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Warnings in the Musculoskeletal System
In spastic-type cerebral palsy, the muscles remain tense (contracted) constantly and involuntarily. Because the Achilles tendon at the back of the leg shortens, the child cannot place their heel on the ground and constantly tries to walk on their toes. This condition disrupts bone development in the future.
Imbalanced pulling forces in the muscles cause the head of the thigh bone to slide outward from the hip socket. This is an insidious process and may not be immediately noticeable from the outside. The child's difficulty in opening their legs (resistance when changing a diaper) is the most important signal; regular hip X-rays are a must.
Tense muscles shorten over time and lose their flexibility. As a result, the knees, elbows, or wrists cannot be fully extended and remain locked in a bent position. These locks must be opened with physical therapy or surgery (tendon lengthening).
Asymmetrical strength and weakness in the back and lower back muscles disrupt the child's sitting balance and cause the development of a sideways curvature (Scoliosis) or excessive hunchback (Kyphosis) in the spine. Severe scoliosis can put pressure on internal organs (lungs).
Due to spasticity, the child turns their feet inward while walking (scissoring gait) or the sole of the foot becomes completely flat (pes planus) and deformed. This situation makes walking balance impossible and requires special orthopedic boots and bracing.
The information on this page is for general health advice. Please consult specialized physicians for personalized treatment or advice.
