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Development of lower limb range of motion from early childhood to adolescence in cerebral palsy: a population-based study

Nordmark, Eva LU ; Hägglund, Gunnar LU ; Lauge-Pedersen, Henrik LU ; Wagner, Philippe LU and Westbom, Lena LU (2009) In BMC Medicine 7.
Abstract
Background: The decreasing range of joint motion caused by insufficient muscle length is a common problem in children with cerebral palsy (CP), often worsening with age. In 1994 a CP register and health care programme for children with CP was initiated in southern Sweden. The aim of this study was to analyse the development of the passive range of motion (ROM) in the lower limbs during all the growth periods in relation to gross motor function and CP subtype in the total population of children with CP. Methods: In total, 359 children with CP born during 1990-1999, living in the southernmost part of Sweden in the year during which they reached their third birthday and still living in the area in the year of their seventh birthday were... (More)
Background: The decreasing range of joint motion caused by insufficient muscle length is a common problem in children with cerebral palsy (CP), often worsening with age. In 1994 a CP register and health care programme for children with CP was initiated in southern Sweden. The aim of this study was to analyse the development of the passive range of motion (ROM) in the lower limbs during all the growth periods in relation to gross motor function and CP subtype in the total population of children with CP. Methods: In total, 359 children with CP born during 1990-1999, living in the southernmost part of Sweden in the year during which they reached their third birthday and still living in the area in the year of their seventh birthday were analysed. The programme includes a continuous standardized follow-up with goniometric measurements of ROM in the lower limbs. The assessments are made by each child's local physiotherapist twice a year until 6 years of age, then once a year. In total, 5075 assessments from the CPUP database from 1994 to 1 January 2007 were analysed. Results: The study showed a decreasing mean range of motion over the period 2-14 years of age in all joints or muscles measured. The development of ROM varied according to GMFCS level and CP subtype. Conclusion: We found a decreasing ROM in children with CP from 2-14 years of age. This information is important for both the treatment and follow-up planning of the individual child as well as for the planning of health care programmes for all children with CP. (Less)
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organization
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type
Contribution to journal
publication status
published
subject
in
BMC Medicine
volume
7
publisher
BioMed Central
external identifiers
  • wos:000271930500001
  • scopus:71149109520
ISSN
1741-7015
DOI
10.1186/1741-7015-7-65
language
English
LU publication?
yes
id
5a495e19-b750-4025-945a-7bcb0242c3a7 (old id 1518496)
date added to LUP
2010-01-04 11:44:16
date last changed
2017-12-03 03:31:54
@article{5a495e19-b750-4025-945a-7bcb0242c3a7,
  abstract     = {Background: The decreasing range of joint motion caused by insufficient muscle length is a common problem in children with cerebral palsy (CP), often worsening with age. In 1994 a CP register and health care programme for children with CP was initiated in southern Sweden. The aim of this study was to analyse the development of the passive range of motion (ROM) in the lower limbs during all the growth periods in relation to gross motor function and CP subtype in the total population of children with CP. Methods: In total, 359 children with CP born during 1990-1999, living in the southernmost part of Sweden in the year during which they reached their third birthday and still living in the area in the year of their seventh birthday were analysed. The programme includes a continuous standardized follow-up with goniometric measurements of ROM in the lower limbs. The assessments are made by each child's local physiotherapist twice a year until 6 years of age, then once a year. In total, 5075 assessments from the CPUP database from 1994 to 1 January 2007 were analysed. Results: The study showed a decreasing mean range of motion over the period 2-14 years of age in all joints or muscles measured. The development of ROM varied according to GMFCS level and CP subtype. Conclusion: We found a decreasing ROM in children with CP from 2-14 years of age. This information is important for both the treatment and follow-up planning of the individual child as well as for the planning of health care programmes for all children with CP.},
  author       = {Nordmark, Eva and Hägglund, Gunnar and Lauge-Pedersen, Henrik and Wagner, Philippe and Westbom, Lena},
  issn         = {1741-7015},
  language     = {eng},
  publisher    = {BioMed Central},
  series       = {BMC Medicine},
  title        = {Development of lower limb range of motion from early childhood to adolescence in cerebral palsy: a population-based study},
  url          = {http://dx.doi.org/10.1186/1741-7015-7-65},
  volume       = {7},
  year         = {2009},
}