Hereditary Spastic Paraplegia (HSP) is a diagnosis which covers a large group of rare and inherited neurological disorders. HSP causes degeneration of the upper motor neurons within the brain and spinal cord. While there are over 80 different types of HSP, they share the primary problem of difficulty walking which is due to muscle weakness (paraplegia) and muscle stiffness (spasticity).
There may be a huge variation in both muscle weakness and the severity of the spasticity in individuals who have the same type of HSP as well as the difference between the different genetic types.
Treatment of the condition is based around the management of the symptoms – weakness and spasticity.
Physiotherapy will aim to
Medical management will focus primarily on medication control for muscle relaxation e.g. systemic through a pump or localised muscle injections with Botulinum toxin.
Orthotics are often used in conjunction with medical management and physiotherapy, particularly to lift the foot when walking.
PhysioFunction’s highly specialised neurological physiotherapists, musculoskeletal physiotherapists, therapy assistants, personal trainers and sports therapists are able to deliver tailored programs for clients affected with different types of HSP.
Some examples of the therapy you may receive includes: