Spasticity pp 150-154 | Cite as

Spastic Movement Disorder: Similarities and Differences in Children and Adults

  • W. Berger
  • V. Dietz
Conference paper


This contribution is restricted to findings in spastic movement disorder during stance (following perturbations) and gait performed on a moving treadmill. Nevertheless, these functional automatic movements will provide evidence for new interpretations of this pathological state and therefore new conclusions for therapy.


Cerebral Palsy Reflex Excitability Spastic Gait Reciprocal Mode Spastic Hemiparesis 
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  1. Barbeau H, Fung J (1992) New experimental approaches in the treatment of spastic gait disorders. In: Forssberg H, Hirschfeld H (eds) Movement disorders in children. Med Sport Sci 36:234–246Google Scholar
  2. Berger W, Quintern J, Dietz V (1982) Pathophysiology of gait in children with cerebral palsy. Electroencephalogr Clin Neurophysiol 63:538–548Google Scholar
  3. Berger W, Altenmüller E, Dietz V (1984a) Normal and impaired development of children’s gait. Hum Neurobiol 34:163–170Google Scholar
  4. Berger W, Horstmann GA, Dietz V (1984b) Tension development and muscle activation in the leg during gait in spastic hemiparesis: the independence of muscle hypertonia and exaggerated stretch reflexes. J Neurol Neurosurg Psychiatry 47:1029–1033PubMedCrossRefGoogle Scholar
  5. Berger W, Quintern J, Dietz V (1987) Afferent and efferent control of stance and gait: developmental changes in children. Electroencephalogr Clin Neurophysiol 66:244–252PubMedCrossRefGoogle Scholar
  6. Berger W, Horstmann GA, Dietz V (1988) Spastic paresis: impaired spinal reflexes and intact motor programs. J Neurol Neurosurg Psychiatry 51:568–571PubMedCrossRefGoogle Scholar
  7. Berger W, Horstmann GA, Dietz V (1990) Interlimb coordination of stance in children: divergent modulation of spinal reflex responses and cerebral evoked potentials in terms of age. Neurosci Lett 116:118–122PubMedCrossRefGoogle Scholar
  8. Dietz V (1992a) Human neuronal control of automatic functional movements: interaction between central programs and afferent input. Physiol Rev 72(l):33–69PubMedGoogle Scholar
  9. Dietz V (1992b) Spasticity: exaggerated reflexes or movement disorder? In: Forssberg H, Hirschfeld H (eds) Movement disorders in children. Med Sport Sci 36:225–233Google Scholar
  10. Dietz V, Berger W (1983) Normal and impaired regulation of muscle stiffness in gait: a new hypothesis about muscle hypertonia. Exp Neurol 79:680–687PubMedCrossRefGoogle Scholar
  11. Dietz V, Berger W (1984) Interlimb coordination of posture in patients with spastic paresis. Impaired function of spinal reflexes. Brain 107:965–978PubMedCrossRefGoogle Scholar
  12. Dietz V, Quintern J, Berger W (1981) Electrophysiological studies of gait in spasticity and rigidity. Evidence that altered mechanical properties of muscle contribute to hypertonia. Brain 104:431–449PubMedCrossRefGoogle Scholar
  13. Dietz V, Ketelsen UP, Berger W, Quintern J (1986) Motor units’ involvement in spastic paresis: relationship between leg muscle activation and histochemistry. J Neurol Sci 75: 89–103PubMedCrossRefGoogle Scholar
  14. Feldkamp M (1988) In: Feldkamp M, Matthias MH (eds) Diagnose der infantilen Zerebralparese im Säuglings- und Kindesalter. Thieme, Stuttgart, p 22Google Scholar
  15. Forssberg H, Wallberg H (1980) Infant locomotion: a preliminary movement and electromyographic study. In: Berg K, Eriksson BO (eds) Children and exercise. IXth international series on sport sciences. University Park Press, Baltimore, pp 32–40Google Scholar
  16. Gollhofer A, Schmidtbleicher D, Dietz V (1984) Regulation of muscle stiffness in human locomotion. Int J Sport Med 5:19–22CrossRefGoogle Scholar
  17. Landau WM (1980) What is it? What is it not? In: Feld RG, Young RR, Loella WP (eds) Spasticity: disordered motor control. Symposia Specialists, Miami, pp 17–24Google Scholar
  18. Walshe FMR (1923) On certain tonic or postural reflexes in hemiplegia, with special reference to the so-called associated movements. Brain 46:1–37CrossRefGoogle Scholar
  19. Young RR (1982) The assessment of drug treatment of spastic gait. J Neurol Neurosurg Psychiatry 45:p 760 (letter to the Editor)PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • W. Berger
    • 1
  • V. Dietz
    • 2
  1. 1.Abt. Klinische Neurologie und NeurophysiologieUniversität FreiburgFreiburgDeutschland
  2. 2.Schweizer ParaplegikerzentrumKlinik BalgristZürichSchweiz

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