Selective motor control and gross motor function in bilateral spastic cerebral palsy

Abstract

Selective motor control is a major factor of gross motor function in adolescents and young adults with bilateral cerebral palsy (CP). Gross motor function is related to muscle size and level of spasticity in adolescents and young adults with bilateral CP.

A Systematic Review of Training Methods That May Improve Selective Voluntary Motor Control in Children With Spastic Cerebral Palsy

“…A loss of SVMC in the lower extremity has a negative impact on walking ability. For children with spastic CP, impaired SVMC relates to a certain degree to gait abnormalities (11), gait velocity (12), and impaired gross motor function (13). Despite many cross-sectional studies exploring limitations in SVMC in children with spastic CP, only few interventions actually intend to improve SVMC.…”

Neuromuscular correlates of motor function in cerebral palsy: towards targeted treatment

“…However, in the case of acute or chronic stroke, the rubrospinal tract develops, yielding characteristic impaired SMC movement patterns post-corticospinal tract injury. 2 The unique systematic approach by Noble et al 1 quantifies neuromuscular deficits and examines their influence on motor function in CP. This offers a promising model for further research that can reveal links between neurological injury, neuromuscular deficits, and specific movement abnormalities; knowledge that is essential to developing effective treatment for children with CP.…”

“…The most common observable pain responses include vocalization, social behaviors and facial expression, and (less so) bodily activity and movements. 1,2 These behaviors become exaggerated when pain is severe and lessen as pain is relieved, thus permitting the scoring of pain severity. Importantly, observable behaviors become less reliable as pain persists over time and as children age and can dampen their distress responses.…”

“…The unique study by Noble et al investigates the impact of neuromuscular deficits on gross motor function in children with spastic cerebral palsy (CP). Few studies have examined the influence of physiological neuromuscular deficits on functional mobility in CP.…”

“…Noble et al examined three of four primary neuromuscular deficits: muscle strength, muscle spasticity, and impaired SMC. Validated measures of gross motor function, spasticity, and impaired SMC were recorded along with lower limb muscle volume‐based assessment of muscle strength.…”