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Published on: August 9, 2024
[Testing range of motion in cerebral palsy]
E Viehweger1, C Bérard, A Berruyer
1Service de chirurgie orthopédique-pédiatrique, centre d'analyse du mouvement, hôpital Timone-Enfants, université de la méditerranée, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France. elke.viehweger@ap-hm.fr
Summary
A standardized lower-limb joint range of motion test for pediatric cerebral palsy was developed using expert consensus and literature review. This new test aids clinical communication and database development for improved patient care.
Area of Science:
- Orthopedics
- Pediatric Rehabilitation
- Neurology
Context:
- Cerebral palsy (CP) significantly impacts joint range of motion (ROM) in children.
- Standardized ROM assessment is crucial for effective management and research in pediatric CP.
- Current assessment methods lack uniformity, hindering consistent data collection and comparison.
Purpose:
- To develop and propose a standardized joint range of motion (ROM) test for pediatric patients with cerebral palsy (CP).
- To establish a reliable and consistent method for assessing lower-limb ROM in children with CP.
- To facilitate better clinical communication and database development for CP research.
Summary:
- A comprehensive lower-limb joint range of motion (ROM) test was created through an adapted Delphi process involving 16 specialists.
- The finalized test comprises 24 goniometric measurements in supine and prone positions, with essential conditions for accurate examination.
- A detailed testing guide with visual aids for proposed exam techniques was also developed.
Impact:
- The standardized test promotes consistent communication among clinicians managing pediatric cerebral palsy.
- It lays the groundwork for creating a valuable database to track CP progression and treatment outcomes.
- Future development includes patient-specific booklets for monitoring growth and radiographic measurements.
