Adult Cerebral Palsy

Definition

Cerebral palsy (CP) is classified as a non-progressive type of impairment to the immature brain. This causes an inability to control muscles, movement and posture. The severity of the condition can be very mild or extremely debilitating.

In adults, the non-progressive classification is questionable. Some people with CP lose function as they age and, as a result of long-term abnormal muscle patterns and movements, new physical problems emerge later in life.

Symptoms/causes

New symptoms that may emerge with adults with CP may include:

  • Increased muscle contractures, resulting from limbs remaining in a fixed position
  • Increased spasms
  • Joint pain and discomfort
  • Fatigue

 

Diagnosis

New symptoms can be diagnosed with physical assessment, MRI and x-ray imaging. An adult with CP can be re-referred back to an orthopaedic or neuro consultant for diagnosis and treatment.

Orthotic Treatments

Orthotic treatment for CP is about managing symptoms and preventing further problems from occurring.

Lycra Garments - used on upper or lower limb to control rotation, reduce contractures forming, maintain and provide good posture and position.

Lower limb splinting - when the range of motion at a joint, such as the ankle, is limited, a Fixed Ankle Foot Orthosis (AFO) can help to normalise walking patterns, while immobilising the joint to maintain range and reduce pain. This type of orthosis will also help promote good hip and knee extension in gait. This will reduce the risk of contractures and reduce energy expenditure.

AFOs can also be jointed at the ankle. These can be used when the ankle has sufficient movement. In some cases, the ankle joint can be sprung to help the foot lift up in the swing phase.

Footwear 
and foot orthotics - footwear can be used to accommodate plastic splinting and improve additional stability. At LOC, we provide a wide range of styles/designs to suit the cosmetic and functional needs of each patient. Footwear may also be adapted with specialist soles to aid normal walking patterns and reduce stresses to lower limbs, as a result of leg length discrepancies. Foot orthotics are used widely in adults with CP. Due to contractures and abnormal muscle patterns, it is common to develop high pressures in the forefoot during walking and custom made foot orthotics can offload these painful regions, provide comfort and aid mobility.

Spinal bracing
- used to stabilise the lumbar and thoracic spine and promote good posture.

FAQs:

We have the following facilities and amenities at our Kingston Upon Thames location:

  • Free parking
  • Wheelchair ramp
  • Disabled toilet
  • Baby changing facilities

We also have the Gait Laboratory for orthotics patients and Onsite Manufacturing for speedy turnarounds and adjustments whilst you wait.

We have the following facilities and amenities at our Cambridge location:

  • Free parking directly outside the clinic
  • Large Waiting Room
  • No Toys (Due to Health & Safety Requirements of the clinic)
  • Baby changing space (In clinic room)

For more information about The Beechwood Complementary Medical Practice, please visit The Beechwood Practice.

We have the following facilities and amenities at our Bristol location:

  • Free parking directly outside the clinic
  • Large Waiting Room
  • Free tea, coffee and water
  • No Toys (Due to Health & Safety Requirements of the clinic)
  • Baby changing space (In clinic room)
  • Fully wheelchair accessible
  • Short walk to Clifton Village centre for shops, restaurants & cafes

For more information, visit Litfield House Medical Centre.

LOC’s clinic is based in the University of Salford’s Podiatry Department and provides treatments for orthotics, scoliosis, pectus deformities, positional plagiocephaly and club foot.

It is also the base for LOC’s northern OSKAR clinic which is run by Sam Walmsley, clinical director of LOC, in conjunction with Elaine Owen MBE MSc SRP MCSP.

Due to COVID-19, we have had to temporarily close the Salford clinic and are operating out of another clinic in Bolton. 

508 Blackburn Rd,

Astley Bridge,

Bolton

BL1 8NW

 

For more information, please visit The Good Health Centre 

An insole is a contoured orthotic device which alters the characteristics and biomechanics of the foot and ankle area. Biomechanics are concerned with mechanical laws and how they affect the living body, especially the musculoskeletal system.

They are removable devices, often made from plastic, that are designed to fit inside a shoe to provide additional support for your feet. As well as offering shock absorption, an insole can help distribute the weight of your body more effectively across the foot and can be made bespoke to cover a range of biomechanical conditions.

If you have symptoms in your feet, ankles, hips or your lower back that are intermittent or were not there to start with in early life, and have started to cause you pain over a period of time, bespoke orthotic insoles could be an excellent option.

If you have already tried rest, icing, compression and elevation and your feet have not recovered, we recommend a biomechanical assessment to consider the possibility of insoles. They are a non-invasive approach to treatment and in many cases, are a great option for symptoms that are not severe enough to warrant surgical intervention. Alternatively, they can be considered as an option prior to surgery.

We will send patients away when an insole is not appropriate, if a patient is suffering with iliotibial band syndrome for example, the problem can be helped with physiotherapy and a stretching programme. That’s what our biomechanical assessment is all about; determining whether there would be any benefit from altering the alignment of your feet.

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