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Prevalence and goal attainment with spinal orthoses for children with cerebral palsy

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 re...

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Autores principales: Pettersson, Katina, Rodby-Bousquet, Elisabet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IOS Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6700629/
https://www.ncbi.nlm.nih.gov/pubmed/31227670
http://dx.doi.org/10.3233/PRM-180596
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author Pettersson, Katina
Rodby-Bousquet, Elisabet
author_facet Pettersson, Katina
Rodby-Bousquet, Elisabet
author_sort Pettersson, Katina
collection PubMed
description 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.
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spelling pubmed-67006292019-09-03 Prevalence and goal attainment with spinal orthoses for children with cerebral palsy Pettersson, Katina Rodby-Bousquet, Elisabet J Pediatr Rehabil Med Research Article 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. IOS Press 2019-07-26 /pmc/articles/PMC6700629/ /pubmed/31227670 http://dx.doi.org/10.3233/PRM-180596 Text en © 2019 – IOS Press and the authors. All rights reserved https://creativecommons.org/licenses/by-nc/4.0/ This article is published online with Open Access and distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC 4.0).
spellingShingle Research Article
Pettersson, Katina
Rodby-Bousquet, Elisabet
Prevalence and goal attainment with spinal orthoses for children with cerebral palsy
title Prevalence and goal attainment with spinal orthoses for children with cerebral palsy
title_full Prevalence and goal attainment with spinal orthoses for children with cerebral palsy
title_fullStr Prevalence and goal attainment with spinal orthoses for children with cerebral palsy
title_full_unstemmed Prevalence and goal attainment with spinal orthoses for children with cerebral palsy
title_short Prevalence and goal attainment with spinal orthoses for children with cerebral palsy
title_sort prevalence and goal attainment with spinal orthoses for children with cerebral palsy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6700629/
https://www.ncbi.nlm.nih.gov/pubmed/31227670
http://dx.doi.org/10.3233/PRM-180596
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