Prevalence and Goal Attainment with Spinal Orthoses for Children with Cerebral Palsy

Overview

Journal J Pediatr Rehabil Med

Publisher Sage Publications

Specialties Pediatrics
Rehabilitation Medicine

Date 2019 Jun 23

PMID 31227670

Citations 8

Authors

Katina Pettersson

Elisabet Rodby-Bousquet

Affiliations

Soon will be listed here.

Abstract

Purpose: Analyze the goals for treatment and attained goals for spinal orthoses in children with cerebral palsy (CP), and describe the use of spinal orthoses in relation to age, sex, gross motor function, and scoliosis.

Methods: Cross-sectional data for all children born between 2000 and 2014 and registered in the Swedish CP registry were analyzed in relation to age, sex, Gross Motor Function Classification System (GMFCS), and scoliosis. Treatment goals were to 1) prevent deformity; 2) improve stability/positioning; 3) improve head control; and 4) improve arm/hand function.

Results: Overall, 251 of the 2800 children (9%) used spinal orthoses, and the frequency increased significantly with age and GMFCS level; 147 of the 251 children had scoliosis. Several treatment goals were reported for most children. The most common goal was improved stability/positioning (96%), followed by head control (51%) and arm/hand function (38%). Only one third of the children used spinal orthoses to prevent deformities. The rate of goal attainment was 78-87% for the functional outcomes and 57% for the prevention of deformities.

Conclusion: Although the goal of using spinal orthosis to prevent curvature progression remains important, we found that its functional benefits (stability, head control, arm/hand function) were of greater importance.

Citing Articles

Incidence and sequence of scoliosis and windswept hip deformity: which comes first in 4148 children with cerebral palsy? A longitudinal cohort study.

Casey J, Rosenblad A, Agustsson A, Lauge-Pedersen H, Rodby-Bousquet E BMC Musculoskelet Disord. 2024; 25(1):222.

PMID: 38504256 PMC: 10953287. DOI: 10.1186/s12891-024-07350-z.

Postural Asymmetries and Assistive Devices Used by Adults With Cerebral Palsy in Lying, Sitting, and Standing.

Rodby-Bousquet E, Agustsson A Front Neurol. 2021; 12:758706.

PMID: 34938261 PMC: 8685523. DOI: 10.3389/fneur.2021.758706.

Effect of Community-Based Functional Aerobic Training on Motor Performance and Quality of Life of Children with Spastic Cerebral Palsy.

Owusu Ansa E, Mprah W, Moses M, Owusu I, Acheampong E Ethiop J Health Sci. 2021; 31(3):505-516.

PMID: 34483607 PMC: 8365498. DOI: 10.4314/ejhs.v31i3.7.

Effect of Community-Based Functional Aerobic Training on Motor Performance and Quality of Life of Children with Spastic Cerebral Palsy.

Ansa O, Mprah K, Moses M, Owusu I, Acheampong E Ethiop J Health Sci. 2021; 31(2):381-392.

PMID: 34158790 PMC: 8188077. DOI: 10.4314/ejhs.v31i2.21.

Postural deformity in children with cerebral palsy: Why it occurs and how is it managed.

Sato H Phys Ther Res. 2020; 23(1):8-14.

PMID: 32850273 PMC: 7344367. DOI: 10.1298/ptr.R0008.

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