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[The shape of the spine among children with cerebral palsy]
Roksana Malak1, Ewa Gajewska, Włodzimierz Samborski
1Katedra i Klinika Fizjoterapii Reumatologii i Rehabilitacji, Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu. roxanam@op.pl
Insights
Poor posture is common in children with cerebral palsy (CP). Spinal asymmetry, particularly in the frontal plane, is frequent, especially in spastic hemiplegia, impacting standing ability.
Area of Science:
- Neurology
- Orthopedics
- Pediatrics
Context:
- Cerebral palsy (CP) affects posture and spinal alignment in children.
- Understanding posture variations is crucial for targeted interventions in pediatric CP.
- Previous research has not fully detailed posture types related to CP paralysis types.
Purpose:
- To determine the prevalence and types of postural deviations in children with cerebral palsy.
- To correlate specific types of paralysis in CP with observed spinal curvatures.
- To investigate the relationship between pelvic position and independent standing in children with CP.
Summary:
- A study of 33 children with CP (aged 1-18) used visual analysis and questionnaires to assess spinal posture.
- Results indicated common postural failures, with spinal asymmetry observed in the frontal plane, particularly in spastic hemiplegia.
- Pelvic position in the frontal plane was found to influence the ability to stand independently.
Impact:
- Highlights the high incidence of postural abnormalities in children with CP.
- Emphasizes the need for assessing spinal alignment and pelvic stability in CP management.
- Informs therapeutic strategies aimed at improving functional mobility and independence in children with CP.
Aim:
The objective of the study was to determine the posture among children with cerebral palsy referring to type of paralysis.
Methodology:
The research was performed out of 33 children with Cerebral Palsy (aged 1-18 years) who attend Zespół Szkół Specjalnych number 103, Accident-Orthopaedic Department in Hospital nr 4 in Poznan and Rehabilitation Center "Bartek" in Poznań. The questionnaire was used in order to check whether there is any failure curvature in cervical, thoracic and lumbar spine in plantar and frontal plane. The study was performed by visual analysis of the spine in November and December in 2007.
Results:
(1) The visual analysis of the vertebral column showed that the cervical spine is asymmetric among two children with hemiplegia bilateralis, three with hemiplegia spastica and one with atetosis. (2) Among group of patients with lumbar hyperlordosis there are eight who are diagnosed with hemiplegia bilateralis. (3) These are seven patients who have the proper position of pelvis in frontal plane and can stand by oneself (referring to Levene's Test for Equality of Variances p = 0.039820).
Conclusions:
(1) The failure posture is common among children with cerebral palsy. (2) Vertebral column is asymmetrical in frontal plane among many patients with cerebralpalsy, especially with hemiplegia spastica. (3) The position of pelvis in frontal plane influence on the ability of standing by oneself.
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