Cargando…

Sitting and standing performance in a total population of children with cerebral palsy: a cross-sectional study

BACKGROUND: Knowledge of sitting and standing performance in a total population of children with cerebral palsy (CP) is of interest for health care planning and for prediction of future ability in the individual child. In 1994, a register and a health care programme for children with CP in southern...

Descripción completa

Detalles Bibliográficos
Autores principales: Rodby-Bousquet, Elisabet, Hägglund, Gunnar
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2908562/
https://www.ncbi.nlm.nih.gov/pubmed/20573201
http://dx.doi.org/10.1186/1471-2474-11-131
_version_ 1782184195379953664
author Rodby-Bousquet, Elisabet
Hägglund, Gunnar
author_facet Rodby-Bousquet, Elisabet
Hägglund, Gunnar
author_sort Rodby-Bousquet, Elisabet
collection PubMed
description BACKGROUND: Knowledge of sitting and standing performance in a total population of children with cerebral palsy (CP) is of interest for health care planning and for prediction of future ability in the individual child. In 1994, a register and a health care programme for children with CP in southern Sweden was initiated. In the programme information on how the child usually sits, stands, stands up and sits down, together with use of support or assistive devices, is recorded annually. METHODS: A cross-sectional study was performed, analysing the most recent report of all children with CP born 1990-2005 and living in southern Sweden during 2008. All 562 children (326 boys, 236 girls) aged 3-18 years were included in the study. The degree of independence, use of support or assistive devices to sit, stand, stand up and sit down was analysed in relation to the Gross Motor Function Classification System (GMFCS), CP subtype and age. RESULT: A majority of the children used standard chairs (57%), could stand independently (62%) and could stand up (62%) and sit down (63%) without external support. Adaptive seating was used by 42%, external support to stand was used by 31%, to stand up by 19%, and to sit down by 18%. The use of adaptive seating and assistive devices increased with GMFCS levels (p < 0.001) and there was a difference between CP subtypes (p < 0.001). The use of support was more frequent in preschool children aged 3-6 (p < 0.001). CONCLUSION: About 60% of children with CP, aged 3-18, use standard chairs, stand, stand up, and sit down without external support. Adding those using adaptive seating and external support, 99% of the children could sit, 96% could stand and 81% could stand up from a sitting position and 81% could sit down from a standing position. The GMFCS classification system is a good predictor of sitting and standing performance.
format Text
id pubmed-2908562
institution National Center for Biotechnology Information
language English
publishDate 2010
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-29085622010-07-23 Sitting and standing performance in a total population of children with cerebral palsy: a cross-sectional study Rodby-Bousquet, Elisabet Hägglund, Gunnar BMC Musculoskelet Disord Research Article BACKGROUND: Knowledge of sitting and standing performance in a total population of children with cerebral palsy (CP) is of interest for health care planning and for prediction of future ability in the individual child. In 1994, a register and a health care programme for children with CP in southern Sweden was initiated. In the programme information on how the child usually sits, stands, stands up and sits down, together with use of support or assistive devices, is recorded annually. METHODS: A cross-sectional study was performed, analysing the most recent report of all children with CP born 1990-2005 and living in southern Sweden during 2008. All 562 children (326 boys, 236 girls) aged 3-18 years were included in the study. The degree of independence, use of support or assistive devices to sit, stand, stand up and sit down was analysed in relation to the Gross Motor Function Classification System (GMFCS), CP subtype and age. RESULT: A majority of the children used standard chairs (57%), could stand independently (62%) and could stand up (62%) and sit down (63%) without external support. Adaptive seating was used by 42%, external support to stand was used by 31%, to stand up by 19%, and to sit down by 18%. The use of adaptive seating and assistive devices increased with GMFCS levels (p < 0.001) and there was a difference between CP subtypes (p < 0.001). The use of support was more frequent in preschool children aged 3-6 (p < 0.001). CONCLUSION: About 60% of children with CP, aged 3-18, use standard chairs, stand, stand up, and sit down without external support. Adding those using adaptive seating and external support, 99% of the children could sit, 96% could stand and 81% could stand up from a sitting position and 81% could sit down from a standing position. The GMFCS classification system is a good predictor of sitting and standing performance. BioMed Central 2010-06-23 /pmc/articles/PMC2908562/ /pubmed/20573201 http://dx.doi.org/10.1186/1471-2474-11-131 Text en Copyright ©2010 Rodby-Bousquet and Hägglund; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Rodby-Bousquet, Elisabet
Hägglund, Gunnar
Sitting and standing performance in a total population of children with cerebral palsy: a cross-sectional study
title Sitting and standing performance in a total population of children with cerebral palsy: a cross-sectional study
title_full Sitting and standing performance in a total population of children with cerebral palsy: a cross-sectional study
title_fullStr Sitting and standing performance in a total population of children with cerebral palsy: a cross-sectional study
title_full_unstemmed Sitting and standing performance in a total population of children with cerebral palsy: a cross-sectional study
title_short Sitting and standing performance in a total population of children with cerebral palsy: a cross-sectional study
title_sort sitting and standing performance in a total population of children with cerebral palsy: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2908562/
https://www.ncbi.nlm.nih.gov/pubmed/20573201
http://dx.doi.org/10.1186/1471-2474-11-131
work_keys_str_mv AT rodbybousquetelisabet sittingandstandingperformanceinatotalpopulationofchildrenwithcerebralpalsyacrosssectionalstudy
AT hagglundgunnar sittingandstandingperformanceinatotalpopulationofchildrenwithcerebralpalsyacrosssectionalstudy