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Spasticity of biarticulate muscles in cerebral palsy

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  • Spasticity of biarticulate muscles in cerebral palsy

    Dear subscribers,
    It is my conception (or perhaps, misconception) that multiarticulate muscles (egs. gastrocnemius, rectus femoris, medial hamstrings, iliopsoas) are the most affected in spastic cerebral palsy since these muscles are the most often lengthened by the orthopaedic surgeon. Is there any neurophysiological basis to this notion? Or is their predisposition to deformity due to fibre composition or to their function?
    Yours in ignorance,
    Adam

    Adam Shortland PhD, MIPEM, SRCS
    Consultant Clinical Scientist,
    One Small Step Gait Laboratory,
    Guy's Hospital
    London
    UK

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