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Updated: Aug 20, 2026

Repeated Transcranial Magnetic Stimulation Combined with Action Observation Training in Children with Spastic Cerebral Palsy
Published on: August 9, 2024
[Higher cortical functions in children with spastic forms of cerebral palsy]
Insights
Children with spastic cerebral palsy (CP) often experience kinesthetic and higher cortical function deficits. Hemiparetic CP showed the most severe kinesthetic praxis disturbances, impacting all patients.
Area of Science:
- Neurology
- Developmental Pediatrics
- Rehabilitation Medicine
Context:
- Cerebral palsy (CP) is a group of disorders affecting movement and posture.
- Spastic CP, the most common form, involves muscle stiffness and exaggerated reflexes.
- Understanding higher cortical functions in CP is crucial for comprehensive care.
Purpose:
- To investigate kinesthetic praxis and higher cortical functions in children with spastic cerebral palsy.
- To quantify the prevalence and severity of specific functional deficits.
Summary:
- Kinesthetic praxis disturbances were prevalent in 75 children (aged 7-11) with spastic CP.
- Deficits were most pronounced in hemiparetic CP (100%) and common in spastic diplegia (75-94.3%).
- Other affected functions included dynamic praxis (90%), visual-spatial praxis (80%), and various gnosis and reasoning skills.
Impact:
- Highlights the significant impact of spastic CP on motor and cognitive functions.
- Informs targeted therapeutic interventions for children with CP.
- Emphasizes the need for comprehensive neurodevelopmental assessments in CP management.
Abstract:
Kinestatic praxis was studied in 75 children, aged 7-11 years, with spastic forms of cerebral palsy (CP) and in 30 of them other higher cortical functions were examined. The disturbances of kinestatic praxis were more expressed in hemiparetic forms of CP, being observed in all the cases, and frequently occurred in spastic diplegias (75-94.3%) as well. Dynamic praxis was disturbed in 90% cases, spatial praxis--in 53.3%, visual-acoustic gnosis--in 36.6%, visual-object gnosis--in 50%, visual-spatial--in 80%, visual memory--in 40%, visual imaging reasoning--in 30%, verbal logic reasoning--in 43.3%.
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