Article

The purpose was to describe posture, ability to change position, and
association between posture and contractures, hip dislocation, scoliosis, and
pain in young adults with cerebral palsy (CP). METHODS: Cross-sectional data of
102 people (63 males, 39 females; age range 19-23y, median 21y) out of a total
population with CP was analysed in relation to Gross Motor Function
Classification System (GMFCS) levels I (n=38), II (n=21), III (n=13), IV (n=10),
and V (n=20). The CP subtypes were unilateral spastic (n=26), bilateral spastic
(n=45), ataxic (n=12), and dyskinetic CP (n=19). The Postural Ability Scale was
used to assess posture. The relationship between posture and joint range of
motion, hip dislocation, scoliosis, and pain was analysed using logistic
regression and Spearman's correlation. RESULTS: At GMFCS levels I to II, head and
trunk asymmetries were most common; at GMFCS levels III to V postural asymmetries
varied with position. The odds ratios (OR) for severe postural asymmetries were
significantly higher for those with scoliosis (OR=33 sitting), limited hip
extension (OR=39 supine), or limited knee extension (OR=37 standing). Postural
asymmetries correlated to hip dislocations: supine (r(s) =0.48), sitting (r(s)
=0.40), standing (r(s) =0.41), and inability to change position: supine (r(s)
=0.60), sitting (r(s) =0.73), and standing (r(s) =0.64). CONCLUSIONS: Postural
asymmetries were associated with scoliosis, hip dislocations, hip and knee
contractures, and inability to change position.
CI - (c) 2013 The Authors. Developmental Medicine & Child Neurology published by John
Wiley & Sons Ltd on behalf of Mac Keith Press.

Langue : ANGLAIS