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Prevalence and goal attainment with spinal orthoses for children with cerebral palsy
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland. Lund Univ, Dept Clin Sci Lund, Orthopaed, SE-22185 Lund, Sweden.ORCID iD: 0000-0003-1711-8489
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland. Lund Univ, Dept Clin Sci Lund, Orthopaed, SE-22185 Lund, Sweden.ORCID iD: 0000-0001-8373-1017
2019 (English)In: Journal of Pediatric Rehabilitation Medicine, ISSN 1874-5393, E-ISSN 1875-8894, Vol. 12, no 2, p. 197-203Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
IOS PRESS , 2019. Vol. 12, no 2, p. 197-203
Keywords [en]
Cerebral palsy, children, adolescents, spinal orthoses, goals, postural balance
National Category
Orthopaedics
Identifiers
URN: urn:nbn:se:uu:diva-392848DOI: 10.3233/PRM-180596ISI: 000477921000011PubMedID: 31227670OAI: oai:DiVA.org:uu-392848DiVA, id: diva2:1350063
Available from: 2019-09-10 Created: 2019-09-10 Last updated: 2019-09-10Bibliographically approved

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