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Musculoskeletal problems in blind children.

P E Scranton, M W Clark, S J McClosky

    The Journal of Bone and Joint Surgery. American Volume
    |April 1, 1978
    PubMed
    Summary
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    Musculoskeletal abnormalities are common in blind children, with high rates of foot deformity and ligament laxity. Regular orthopedic evaluations are crucial for detecting cerebral palsy and spinal issues in this population.

    Area of Science:

    • Orthopedics
    • Ophthalmology
    • Neurology

    Background:

    • Blindness can be associated with underlying neurological and musculoskeletal conditions.
    • Early detection of these comorbidities is essential for effective management.

    Purpose of the Study:

    • To determine the prevalence of musculoskeletal abnormalities in a cohort of blind children.
    • To identify specific conditions such as scoliosis, foot deformities, and cerebral palsy.

    Main Methods:

    • A cross-sectional study involving 157 children at a regional school for the blind.
    • Clinical examination for musculoskeletal abnormalities, including scoliosis, foot deformities, and ligament laxity.
    • Screening for signs of cerebral palsy and other central nervous system disorders.

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    Main Results:

    • Scoliosis observed in 9.5% of participants.
    • Foot deformities present in 53.5% of participants.
    • Ligament laxity noted in 25% of participants.
    • Cerebral palsy or other central nervous system disorders identified in 23% of participants.

    Conclusions:

    • Blind children exhibit a high incidence of significant musculoskeletal abnormalities.
    • Occult cerebral palsy and progressive spinal or foot deformities require careful and repeated orthopedic assessment.
    • Ophthalmologists and orthopedic specialists should collaborate in the comprehensive care of blind children.