Cerebral Palsy: Science and Clinical Practice – Chapter 23: Muscle Tone, Strength, and Movement Disorders (ebook)


Chapter 23 of the book – Muscle Tone, Strength, and Movement Disorders

Edward A Hurvitz, Mark Peterson, and Eileen Fowler

Cerebral palsy (CP), by definition, presents with abnormalities of motor function, manifesting as abnormalities of tone, weakness, and loss of motor control and coordination. These abnormalities are caused by damage to or malformation of the pyramidal pathways originating in the motor cortex, as well as the extrapyramidal pathways and other areas of the brain that control motor function such as the basal ganglia and the cerebellum. Motor function in CP may also be affected by abnormalities of muscle structure, leading to the ‘short muscle syndrome’ and contracture, as well as sensory impairments, especially proprioception. Proper clinical assessment, choice of intervention, and assessment of intervention outcome requires a thorough understanding of the underlying pathophysiology.

About the complete book

This landmark title considers all aspects of cerebral palsy from the causes to clinical problems and their implications for individuals. An international team of experts provides clinicians and researchers with key information on the mechanisms underlying impairments in movement, development, cognition, communication, vision, feeding, behaviour, sexuality, and musculoskeletal deformities.  They present a wide range of person-centred assessment approaches, including clinical evaluation, measurement scales, neuroimaging and gait analysis. The principles of multi-disciplinary management are presented, in terms of therapist intervention, medication and surgery. The perspective of the book spans the lifelong course of cerebral palsy, taking into account worldwide differences in socio-economic and cultural factors. Many chapters are illustrated with clinical vignettes enabling direct translation into practice. Full integrated colour, with extensive cross-referencing make this a highly attractive and useful reference.

Readership: Paediatric neurologists, developmental paediatricians, rehabilitation doctors, orthopaedic surgeons, child psychiatrists, physiotherapists speech and language therapists psychologists, occupational therapists and other health and educational professionals.

Clinics in Developmental Medicine Series.