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Cutaneomuscular reflex responses recorded from the lower limb in children and adolescents with cerebral palsy

Published online by Cambridge University Press:  01 July 1999

John Gibbs
Affiliation:
Department of Physiology, University College of London, London, UK.
Linda M Harrison
Affiliation:
Department of Physiology, University College of London, London, UK.
John A Stephens
Affiliation:
Department of Physiology, University College of London, London, UK.
Andrew L Evans
Affiliation:
Department of Child Health, Royal Free Hospital, London, UK.
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Abstract

Cutaneomuscular reflex (CMR) responses were recorded from lower-limb and trunk muscles in 27 subjects with cerebral palsy (CP) (spastic, 21; athetoid, six) and in neurologically healthy (control) subjects, aged 3 to 15 years, while standing. In the 21 subjects with spastic CP, but not in the six subjects with athetoid CP, CMR responses were more widely distributed between ipsilateral lower-limb and trunk muscles compared with age-matched control children. CMR responses in older subjects with CP were similar to younger control subjects, lacking supraspinally mediated, long-latency components. Short-latency, spinally-mediated, excitatory CMR components were seen simultaneously in pairs of distal, antagonistic lower-limb muscles in half of the subjects with spastic CP, but in none of the control children. In subjects with spastic-type CP, the abnormal reflex responses indicate disordered spinal and supraspinal inputs to motor neurones, although there was no convincing correlation between these responses and the severity of spasticity.

Type
Original Articles
Copyright
© 1999 Mac Keith Press

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