Leg movements in the supine position of infants with spastic diplegia.
Leg movements in the supine position of 49 infants with spastic diplegia (three to 11 months corrected age) were examined. Only simultaneous flexion and extension of the hips and knees were seen, with exceptional isolated hip movements; the simultaneous movements had synergic features. When the knees were flexed, the hips were flexed, abducted and externally rotated, and the ankles were dorsiflexed. When the knees were extended, the hips were extended, adducted and internally rotated and the ankles were plantar-flexed. Hip flexion combined with knee extension (leg elevation) and isolated knee movements were not seen in diplegic infants, but were seen in all control preterm infants with a good prognosis, after five and six months corrected age, respectively. The absence of these movements is a useful diagnostic item for spastic diplegia.
Yokochi
K
K
Department of Pediatric Neurology, Seirei-Mikatabara General Hospital, Shizuoka, Japan.
Inukai
K
K
Hosoe
A
A
Shimabukuro
S
S
Kitazumi
E
E
Kodama
K
K
D002547:Cerebral Palsy / Q000175:diagnosis* / Q000503:physiopathology / Q000534:rehabilitation; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005684:Gait / Q000502:physiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000175:diagnosis* / Q000503:physiopathology / Q000534:rehabilitation; D008297:Male; D009043:Motor Activity / Q000502:physiology*; D009122:Muscle Hypertonia / Q000175:diagnosis* / Q000503:physiopathology / Q000534:rehabilitation; D009460:Neurologic Examination; D011187:Posture / Q000502:physiology*; D012189:Retrospective Studies