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spasticity as a major component of cp 

Spasticity, a disorder of muscle tone with its origin within the central nervous system, is usually a major component of cerebral palsy. It manifests as a velocity-dependent increase in tonic stretch reflex.

Patients with spasticity show increased resistance to passive limb motion.

Clinical characteristics of spasticity include the following:

  • Hypertonia
  • Clonus
  • Crossed adductor reflexes
  • Cocontraction of agonist and antagonist muscles is a major problem. 

Symptoms of the upper motoneuron syndrome can be divided into positive and negative categories:

  • Positive symptoms include spasticity and released flexor reflexes
  • Negative symptoms include loss of finger dexterity, weakness and loss of selective control of muscles and limb segments. 

Ref: Mayer NH. Clinicophysiologic concepts of spasticity and motor dysfunction in adults with an upper motoneuron lesion. Muscle Nerve 1997;20(suppl 6):S1-S13. 

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KEMRI, Wellcome Trust, Kenya
Vijeya Ganesan
Institute of Child Health, London
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The International Child Neurology Association (ICNA) was founded on 12 September 1973.ICNA is a respected international group of child neurologists who wish to advance the care of children with neurological problems throughout the world. Click here to learn more

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