title: [Unilateral spastic cerebral palsy (hemiparesis)].
abstract: BACKGROUND
  Approximately 33 % of spastic movement disorders are due to unilateral spastic cerebral palsy which is characterized by a one-sided motor movement disorder which has a correlative in focal contralateral brain injury. The upper extremities are more severely affected so that ambulatory movement is nearly always possible.
  
  
  METHODS
  The development is substantially influenced by epilepsy and perception disturbances. Therefore, an interdisciplinary team is necessary for optimal therapy. In addition to physiotherapy and ergotherapy, orthopedic technicians, orthopedic and hand surgeons in particular are also required. The different classifications and therapy approaches are described
  
  
  CONCLUSIONS
  By orthopedic and hand surgical interventions flexible and structural alterations can be improved but a normalization of arm and leg functions is not possible. The prognosis in the presence of dystonia and ataxia is particularly unfavorable.
authors.affiliation: Klinik für Kinderorthopädie, Schön Klinik Hamburg-Eilbek, Dehnhaide 120, 22081, Hamburg, Deutschland, ssenst@schoen-kliniken.de.
authors.forename: S
authors.initials: S
authors.lastname: Senst
mesh_terms: D001921:Brain / Q000503:physiopathology; D002547:Cerebral Palsy / Q000145:classification / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D003299:Cooperative Behavior; D004185:Disability Evaluation; D005260:Female; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D033183:Interdisciplinary Communication; D008279:Magnetic Resonance Imaging; D008297:Male; D053580:Muscle Strength / Q000502:physiology; D019637:Orthopedic Procedures; D004856:Postural Balance / Q000502:physiology; D011247:Pregnancy; D016138:Walking / Q000502:physiology
references.citation: Dev Med Child Neurol. 1994 Jun;36(6):473-83
references.pmid: 8005358