Case Evaluation

Cerebral Palsy: Spastic Diplegia Cerebral Palsy

Spastic diplegia cerebral palsy tends to affect the legs of a patient more than the arms. Spastic diplegia cerebral palsy patients have more extensive involvement of the lower extremity than the upper extremity. This allows most people with spastic diplegia cerebral palsy to eventually walk. The gait of a person with spastic diplegia cerebral palsy is typically characterized by a crouched gait. Toe walking and flexed knees are common attributes and can be corrected with proper treatment and gait analysis.

In many cases the IQ of a person with spastic diplegia cerebral palsy may be normal. However, other side effects like strabismus are common. Strabismus, the turning in or out of one eye, commonly called cross-eye, affects three quarters of people with spastic diplegia cerebral palsy. This is due to weakness of the muscles that control eye movement. In addition, these individuals are often nearsighted. If not corrected, strabismus can lead to more severe vision problems over time.

Specialized treatment teams for individuals with spastic diplegia cerebral palsy can help decide which treatments are best suited for them. Treatments such as leg braces, gait analysis, botox injections, hyperbaric oxygen treatment, and several other treatments can help to manage spastic diplegia cerebral palsy. Treatment teams should include a physical therapist, pediatrician, physiatrist, neurologist and neurosurgeon, and an orthopedic surgeon that can all aid in the decision making process.

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