Why does Cerebral Palsy Patient Affect Walking?

Cerebral Palsy and Walking
Cerebral palsy is a developmental disorder brought on by different neurological conditions. While it often varies in type and intensity, most forms of cerebral palsy affect walking in some way. Some conditions affect muscle tone, while others may make coordination difficult. Some forms of cerebral palsy may even affect posture, making walking more challenging and sometimes impossible.
Cerebral Palsy and Muscle Control
Some children with cerebral palsy have problems with muscle tone. The muscles may be spastic, causing them to be flexed and rigid. Alternatively, they may be flaccid, "floppy" and weak. In either case, problems with muscle tone not only make leg movements challenging, but it can make standing difficult. Some forms of cerebral palsy cause problems with coordination and walking even though muscle tone may not be the problem. For instance, ataxic cerebral palsy causes tremors and difficulties with depth perception. Children with this form of cerebral palsy often walk with a wide, staggering gait pattern. Dyskinetic cerebral palsy, on the other hand, causes uncontrollable writhing movements. This can also make coordinating the legs challenging, including when bearing weight and walking.
Just because a child has cerebral palsy does not mean he will not be able to walk. In fact, a study by the American Academy of Pediatrics reported that about 70 percent of children with cerebral palsy are actually able to walk, either with or without an assistive device. Only about 30 percent of those with cerebral palsy have no walking ability. Of course, this does not mean walking with cerebral palsy is easy for that 70 percent. In most children with cerebral palsy, the key developmental stages that lead to walking are delayed. These include rolling over, sitting up and crawling. Because of this, they will often not learn to walk at the so-called “normal” developmental time. Walking may be delayed by months or even years.

To succeed in walking, the child with cerebral palsy needs some assistance. Consult a physician or therapist who can help get the ball rolling for children with cerebral palsy who want to walk. Doctors may prescribe medications that keep symptoms in check, such as controlling spasms and muscle tone. Physical therapy can be crucial for children with cerebral palsy, to help them develop muscle control and improve their coordination. Children may also be more successful with walking if they use leg braces to improve stability, or assistive devices for walking, such as a specialized walker or crutches.
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