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Cerebral Palsy, Definitions ·

What Is Spastic Diplegia? (Defined, Causes, Signs, Treatments)

Spastic Diplegia Cerebral Palsy (also referred to as Diplegic Cerebral Palsy) is one of the most common types of CP diagnosed in children.What-Is-Spastic-Diplegia

There are four main types of cerebral palsy to know which we will cover in a minute.

Spastic being the most common type you will see and hear about affects nearly 80% of the kids diagnosed.

With that said, you may be wondering all sorts of things like…

  • What does Spastic Diplegia mean?
  • What are the signs and symptoms to look for?
  • What types of treatment are available?
  • How is it caused?
  • Can it be cured?

Do any of these questions come to mind?

If you answered yes, then you’re at the right place.

This post breaks down what you need to know and hopefully answers any of those lingering questions that come to mind.

Let’s dive in!

Contents hide
1 What is Spastic Diplegia?
2 What Causes Spastic Diplegia?
3 What are the Risk Factors?
4 Early Signs to Look For
5 4 Main Types of Cerebral Palsy
6 Diagnosis and Common Tests
7 Treatment Options
8 Final Thoughts
9 Thank You!

What is Spastic Diplegia?


When you hear the term Spastic Diplegia think of one body part, the legs.

That’s exactly what Spastic Diplegia is a condition affecting the spasticity of the legs.

Those who have spastic cerebral palsy experience lower extremity challenges.

You will commonly see a child move with a ‘scissor walk’ where their knees turn inward.

The reason this happens is there is more muscle stiffness in the hips and legs.

‘Scissor walk’ (also known as scissoring gait) is an abnormal walking pattern where the thighs and knees press together or cross over each other.

To show you what a scissor walk looks like, here is a short clip.

►► Click here for my recommended tool to help with a child’s leg posture (this is therapist-approved and commonly used during intensive physical therapy sessions) ◄◄

What Causes Spastic Diplegia?


A child diagnosed with cerebral palsy is caused by brain damage that occurs either before or right after birth.

The same goes for Spastic Diplegia or any of the other three types of cerebral palsy which you can learn more about by clicking here or by scrolling below.

The cause or ‘how it happened’ all stem from damage to the brain that took place at a specific point in time.

What risks do you need to know that may cause a child to have brain damage?

Let’s get into that next.

What are the Risk Factors?


According to the National Institute of Neurological Disorders and Stroke (NINDS), babies born prematurely and with low birth weight are at a heightened risk of developing cerebral palsy.

Sadly, a small percentage of cerebral palsy cases result from a medical mistake by a healthcare provider.

When this happens, medical tools are improperly used to deliver the baby causing damage to their brain (such as from forceps or vacuum extractors).

To summarize, here are the common risk factors that may cause spastic diplegia cerebral palsy:

  • Babies born prematurely
  • Babies born with low birth weight
  • A medical mistake caused by a healthcare provider
  • Multiple births (twins, triplets, etc.)
  • When a baby is breech
  • The mother was exposed to methyl mercury (which is very toxic and can happen from eating fish or shellfish)
  • The mother and child’s blood types are not compatible
  • Infections during pregnancy
  • A medical condition of the mother (such as thyroid issues or seizures)

Again, these are risks to keep in mind but it does not mean this is the be-all-end-all.

Early Signs to Look For


If your child has cerebral palsy, signs normally show up in the first several months of their life so it’s important to know what to look for.

However, I want to mention that the majority of kids who become diagnosed with cerebral palsy are usually between the ages of 1 to 2 years old.

It’s not a condition that’s commonly diagnosed right away.the-lenn-foundation

The reason being, the parent or caretaker starts to notice developmental delays meaning the child is not hitting certain developmental milestones.

Those milestones are pivotal moments in a parent’s life where their child is learning to roll over, crawl, stand, or walk which normally happens between the ages of 1 to 2 years.

If your child is showing one or more of the following signs from birth to age 2 it may indicate motor delay issues.

Here are early warning signs to look for:

  • Unable to hold up their head while being picked up, lying down on their back, or stomach
  • When held, they feel ‘floppy’ or ‘stiff’
  • When held, the legs become tense or cross-like scissors
  • Feeding or swallowing difficulties
  • Unable to roll over or sit up on their own
  • Has difficulty bringing their hands together or to their mouth
  • Reaches out with one hand while their other hand is in a fist
  • Cannot stand while holding onto support
  • Crawls lopsided
  • Walking on toes
  • Seizures
  • Coordination and balance issues

If your child is showing one or more of the following signs it is important to discuss it with your child’s pediatrician.

Before we get into diagnosis and common tests, let’s look at the four main types of cerebral palsy to know.

