期刊
DISABILITY AND REHABILITATION
卷 44, 期 22, 页码 6738-6743出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/09638288.2021.1971308
关键词
Cerebral palsy; hip; knee; pain; posture; scoliosis; sitting position; supine position
资金
- Stiftelsen for bistand at rorelsehindrade i Skane
- Forte the Swedish Research Council for Health, Working Life and Welfare [2018-01468]
- Forte [2018-01468] Funding Source: Forte
- Swedish Research Council [2018-01468] Funding Source: Swedish Research Council
The study found that children with postural asymmetries were more likely to have scoliosis, windswept hips, and flexion contractures in the hips and knees. Efforts should be made to prevent or reduce postural asymmetries, as this may also decrease the likelihood of pain.
Purpose This cross-sectional study of 2450 children with cerebral palsy aimed to analyse the prevalence and association of scoliosis, windswept hips, hip and knee contractures. Methods Logistic regression was used to estimate associations with pain, postural asymmetries, and ability to change position for children at Gross Motor Function Classification System (GMFCS) levels I-V, aged 0-18 years. Results Most children with a deformity or contracture had postural asymmetries in both sitting and supine positions; 10.5% had scoliosis, 8.7% windswept hips, 6.6% hip flexion and 19.2% knee contractures. Severe postural asymmetries increased the likelihood for scoliosis 9 times, for windswept hips 6 to 9 times, and for hip and knee flexion contractures 7 and 12 times respectively, adjusted for age, sex and GMFCS level. Hip flexion contractures and windswept hips increased the likelihood for pain by 1.5-1.6 times. Conclusion The likelihood of having scoliosis, windswept hips and flexion contractures in the hips and knees increased if the child had postural asymmetries, and for increased age and higher GMFCS levels. Efforts should focus on preventing postural asymmetries from occurring or progressing, and on increasing the child's ability to change position. Reducing postural asymmetries may also reduce the likelihood of pain.
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