Classification of gait patterns in spastic hemiplegia and spastic diplegia: a basis for a management algorithm

Classifications of gait and postural patterns in spastic hemiplegia and spastic diplegia are presented, based on the work of previous authors. The classifications are used as a biomechanical basis. linking spasticity, musculoskeletal pathology in the lower limbs, and the appropriate intervention strategies. The choice of target muscles for spasticity management, the muscle contractures requiring lengthening and the choice of orthotics are then linked to the underlying gait pattern.