4 Main Types of Cerebral Palsy


When a child is diagnosed with cerebral palsy, the doctor categorizes the condition into one of these four types.

  • Spastic Cerebral Palsy
  • Athetoid Cerebral Palsy
  • Ataxic Cerebral Palsy
  • Mixed Type Cerebral Palsy

The type of diagnosis is based upon the child’s mobility impacted as well as the number of limbs or body parts affected.

Let’s define each of these types.

Spastic Cerebral Palsy

Commonly referred to as Hypertonic Cerebral Palsy, is the most common type of CP diagnosed in children affecting 70-80%.

Hypertonia, meaning increased muscle tone, tends to lead to painful limbs where muscles are noticeably stiff and tight making jerky movements.

Suffering from motor cortex damage to the brain (which controls voluntary body movements), a child may have difficulty walking, kicking a ball, moving their arm, or lifting objects.

Athetoid Cerebral Palsy

Also known as Dyskinetic Cerebral Palsy and it is the second most common type.

Marked by abnormal movements and muscle control in the arms, legs, and hands, makes this type of CP challenging controlling body basal-gangliacoordination and mobility.

The uncontrollable movements tend to become more severe during times of emotional stress and will usually subside when sleeping or resting.

Ataxic Cerebral Palsy

Ataxia is the loss of control of full body movements and is the least common type of cerebral palsy impacting around 6% of children.

It is caused by damage to the center of the brain, the cerebellum, usually prior to birth commonly from:

  • A brain bleed
  • Lesions
  • High blood pressure from the mother during pregnancy
  • Problems with the placenta

The cerebellum when damaged results in poor coordination and lack of balance.

A child may appear unsteady and shaky in their arms and legs because their balance and depth perception is affected.

Mixed Type Cerebral Palsy

Is the result of multiple brain injuries that are located in numerous spots of the brain and result in affecting about 10% of children.

When a child shows signs of more than one type of CP, they will usually be diagnosed as a mixed type.

The most common mixed types of CP include a combination of spastic and athetoid.

The least common variety is the combination of ataxic and athetoid.

Keep in mind that each of these four types of cerebral palsy is diagnosed with common tests which lead us to our next topic.

Diagnosis and Common Tests


As I briefly mentioned, it is very rare for a child to immediately become diagnosed with cerebral palsy right after birth, but it can happen.

Commonly, the child not meeting developmental milestones alerts the parents and doctors that there may be deeper developmental issues occurring.

Especially if the child is having leg movement difficulties (along with other early warning signs mentioned above), may point in the direction of Spastic Diplegia.

Due to this, certain tests are performed to determine if a child has cerebral palsy.

Here are five common tests doctor’s run to check for brain damage and to rule out other conditions:

  • Blood Test to identify cerebral palsy or rule out other conditions (like genetic disorders)
  • CAT scan (CT scan) of the head to show if there is brain injury (which is similar to an x-ray)
  • MRI of the head to check in detail for any neurological irregularity
  • Electroencephalogram (EEG) to look at the electrical activity in the brain
  • Cranial Ultrasound to show if there is bleeding in the brain

Spastic Diplegia Cerebral Palsy

Treatment Options


The great news is there are numerous treatment options available to help your child live an all-out better quality of life if they are diagnosed with spastic diplegia cerebral palsy.

Even though cerebral palsy is not curable at this time, the condition does not worsen but can drastically improveSpastic Diplegia Cerebral Palsy with combined therapy and treatments.

The treatment your child needs really boils down to the signs and symptoms they are having.

Here are common treatments for cerebral palsy:

  • Orthotic devices such as a walker, wheelchair, or leg braces help with independent mobility
  • Physical therapy to improve motor functions and movement delays
  • Occupational therapy allows a child to live an independent lifestyle by assisting them with their activities of daily living (ADL) like getting dressed, putting on shoes, or brushing their teeth
  • Medications such as muscle relaxers to reduce muscle stiffness
  • Orthopedic Surgery for those experiencing extreme pain in their movements and muscles to receive relief
  • Stem Cell Therapy is still a very new treatment but this type of therapy is linked to restoring some movement functions for cerebral palsy patients

►► Here is a FUN activity therapists use and parents rave about to enhance their child’s motor functions ◄◄

Final Thoughts


Cerebral palsy diagnosed in children ranges from mild to severe depending on where and how the brain damage occurred.

It is not a life-ending condition by any means it is actually quite the opposite!

Those with cerebral palsy have  What-Is-Spastic-Diplegiaincredible abilities and are an inspiration on how to live our lives in the most positive way.

