At 15:52 09/08/00 SMT, you wrote:
>hello friends,
>
>
>I am quite intruged by a CP case I saw today. Generally a spastic case
>presents with bilateral adductor spasm (scissoring gait) but the case
which I
>saw had unilateral adductor spasm. one leg was adducted and internally
rotated
>and the other was abducted and externally rotated. has there been
precedent to
>this?(I have never seen such a case) well, I would be interested to know
about
>such cases and their causes.
>
>awaiting a reply.
>
>Annapoorna
>
>____________________________________________________________________
>Get free email and a permanent address at http://www.netaddress.com/?N=1
>
hi annapoorna,
this posture is well known in c.p, it is called "wind swept deformity", as
if a wind came from one side and blew both legs towards the other
direction. cause might be the a.t.n.r primitive reflex still affecting tone
and posture. there is always a preferred side for this reflex, the
occipital side is usually the adducted and the face side abducted. great
chance for hip dislocation on the adducted side. this phenomenon is more
common in severe cases, spastic or dystonic tetraplegia. a c.p child is
never symmetrical. watch for pelvic obliquity and scoliosis in these cases.
hope it helps,
netta harries
pediatric PT
israel
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