Creating greater understanding of complex medical conditions

Spastic Hemiplegia

Marcie Ward, Lily Collison, and Eimear Gabbett

Spastic hemiplegia is a very common subtype of cerebral palsy (CP), and CP itself is the most common cause of childhood-onset physical disability. An estimated 17 million people worldwide have CP. Spastic hemiplegia is also known as unilateral spastic CP or, simply, unilateral CP.

Spastic hemiplegia affects the upper and lower limbs of one side of the body. The upper limb is usually more affected than the lower limb. This practical guide addresses spastic hemiplegia across the lifespan and the evidence-based, best-practice treatments. It also includes the lived experience of families.

The writing of Spastic Hemiplegia was led by Marcie Ward, MD, Pediatric Rehabilitation Medicine Physician at Gillette Children’s, a world-renowned center of excellence for the treatment of brain, bone, and movement conditions. Spastic Hemiplegia is part of the Gillette Children’s Healthcare Series, a series of books for families who are looking for clear, comprehensive information. Health care professionals, researchers, educators, students, and extended family members will also benefit from reading Spastic Hemiplegia.

Authors

Marcie Ward, MD

Lily Collison MA, MSc

Eimear Gabbett, parent

Editors

Elizabeth Boyer, PhD

Tom F. Novacheck MD

What people are saying

“As relevant to doctors and health professionals as it is to people with cerebral palsy and their families.” 

NADIA BADAWI, AM
CP Alliance Chair of Cerebral Palsy Research, University of Sydney; Medical Director and Co-Head, Grace Centre for Newborn Intensive Care, The Children’s Hospital at Westmead, Australia

“This book gets my highest recommendation.”

NATHALIE MAITRE, MD, PhD
Professor of Pediatrics in Neonatology, Neonatologist at Children’s, and Director of Early Development and Cerebral Palsy Research, Emory University School of Medicine; Mother of son with hemiplegia, US

“Wow! This book is the most amazing and comprehensive source of information available for persons with unilateral CP and their families I have ever seen, and it should be required reading for any professionals who care for them.” 

DIANE DAMIANO, PhD, FAPTA
Senior Investigator and Chief, Neurorehabilitation and Biomechanics Research Section, National Institutes of Health; Past-President Clinical Gait and Movement Analysis Society; Past President American Academy of Cerebral Palsy and Developmental Medicine, US

Spastic Hemiplegia is a perfect primer for parents wanting more information about their child’s condition, allied health care professionals interested in gaining more evidence-based information about the care of children with spastic hemiplegia, and for the layperson who knows someone with hemiplegia and is looking to understand the condition better. It is rare to find a book that weaves the patient experience into the content as nicely as has been done in this book. The authors have done a fine job of providing evidence-based information in a patient and family-centered fashion—a must-read for all!

BENJAMIN SHORE, MD, MPH, FRCSC
Director, Cerebral Palsy and Spasticity Center, Boston Children’s Hospital; Associate Professor of Orthopedic Surgery, Harvard Medical School, US

“I found this book to be an exceptional resource. It not only provides a thorough exploration of the unique challenges faced by those of us living with CP but also brings these experiences to life through personal stories and insights. This blend of practical advice and real-life experiences makes it an essential guide for anyone looking to empower themselves or support others in the CP community.”

EMMA LIVINGSTONE
Founder and CEO, UP–The Adult Cerebral Palsy Movement; Adult with spastic hemiplegia, UK

“This publication provides a comprehensive review of medical team decisionmaking and addresses important aspects of surgical and clinical care. Perhaps most importantly, it includes an emphasis on community connection and provides personal experiences from individuals with CP and their families to learn from. Interested individuals, families, and clinicians will benefit from this effort.”

JUSTIN RAMSEY
Associate Medical Director, Movement Clinic and Cerebral Palsy Program, Bethany Children’s Health Center; Volunteer Clinical Associate Professor of Neurology, University of Oklahoma; Adult with spastic hemiplegia, US

“As someone with right spastic hemiplegia, I was amazed by how much of the information was relevant to my memories of childhood therapy appointments and doctor visits. I deeply enjoyed reading the testimonies of those with CP, and I felt recognized inside their stories. From small things like official medical terminology to detailed explanations on why I was receiving certain treatments as a child, this book helped me not only recontextualize my own experiences but also prepared me to be a better medical advocate for myself moving into adulthood.”

