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Relationship between scoliosis, windswept hips and contractures with pain and asymmetries in sitting and supine in 2450 children with cerebral palsy

Relationship between scoliosis, windswept hips and contractures with pain and asymmetries in sitting and supine in 2450 children with cerebral palsy


Title: Relationship between scoliosis, windswept hips and contractures with pain and asymmetries in sitting and supine in 2450 children with cerebral palsy
Author: Casey, Jackie
Ágústsson, Atli   orcid.org/0000-0002-9070-249X
Rosenblad, Andreas
Rodby-Bousquet, Elisabet
Date: 2021-09-06
Language: English
Scope:
Department: Faculty of Medicine
Series: Disability and Rehabilitation; ()
ISSN: 0963-8288
DOI: https://doi.org/10.1080/09638288.2021.1971308
Subject: Heilalömun; Börn; Líkamsstaða; Cerebral palsy; hip; knee; pain; posture; scoliosis; sitting position; supine position; Rehabilitation
URI: https://hdl.handle.net/20.500.11815/3121

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Citation:

Casey , J , Ágústsson , A , Rosenblad , A & Rodby-Bousquet , E 2021 , ' Relationship between scoliosis, windswept hips and contractures with pain and asymmetries in sitting and supine in 2450 children with cerebral palsy ' , Disability and Rehabilitation . https://doi.org/10.1080/09638288.2021.1971308

Abstract:

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.Implications for Rehabilitation The risk of having scoliosis, windswept hip deformity and flexion contractures in the hips and knees increased if the child had postural asymmetries in sitting or lying. Efforts should focus on preventing or reducing postural asymmetries, and on increasing the child’s ability to change position. Reducing postural asymmetries may also reduce the risk of pain.

Description:

Funding Information: This work was supported by Stiftelsen för bistånd åt rörelsehindrade i Skåne and Forte the Swedish Research Council for Health, Working Life and Welfare. Publisher Copyright: © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

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