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Cerebral palsy (CP) is the single largest cause of severe physical disability in childhood. The subclassification of CP is based on the type and distribution of motor problems. Spasticity - involving stiffness and weakness of affected muscles - is usually a dominant motor problem. Prematurity is an important risk factor for diplegic CP. Children with hemiplegic CP can be divided into two main groups: congenital hemiplegia and acquired hemiplegia. Many children with hemiplegic CP meet the diagnostic criteria of anxiety disorder. Autistic disorders such as infantile autism and Asperger syndrome affect around 3% of children with hemiplegic CP. Maudsley Hospital's Brain and Behaviour Clinic treated around 150 children with the psychological complications of hemiplegic CP. The London Hemiplegia Register (LHR) follow-up study of 18 to 25 year old with hemiplegic CP also assessed the psychosocial adjustment of the 81 individuals.
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