Deformities of Spine and Lower Extremities in Teenagers with Cerebral Palsy.
- Author:
Jee Sun LEE
1
;
Kyu Bum LEE
;
Chang Won KIM
;
You Nam CHOI
;
Dong Hwa JUNG
;
Sang Duk PARK
;
Woo Ryun LEE
Author Information
1. Department of Rehabilitation Medicine, Seoul Rehabilitation Hospital, Seoul, Korea. jslee704@hanmail.net
- Publication Type:Original Article
- Keywords:
Musculoskeletal;
Deformity;
Cerebral palsy;
Teenagers
- MeSH:
Adolescent;
Aluminum Hydroxide;
Carbonates;
Cerebral Palsy;
Congenital Abnormalities;
Coxa Valga;
Femur;
Foot;
Hip;
Hip Dislocation;
Hip Joint;
Humans;
Joints;
Knee;
Knee Joint;
Lower Extremity;
Patella;
Physical Examination;
Scoliosis;
Spine
- From:Journal of the Korean Academy of Rehabilitation Medicine
2008;32(2):135-142
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To investigate the state of musculoskeletal deformities in spine and lower extremities in teenagers with cerebral palsy. METHOD: 79 teenagers with cerebral palsy attending special schools were examined for deformities of the spine and the lower extremities with physical examinations and radiographic studies. RESULTS: The number of cases with scoliosis was 47 (59.5%) and the mean of Cobb's angle was 21.7 degrees. There were 42 joints (26.6%) of hip subluxation and 10 joints (6.3%) of hip dislocation out of 158 hip joints. The mean of migration percentage was 53.6%. 30 participants (38.0%) had pelvic obliquity. The coxa valga appeared in 147 hip joints (93.0%), with the mean of femur neck-shaft angle was 156.0 degrees. It had a casual link with migration percentage (p<0.001). 131 knee joints (82.9%) had the increased popliteal angle and 113 knees (71.5%) had patella alta. 72 cases (91.1%) had equinus feet, and 49 cases (62.0%) had planovalgus feet deformities on radiographic studies. As the score of Gross motor function measure (GMFM) was decreased, the migration percentage (p<0.01), the Cobb's angle (p<0.01), the popliteal angle increased (p<0.001) and femur neck- shaft angle (p<0.05). CONCLUSION: Teenagers with cerebral palsy are highly risk to develop musculoskeletal deformities in their spine and the lower extremities. Therefore, a close medical inspection should be paid on this group.
