RT, Schrapf N, Weide G, Svehlik M, Tilp M
Int J Environ Res Public Health 2022 Sep 15;19(18) doi: 10.3390/ijerph191811599. PMID: 36141875Free PMC Article
Effect of muscle strength training in children and adolescents with spastic cerebral palsy: A systematic review and meta-analysis.
Merino-Andrés J, García de Mateos-López A, Damiano DL, Sánchez-Sierra A
Clin Rehabil 2022 Jan;36(1):4-14. Epub 2021 Aug 18 doi: 10.1177/02692155211040199. PMID: 34407619Free PMC Article
Randomised trial of virtual reality gaming and physiotherapy on balance, gross motor performance and daily functions among children with bilateral spastic cerebral palsy.
Jha KK, Karunanithi GB, Sahana A, Karthikbabu S
Somatosens Mot Res 2021 Jun;38(2):117-126. Epub 2021 Mar 3 doi: 10.1080/08990220.2021.1876016. PMID: 33655813
Rehabilitation treatment of spastic cerebral palsy with radial extracorporeal shock wave therapy and rehabilitation therapy.
Lin Y, Wang G, Wang B
Medicine (Baltimore) 2018 Dec;97(51):e13828. doi: 10.1097/MD.0000000000013828. PMID: 30572548Free PMC Article
Pediatric aquatic therapy on motor function and enjoyment in children diagnosed with cerebral palsy of various motor severities.
Lai CJ, Liu WY, Yang TF, Chen CL, Wu CY, Chan RC
J Child Neurol 2015 Feb;30(2):200-8. Epub 2014 Jun 5 doi: 10.1177/0883073814535491. PMID: 24907137

Prognosis

Discrimination between hereditary spastic paraplegia and cerebral palsy based on gait analysis data: A machine learning approach.
MacWilliams BA, Carroll KL, Stotts AK, Kerr LM, Schwartz MH
Gait Posture 2022 Oct;98:34-38. Epub 2022 Aug 17 doi: 10.1016/j.gaitpost.2022.08.011. PMID: 36041285
Relevant factors of self-care in children and adolescents with spastic cerebral palsy.
Kusumoto Y, Takaki K, Matsuda T, Nitta O
PLoS One 2021;16(7):e0254899. Epub 2021 Jul 21 doi: 10.1371/journal.pone.0254899. PMID: 34288946Free PMC Article
What causes increased passive stiffness of plantarflexor muscle-tendon unit in children with spastic cerebral palsy?
Boulard C, Gross R, Gautheron V, Lapole T
Eur J Appl Physiol 2019 Oct;119(10):2151-2165. Epub 2019 Aug 30 doi: 10.1007/s00421-019-04208-4. PMID: 31468174
Hand function in children with unilateral spastic cerebral palsy.
Hadžagić Ćatibušić F, Užičanin S, Bulja D, Gasal Gvozdenović E
Med Glas (Zenica) 2019 Feb 1;16(1):66-70. doi: 10.17392/967-19. PMID: 30256057
Impaired Voluntary Movement Control and Its Rehabilitation in Cerebral Palsy.
Gordon AM
Adv Exp Med Biol 2016;957:291-311. doi: 10.1007/978-3-319-47313-0_16. PMID: 28035572

Clinical prediction guides

Acute Effects of Static and Proprioceptive Neuromuscular Facilitation Stretching of the Plantar Flexors on Ankle Range of Motion and Muscle-Tendon Behavior in Children with Spastic Cerebral Palsy-A Randomized Clinical Trial.
Kruse A, Habersack A, Jaspers RT, Schrapf N, Weide G, Svehlik M, Tilp M
Int J Environ Res Public Health 2022 Sep 15;19(18) doi: 10.3390/ijerph191811599. PMID: 36141875Free PMC Article
Randomised trial of virtual reality gaming and physiotherapy on balance, gross motor performance and daily functions among children with bilateral spastic cerebral palsy.
Jha KK, Karunanithi GB, Sahana A, Karthikbabu S
Somatosens Mot Res 2021 Jun;38(2):117-126. Epub 2021 Mar 3 doi: 10.1080/08990220.2021.1876016. PMID: 33655813
Rehabilitation treatment of spastic cerebral palsy with radial extracorporeal shock wave therapy and rehabilitation therapy.
Lin Y, Wang G, Wang B
Medicine (Baltimore) 2018 Dec;97(51):e13828. doi: 10.1097/MD.0000000000013828. PMID: 30572548Free PMC Article
Pediatric aquatic therapy on motor function and enjoyment in children diagnosed with cerebral palsy of various motor severities.
Lai CJ, Liu WY, Yang TF, Chen CL, Wu CY, Chan RC
J Child Neurol 2015 Feb;30(2):200-8. Epub 2014 Jun 5 doi: 10.1177/0883073814535491. PMID: 24907137
Effects of hippotherapy on gross motor function and functional performance of children with cerebral palsy.
Park ES, Rha DW, Shin JS, Kim S, Jung S
Yonsei Med J 2014 Nov;55(6):1736-42. doi: 10.3349/ymj.2014.55.6.1736. PMID: 25323914Free PMC Article

Recent systematic reviews

Effect of muscle strength training in children and adolescents with spastic cerebral palsy: A systematic review and meta-analysis.
Merino-Andrés J, García de Mateos-López A, Damiano DL, Sánchez-Sierra A
Clin Rehabil 2022 Jan;36(1):4-14. Epub 2021 Aug 18 doi: 10.1177/02692155211040199. PMID: 34407619Free PMC Article
Effect of ankle-foot orthoses on gait, balance and gross motor function in children with cerebral palsy: a systematic review and meta-analysis.
Lintanf M, Bourseul JS, Houx L, Lempereur M, Brochard S, Pons C
Clin Rehabil 2018 Sep;32(9):1175-1188. Epub 2018 May 1 doi: 10.1177/0269215518771824. PMID: 29714066
Motor Cortex Plasticity in Children With Spastic Cerebral Palsy: A Systematic Review.
de Almeida Carvalho Duarte N, Collange Grecco LA, Zanon N, Galli M, Fregni F, Santos Oliveira C
J Mot Behav 2017 Jul-Aug;49(4):355-364. Epub 2016 Oct 18 doi: 10.1080/00222895.2016.1219310. PMID: 27754798
Gross muscle morphology and structure in spastic cerebral palsy: a systematic review.
Barrett RS, Lichtwark GA
Dev Med Child Neurol 2010 Sep;52(9):794-804. Epub 2010 Apr 30 doi: 10.1111/j.1469-8749.2010.03686.x. PMID: 20477832
Muscle strengthening is not effective in children and adolescents with cerebral palsy: a systematic review.
Scianni A, Butler JM, Ada L, Teixeira-Salmela LF
Aust J Physiother 2009;55(2):81-7. doi: 10.1016/s0004-9514(09)70037-6. PMID: 19463078

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