Ataxias
Patients with ataxias have a disturbance of the coordination of voluntary movements due to muscle
dyssynergia. These patients may be hypotonic during the first two or three years of life. They commonly
walk with a wide-based gait and have a mild intention tremor (dysmetria).
Mixed Group
The fourth category that is commonly used in the physiologic and motor classification is the mixed group.
Patients in this category commonly have mild spasticity, dystonia, and/or athetoid movements. Ataxia may
also be a component of the motoric dysfunction in patients placed in this group.
Anatomic Grouping
Diplegia
Diplegia refers to involvement predominantly of the legs.
Quadriplegia
Quadriplegia refers to dysfunction of all four extremities; in some children one upper extremity might be
less involved; the term triplegia then would be substituted.
Hemiplegia
Hemiplegia refers to individuals with unilateral motor dysfunction; and in most children the upper extremity
is more severely involved than the lower. Finally, an unusual situation may occur where the upper
extremities are much more involved than the lowers; the term double hemiplegia is applied to this group of
patients.
Physiotherapists help people affected by injury, illness or disability through movement and exercise, manual therapy, education and advice.
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