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Colonic transit time and constipation in children with spastic cerebral palsy
Eun Sook Park1, Chang Il Park, Sung-Rae Cho
1Rehabilitation Department, Yonsei University College of Medicine, Seoul, Korea.
Objectives:
To evaluate colonic motility and to investigate contributing factors to colonic dysmotility in children with spastic cerebral palsy (CP).
Design:
Cross-sectional study.
Setting:
A university-based rehabilitation hospital.
Participants:
Thirty-eight children with spastic CP.
Interventions:
Not applicable.
Main Outcome Measures:
Colonic transit time was measured by using a Sitzmarks. The nutrient intake during 3 consecutive days was analyzed by using the ESHA Food Processor program.
Results:
A significant relationship between colon transit time and stool frequency was observed (P<.05). All children with constipation and 17 (60.8%) of 28 without constipation showed an abnormal segmental colon transit time in at least 1 segment of the colon. A transit time delay at the proximal segment of colon was remarkable in CP children with constipation. In children without constipation, a transit time delay was marked at the rectosigmoid colon only. Constipation and transit time delay were significantly related to ambulatory function (P<.05).
Conclusions:
A transit time delay at total or segmental colon was frequently observed in children with CP. Constipation and colonic motility were related to ambulatory function.