EMMALYNNE SHUMARD
Student; Adult with spastic hemiplegia, US

“This book is a comprehensive distillation of current medical knowledge and best practice to guide all involved with children, families, and individuals with unilateral cerebral palsy. The delivery is straightforward, organized, and well informed. Individuals with hemiplegia and their parents will be drawn to this one source that focuses on the specifics of the condition. What makes this stand out is the ‘humanistic holistic’ approach to daily life, which is pertinent to quality of life. Especially noteworthy is the emphasis on activity, sports, and the discussion on how to participate at the community as well as Paralympic level. This book is a unique contribution.”

DEBORAH GAEBLER-SPIRA
Director Emeritus Cerebral Palsy Program, Shirley Ryan AbilityLab; Professor Emeritus of Pediatrics and Physical Medicine and Rehabilitation, Northwestern Feinberg School of Medicine; Past President, American Academy for Cerebral Palsy and Developmental Medicine, US

“Spastic Hemiplegia—Unilateral Cerebral Palsy is an essential read for anyone with an interest, either professional or personal, in understanding the condition. It successfully distills a huge volume of research into an accessible text that vitally provides a lifespan perspective. It provides parents with a much-needed toolkit to be their child’s advocate. It also equips parents with knowledge to pass on to their child, empowering them to become their own advocate in the future. One of the book’s standout features is the inclusion of personal stories. I found myself searching for the personal narrative in each chapter, wanting to understand Eimear’s and Ally’s perspectives, which brings the robust evidence-based content to life. The book beautifully illustrates what is often said, that each experience of cerebral palsy is unique. The diversity of personal experiences highlights the varied paths to diagnosis, management, and support, as well as both the unique and shared strengths and challenges faced by those living with spastic hemiplegia. This book is a valuable resource that successfully merges scientific evidence with lived experiences, making it a compelling and informative read.”

JENNIFER RYAN
Director, Cerebral Palsy Lifespan Health and Well-being (CP-Life) Research Centre, Royal College of Surgeons in Ireland

"In these days when information is so prolific, misinformation seems to rule. It is no different in the world of cerebral palsy. Sadly, I have seen the wheel being reinvented over and over—erroneous treatment recommendations and overdosed surgeries, proposed and performed by low-volume clinicians and surgeons. Underwhelming treatment outcomes often go unrecognized. Parents and patients seeking comprehensive information on hemiplegia will find in this book clear explanations and sound information on diagnosis, prognosis, treatment strategies, and expected outcomes. I hope that all parents and patients have access to this wonderful work."

PAULO SELBER
Attending Orthopedic Surgeon, Hospital for Special Surgery; Professor of Orthopedic Surgery, Weill Cornell Medical College, US

"Being suddenly immersed in a world of medical terminology, professional opinion, and service provision is surely overwhelming. This book centralizes children, families, and adults and provides a wealth of information on living with CP spastic hemiplegia throughout the life course. It has an excellent blend of medical and scientific information, practical application, and real-life excerpts. It is carefully written with clear but thorough explanations. This book is a must-read, not only for parents of children and adults with spastic hemiplegia but for the professionals working with them."

MICHELLE SPIRTOS
Associate Professor and Head of Discipline of Occupational Therapy, School of Medicine, Trinity College Dublin, Ireland

"It has been an absolute pleasure to read Spastic Hemiplegia—Unilateral Cerebral Palsy. The book communicates cutting-edge knowledge about the causes, development, and treatment of cerebral palsy in clear and accessible language. The perspectives of people with CP and their families are thoughtfully integrated. Even the most complex aspects are presented in a way that is easy to understand. I highly recommend this book to families, health care professionals, and researchers studying various aspects of cerebral palsy."

EVA PONTÉN
Consultant Orthopaedic and Hand Surgeon, Karolinska University Hospital; Associate Professor, Karolinska Institutet, Sweden

Email Lina Abdennabi, Press Coordinator:

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