Syringomyelia is a progressive neurological disorder in which fluid-filled cyst known as syrinx forms within the spinal cord. The case of 20-year adult presented with lower limb stiffness and difficulty walking for last 3 years. For 1 year, he also developed upper limbs. Upon examination, had spastic gait no ataxia. There was muscle wasting both limbs, fasciculation. Tone increased reduced powe...

BACKGROUND Children with cerebral palsy (CP) require individualized long-term management to maintain and improve motor functions. The objective of this study was to explore potential effects of synchronized metronome training (SMT) on movement kinematics in two children diagnosed with spastic hemiplegic CP (HCP). METHOD Both children underwent 4-weeks/12 sessions of SMT by means of the Intera...

AIM The aim of the study was to describe daily physical activity levels of adolescents and young adults with bilateral spastic cerebral palsy (CP) and to identify factors that help predict these levels. METHOD Daily physical activity was measured using an accelerometer-based activity monitor in 45 young people with bilateral spastic CP (23 males, 22 females; mean age 18y 6mo [SD 2y 5mo] range...

botulinum toxin a (bta) inhibits presynaptic release of acetylcholine at the neuromuscular junction and has reportedly been successful in the treatment of spastic disorders.to evaluate the effect of botulinum toxin on cerebral palsied children with spastic or mixed type of the disease, especially those patiens having spasticity as a cardinal symptom without joint contracture, we designed the fo...

Thirty eight patients, with spastic cerebral palsy hemiplegic aged from 4to16 years with mean of 10 years had surgical procedures for the upper limb to increase functional status of hand. All the patients underwent various surgical procedures depending upon the necessity. IQ of all the patients were more than seventy. 36 patients felt an improvement in function, range of movement in the fore ar...

The purpose of this descriptive study was to quantify the work that is accomplished by major muscle groups of the affected limb of 10 children with spastic hemiplegia secondary to cerebral palsy during walking. Cinematographic film and force-plate data were used in a biomechanical link-segment model to calculate the positive and negative work performed by the muscles around each joint. The resu...

The science of motor control provides dynamic and intriguing study for practical problems of concern to neurorehabilitation specialists. Two areas of present interest and controversy in stroke rehabilitation are addressed in this issue of NeuroRehabilitation. Section I of this jou'rnal will highlight current issues on the controversies of strengthening spastic muscle and forced-limb usage as th...

Acute Flaccid Myelitis (AFM), a polio-like paralysis in children no older than 21, has recently reemerged and increasing numbers of such cases have been reported worldwide since 2012. Accurate and early diagnosis of this condition could help with better management of the disease. A 9- year- old girl with chief complaint of headache, fever and vomiting was subsequently affected by an acute...

Hand function in children with cerebral palsy after upper-limb tendon transfer and muscle release. Dev Med Child Neurol 1998; 40: 612–21. 14. Dahlin LB, Komoto Tufvesson Y, Salgeback S. Surgery of the spastic hand in cerebral palsy. Improvement in stereognosis and hand function after surgery. J Hand Surg 1998; 23: 334–39. 15. Matsuo T, Matsuo A, Hajime T, Fukumoto S, Chen W, Iwamoto Y. Release ...