Adults with CP can have difficulty with muscle weakness, stiffness, balance, awkwardness, slowness and shakiness. Their movement may be affected on one side or on both sides, and their arms or legs, sometimes both, might be affected.

Since CP affects muscles and movement, mobility problems are common and range from painful or difficulty walking to being unable to walk at all. Some adults with CP who were once mobile may stop being able to walk as they get older for a variety of CP-related reasons.

One of the most common issues as someone with CP ages is the early development of painful joint conditions such as arthritis. This, along with increased spasticity, fatigue and muscle issues, can cause a decrease in function and mobility.

Another issue is that the risk of injuries rises as someone with CP ages. The risk of falling increases due to greater mobility problems. Falls can cause injuries such as broken bones, muscle strains, head injuries and joint dislocation.

Adults with CP may find that things they could do in their youth are now difficult as they age. Fatigue and mobility issues can impact one’s ability to work, exercise, socialise or accessing the community.

As you get older and whenever you feel that your mobility, movement and strength are declining, talk to your healthcare team about getting reassessed and having your treatment plan updated.

Movement and mobility programs include physiotherapy, medication, occupational therapy and assistive equipment to support you as you age.

Physiotherapy can help with your mobility by strengthening muscles, improving coordination, improving balance and increasing flexibility. Exercises, adaptive equipment, stretching and other activities can be used to help give you greater independence, improved physical function and better mobility.

Medication may also help relieve certain symptoms of CP by targeting underlying muscle problems. For example, muscle relaxants are commonly used to reduce muscle spasticity, contractions and stiffness to allow you to move more smoothly and easily.

Occupational therapists can provide advice about home modifications, aids and equipment, and suggest techniques and ideas to help with mobility issues.

If you are finding that walking is becoming more difficult, canes and walkers can support you and improve your balance. If you cannot walk at all, or only with great pain or difficulty, a wheelchair can significantly increase your ability to get around and be mobile.