Cerebral Palsy
Gait
Cerebral
palsy is a disorder that would affect the motor skills of the
person or child. Depending on which type of cerebral palsy the
person affected will have an increased muscle tone, decreased
muscle tone and a fluctuating muscle tone. Cerebral
palsy gait is caused by involuntary movements, stiff
postures, no sense of balance and no sense of depth. The
different types of cerebral palsy that may affect the gait of
the person affected are spastic cerebral palsy, athetoid
cerebral palsy and ataxic cerebral palsy, in most cases there
would be more than one type of this disorder that would affect
the person.
Cerebral
Palsy Gait
Ideally, it
would be better if there is early diagnosis so that therapy can
start even before the first 6 months after being born. It has
been observed that those with this disorder that have been
treated early would have better muscle control, their motor
functions and skills are not as limited as those that did not
undergo the right treatment. These treatments would also
help in having better control over some easy tasks like,
feeding, using the toilet properly and knowing how to dress
themselves.
Cerebral palsy gait can be
caused by joint, bone and even muscle problems. The problems
are because of spasticity in the rectus muscle causing
stiffness in the knees, walking may be hampered when the legs
are rotating in external motion combined with flat feet,
crouching is due to hamstring muscles which are contracting.
This would also happen when a disorder called equinovarus would
occur; equinovarus is when the foot is turned downwards and
inwards due to the tibialis muscle experiencing spasticity.
This treatment and therapy would give them a bit more
independence that cannot be found in people with this motor
disorder.

Known
treatments for cerebral palsy gait are the use
of braces or walking aids as well as surgery and undergoing
regular physical therapy. The ankle foot orthoses (AFOs) is a
brace that helps correct heel to toe gait pattern in cerebral
palsy patients. This type of braces can be fitted easily in
shoes and any footwear. Another type of walking aid is the
WalkAide System which helps the cerebral palsy patients by
sending electrical impulses to the peroneal nerve to help lift
the foot so that the person can walk properly without dragging
the foot.
Walking
aids and braces are helpful but their use would be limited
especially if the problem is rotating motion of the feet. In
these cases surgeries may be required. After surgery the
patient would have to go some rehabilitation exercise to
optimize the result of the surgical procedure and to regain
proper balance and gait when walking. Gait would refer to how a
person would walk, for one to have proper gait, the nervous
system and the musculoskeletal system should be working
properly. The nervous system and musculoskeletal system of a
person with cerebral palsy disorder is not working properly due
to the damage to the brain there would be no sense of balance
and depth which would result to problems when
walking.
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