Deformities of Spine and Lower Extremities in Teenagers with Cerebral Palsy. |
Lee, Jee Sun , Lee, Kyu Bum , Kim, Chang Won , Choi, You Nam , Jung, Dong Hwa , Park, Sang Duk , Lee, Woo Ryun |
Department of Rehabilitation Medicine, Seoul Rehabilitation Hospital, Seoul, Korea. jslee704@hanmail.net |
10대 뇌성마비에서의 척추와 하지 변형 |
이지선, 이규범, 김창원, 최유남, 정동화, 박상덕, 이우련 |
서울재활병원 재활의학과 |
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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. (J Korean Acad Rehab Med 2008; 32: 135-142)
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Key Words:
Musculoskeletal, Deformity, Cerebral palsy, Teenagers |
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