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Scissors gait is a common walking abnormality observed in children with cerebral palsy (CP), characterized by the crossing of the legs while walking due to increased muscle tone in the hip adductors. This condition can lead to difficulties in mobility, balance issues, and long-term complications if not managed properly. Early intervention, including therapy, medication, and assistive devices, plays a crucial role in improving gait patterns and enhancing the overall quality of life for affected children.
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SCISSORS GAIT IN CEREBRAL PALSY: Causes, Risks & Treatment Approaches www.trishlafoundation.com
Introduction Scissors gait is a common walking abnormality observed in children with cerebral palsy (CP), characterized by the crossing of the legs while walking due to increased muscle tone in the hip adductors. This condition can lead to difficulties in mobility, balance issues, and long-term complications if not managed properly. Early intervention, including therapy, medication, and assistive devices, plays a crucial role in improving gait patterns and enhancing the overall quality of life for affected children. This presentation explores the causes, risks, and treatment options available to manage scissors gait effectively.
What is a Scissoring Gait? • A walking pattern where the thighs press or cross each other. • Caused by increased muscle tone (spasticity) in hip adductors. • Common in spastic diplegia, a type of CP affecting lower limbs.
Risks of Poorly Managed Scissoring Gait • Developmental Deformities: Uneven muscle pull can cause deformities. • Increased Fall Risk: Difficulty in balance, leading to falls. • Pressure Sores: Knee friction can cause sores. • Limited Range of Motion: Tight muscles reduce mobility. • Pain & Discomfort: Strain on joints leads to chronic pain. • Hip Joint Dislocation: Long-term scissoring can cause dislocation. • Difficulty in Perineal Care: Limited space for cleaning after toileting.
Managing Scissoring Gait - Treatment Overview • Treatment involves reducing spasticity and improving walking pattern. • A combination of medications, therapy, and assistive devices is often used. • Early intervention helps prevent long-term complications.
Medications & Injections • Muscle Relaxants (Baclofen): Reduces spasticity but may cause fatigue. • Intrathecal Baclofen Therapy: Delivers medicine directly to the spinal cord. • Botox Injections: Temporarily blocks nerve signals, lasting 3-6 months.
Orthotic Devices & Surgical Options • Braces & Splints: Help maintain leg alignment and reduce muscle tightening. • SWASH Orthosis: Prevents legs from crossing. • Adductor Lengthening Surgery: Lengthens inner thigh muscles. • Selective Dorsal Rhizotomy (SDR): Cuts nerve fibers to reduce spasticity.
Physical Therapy & Mobility Aids • Physical Therapy: Essential to reinforce proper walking techniques. • Gait Training: Strengthens muscles and encourages correct movement. • Walkers: Provide stability and keep legs apart to prevent scissoring.
Conclusion & Importance of Early Intervention • Scissoring gait can cause long-term mobility issues if left untreated. • Treatment should focus on reducing spasticity and correcting walking patterns. • Early intervention improves mobility, quality of life, and long-term independence.
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