I want to leave you with a post that shares ten incredible stories about people with cerebral palsy that will tug on your heartstrings (it did mine)!

Click here to be inspired.

Thank You!


I hope this information added value to your research efforts in learning more about Spastic Diplegia Cerebral Palsy.

If you found value in this information, please share by clicking the sidebar link to help someone else. 🙂

Do you have any feedback, thoughts to share, or questions?

If yes, please comment below.

I look forward to connecting with you!

I really do strive to make the content I create as helpful as possible for you…as a fellow parent looking out for their most precious gift.

From the bottom of my heart, thank you for stopping by today!


Affiliate Disclaimer: This post may contain affiliate links for your convenience which means if you make a purchase I will earn a small commission at no extra cost to you.  Thank you for your incredible support and for allowing me the opportunity to deliver the most valuable content to you!

Posted In: Cerebral Palsy, Definitions · Tagged: cerebral palsy, definitions, scissor walk, spastic diplegia

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Comments

  1. Ann says

    at

    When we see our child with lower extremity challenges, it is very difficult. But after finding a doctor and reading about this condition and how to treat it, we get determined to help our child in every way possible. I am excited about what I have read on your post. It has given me some hope. Thank you!

    • Lindsey says

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      Thanks for sharing Ann!

  2. David Pratama says

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    I will be frank with you, this is a very new topic for me since I have actually never heard of it. Spastic Diplegia I guess is a serious conditions and it is very important to know and acknowledge the early signs that you have mentioned in the article. I’m very informed about the different types of impact it will have and more importantly to understand various treatments that are available. Thanks for sharing!

    • Lindsey says

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      David, thanks so much for your feedback!

  3. Alejandra says

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    Thanks so much for sharing a good article that helped me to learn more about cerebral palsy, I think your article will help many to be well informed about this condition in children at its early stages, which is always good for parents so they can look for help and do their best to help the child to get better lifestyle. 

    • Lindsey says

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      Thank you for sharing!

  4. Suz says

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    I have a little cousin who has this issue and I just wanted to come online and get some more information about it and frankly, I think that it is very nice what you have written about the issue. It’s quite painful that we have to see our kids like this but I guess if we are able to help them with love, they can overcome it.

    • Lindsey Kovach says

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      Thanks for sharing Suz.  I couldn’t agree more, the more love we can give our kiddos moves mountains for them and us too. 🙂

  5. Joss Landry says

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    Loved your article, Lindsey. There was a lot I didn’t know about CP. Your article was excellent, well done, and full of important information like how this happens. I had no idea this could be coming from mishandling a child’s birth. I needed to add this to my education. Actually, I know two moms with tots that need this kind of help, so I will be glad to pass this information on to them. I believe you’re right and how the children are encouraged to handle themselves from the onset of discovering CP will veer their development into living with less independence or striving and having the ability to live a happier life.

    • Lindsey Kovach says

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      Thanks so much for taking the time to share your thoughts with me Joss.  I enjoyed reading your comment!

  6. Vance Clark says

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    I thought that your article was educational and helpful. Your web layout was nice and balanced with everything. I’ll leave you a comment at WA
    Good job

    • Lindsey Kovach says

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      Thanks for the feedback Vance! I appreciate it. 🙂

  7. Jordan Collingwood says

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    Another educational and informational article!

    I really looked into your article in the “Early Signs to Look For” section. I was not even aware of these signs to look for before reading you article. I think it is important to know of the “signs”.

    This information is what made me think…

    “HOWEVER, I want to mention that the majority of kids who become diagnosed with cerebral palsy are usually between the ages 1 to 2 years old. It’s not a condition that’s commonly diagnosed right away.

    Reason being, a child will start experiencing developmental delays meaning they are not hitting developmental milestones.

    Those milestones are pivotal moments in a parent’s life where their child is learning to roll over, crawl, stand, or walk which normally happens between the ages of 1 to 2 years.”

    Thank you for this educational article. 

    Best Regards,

    Jordan

    • Lindsey Kovach says

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      Thanks for your feedback Jordan!

  8. Imelda says

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    Thank you for this article

    I read this information into cerebral palsy with great interest and have definitely developed a greater understanding for this condition. 

    It is amazing how children can be born with this at birth or an issue from the health practioner and yet would not be diagnosed for another 2 years which is so surprising. I think your information that you have provided will enable adults to see the developmental stage in advance and then be able to get the right diagnosis sooner rather than later. 

    I certainly would never have known this so now I can help others from your content here.

    Lots of useful advice.

    Thanks again

    Imelda

    • Lindsey Kovach says

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      Thanks so much Imelda!  I’m so glad to hear the information was helpful to you. Thanks for sharing. 🙂

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