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Prevalence and goal attainment with spinal orthoses for children with cerebral palsy

Katina Pettersson1,2, Elisabet Rodby-Bousquet1,2

  • 1Department of Clinical Sciences Lund, Lund University, Orthopaedics, Lund, Sweden.

Journal of Pediatric Rehabilitation Medicine
|June 23, 2019
PubMed

Insights

Spinal orthoses in children with cerebral palsy (CP) primarily improve stability, head control, and arm function, with high goal attainment rates for these benefits. While preventing deformity is a goal, functional improvements are more frequently achieved.

Area of Science:

  • Orthopedics
  • Pediatrics
  • Rehabilitation Medicine

Background:

  • Cerebral palsy (CP) affects motor function, often necessitating interventions like spinal orthoses.
  • Spinal deformities, such as scoliosis, are common in children with CP.
  • Orthotic management aims to address functional limitations and prevent skeletal deformities.

Purpose of the Study:

  • To analyze treatment goals and outcomes for spinal orthoses in children with CP.
  • To describe the utilization of spinal orthoses based on age, sex, motor function, and scoliosis.
  • To evaluate the effectiveness of spinal orthoses in achieving functional and preventative goals.

Main Methods:

  • Analysis of cross-sectional data from the Swedish CP registry (children born 2000-2014).
  • Inclusion criteria: children with CP, data on age, sex, Gross Motor Function Classification System (GMFCS), and scoliosis.
  • Treatment goals categorized as: prevent deformity, improve stability/positioning, enhance head control, and improve arm/hand function.

Main Results:

  • 9% (251/2800) of children used spinal orthoses, with usage increasing with age and GMFCS level.
  • Most common goals: improved stability/positioning (96%), head control (51%), and arm/hand function (38%).
  • Goal attainment rates: 78-87% for functional outcomes, 57% for deformity prevention; 147 children had scoliosis.

Conclusions:

  • Functional benefits of spinal orthoses (stability, head control, arm function) are highly valued and achieved in children with CP.
  • While preventing spinal curvature progression is important, functional improvements are often prioritized and attained.
  • Spinal orthoses play a significant role in managing functional deficits and secondary complications in pediatric CP populations.
Abstract

Keywords:
Cerebral palsyadolescentschildrengoalspostural balancespinal orthoses

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