thumb in palm

CP Upper limb

Spastic hemiplegia

- have voluntary grasp and release

Spastic quadriplegia

- many patients have sensory neglect for affected limbs

- won't use limb post surgery regardless

- may need some releases for hygiene / dressing

CP is a permanent disorder of movement and posture

- non-progressive

- brain injury before the age of two years

Strict definition excludes familial & progressive congenital problems & those acquired in childhood as a result of head injuries