Cerebral Palsy maybe/maybe not

This leaves us now to consider spasticity in parallel (spastic diplegia for example). Intact direct control paths with spindle hyper-response layered on.

Here we see immediacy of effort, hemmed in by dysfunctional reaction (contracture which is BOTH tissue based and that from abnormal confounding reflex). When in postures that relieve tension, they move well. Crawling can look quite normal. W-sitting can allow arms to relax. The pyramidal system which orchestrates, draws on inertia, inner ear balance, toe sensation, general position sense, and more. All is still there, but hitting walls. It is a string quartet playing beneath machine gun fire.

These kids have the ‘moves’. You can sense their skill of movement choices or attempts. They seek mobility .