Classifications of cerebral palsy
Reference | Year | Classification | ||
---|---|---|---|---|
Little2 | 1862 | Hemiplegic rigidity | ||
Paraplegic rigidity | ||||
Generalised rigidity | ||||
Disordered movements without rigidity | ||||
Sachs and Petersen3 | 1890 | Paralysis of intrauterine origin | Diplegia | |
Paraplegia | ||||
Hemiplegia | ||||
Birth palsies | Diplegia | |||
Paraplegia | ||||
Hemiplegia | ||||
Diataxia (ataxia) | ||||
Acute acquired palsies | Hemiplegia | |||
Paraplegia | ||||
Diplegia | ||||
Choreo-athetoid | ||||
Freud4 | 1893 | Unilateral disorders—hemiplegia | Right or left | |
Bilateral disorders—diplegia | Generalised rigidity | |||
Paraplegic rigidity | ||||
Bilateral hemiplegia | ||||
Choreo-athetosis | ||||
Others | ||||
Wyllie5 | 1951 | Congenital symmetric diplegia | ||
Congenital paraplegia | ||||
Quadriplegia or bilateral hemiplegia | ||||
Hemiplegia with additional qualifications referring to all categories | Choreo-athetoid cerebral palsy | |||
Mixed forms of cerebral palsy | ||||
Ataxic cerebral palsy | ||||
Atonic diplegia | ||||
Minear(6) | 1956 | A. Physiological | Spasticity, athetosis, rigidity, ataxia, tremor, atonia, mixed, unclassified | |
B. Topographical | Monoplegia, diplegia, paraplegia, hemiplegia, triplegia, quadriplegia | |||
C. Aetiological | Prenatal, natal anoxia, postnatal, cause described | |||
D. Trauma | Cause described | |||
E. Supplemental | Psychological evaluation | |||
Physical status, convulsive seizures, posture and locomotive behaviour pattern, eye-hand behaviour pattern, visual status, auditory status, speech disturbances | ||||
F. Neuroanatomical | ||||
G. Functional capacity | Class I–IV | |||
H. Therapeutic | Class I–IV | |||
Neurology | Extent | Severity | ||
Ingram7 | 1955 | Hemiplegia | Right or left | Mild |
Moderate | ||||
Severe | ||||
Double hemiplegia | Mild | |||
Moderate | ||||
Severe | ||||
Diplegia | ||||
Hypotonic | Paraplegia | Mild | ||
Dystonic | Triplegia | Moderate | ||
Rigid or Spastic | Tetraplegia | Severe | ||
Ataxia | ||||
Cerebellar | Unilateral | Mild | ||
Vestibular | Bilateral | Moderate | ||
Severe | ||||
Ataxic diplegia | ||||
Hypotonic | Paraplegia | Mild | ||
Spastic | Triplegia | Moderate | ||
Tetraplegia | Severe | |||
Dyskinesia | ||||
Dystonic | Monoplegia | Mild | ||
Choreoid | Hemiplegia | Moderate | ||
Athetoid | Triplegia | Severe | ||
Tension | Tetraplegia | |||
Tremor | ||||
Other | ||||
Little Club8 | 1959 | Spastic cerebral palsy | Hemiplegia | |
Diplegia | ||||
Double hemiplegia | ||||
Dystonic cerebral palsy | ||||
Choreo-athetoid cerebral palsy | ||||
Mixed forms of cerebral palsy | ||||
Ataxic cerebral palsy | ||||
Atonic diplegia | ||||
Hagberg9 | 1975 | Spastic | Hemiplegia | |
Tetraplegia | ||||
Diplegia | ||||
Ataxic | Congenital | |||
Diplegia | ||||
Dyskinetic | Dystonic—mainly | |||
Choreo-athetotic | ||||
SCPE10 | 2000 | Spastic | Bilateral spastic | |
Unilateral spastic | ||||
Ataxic | ||||
Dyskinetic | Dystonic | |||
Choreo-athetotic | ||||