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Postural asymmetries in young adults with cerebral palsy
Author(s) -
RodbyBousquet Elisabet,
Czuba Tomasz,
Hägglund Gunnar,
Westbom Lena
Publication year - 2013
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.12199
Subject(s) - gross motor function classification system , supine position , cerebral palsy , scoliosis , medicine , sitting , spastic , physical therapy , pelvic tilt , physical medicine and rehabilitation , range of motion , trunk , pelvis , surgery , ecology , pathology , biology
Aim The purpose was to describe posture, ability to change position, and association between posture and contractures, hip dislocation, scoliosis, and pain in young adults with cerebral palsy ( CP ). Methods Cross‐sectional data of 102 people (63 males, 39 females; age range 19–23y, median 21y) out of a total population with CP was analysed in relation to G ross M otor F unction C lassification S ystem ( GMFCS ) levels I ( n =38), II ( n =21), III ( n =13), IV ( n =10), and V ( n =20). The CP subtypes were unilateral spastic ( n =26), bilateral spastic ( n =45), ataxic ( n =12), and dyskinetic CP ( n =19). The P ostural A bility S cale was used to assess posture. The relationship between posture and joint range of motion, hip dislocation, scoliosis, and pain was analysed using logistic regression and S pearman's correlation. Results At GMFCS levels I to II , head and trunk asymmetries were most common; at GMFCS levels III to V postural asymmetries varied with position. The odds ratios ( OR ) for severe postural asymmetries were significantly higher for those with scoliosis ( OR =33 sitting), limited hip extension ( OR =39 supine), or limited knee extension ( OR =37 standing). Postural asymmetries correlated to hip dislocations: supine ( r s =0.48), sitting ( r s =0.40), standing ( r s =0.41), and inability to change position: supine ( r s =0.60), sitting ( r s =0.73), and standing ( r s =0.64). Conclusions Postural asymmetries were associated with scoliosis, hip dislocations, hip and knee contractures, and inability to change position.