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Preferred posture in lying and its association with scoliosis and windswept hips in adults with cerebral palsy

Ágústsson, Atli; Sveinsson, Thorarinn; Pope, Pauline and Rodby-Bousquet, Elisabet LU (2018) In Disability and Rehabilitation
Abstract

Objective: The aim of this study was to clarify the association of scoliosis and windswept hips with immobility, lying position, and time in lying, in adults with cerebral palsy (CP). Methods: This cross-sectional study included 830 adults (469 males and 361 females) with a diagnosis of CP, 16–73 years, and classified at levels I–V according to the Gross Motor Function Classification System (GMFCS). Subjects’ Gross motor function classification system level, presence and severity of scoliosis, hip and knee joint range of movement, lying position, postural ability in lying, and time in lying were used to identify connections between them. Results: Adults who are immobile in the lying position have higher odds of both scoliosis and... (More)

Objective: The aim of this study was to clarify the association of scoliosis and windswept hips with immobility, lying position, and time in lying, in adults with cerebral palsy (CP). Methods: This cross-sectional study included 830 adults (469 males and 361 females) with a diagnosis of CP, 16–73 years, and classified at levels I–V according to the Gross Motor Function Classification System (GMFCS). Subjects’ Gross motor function classification system level, presence and severity of scoliosis, hip and knee joint range of movement, lying position, postural ability in lying, and time in lying were used to identify connections between them. Results: Adults who are immobile in the lying position have higher odds of both scoliosis and windswept hips. Spending more than 8 h daily in the same lying position, increased the odds of having scoliosis, while lying solely in a supine position, resulted in higher odds of windswept hips. Conclusions: The “preferred” habitual posture frequently observed in immobile adults with CP, leads to established distortion of their body shape. The results indicate the need for early introduction of appropriate posture control, in immobile individuals with CP, from a young age.Implications for rehabilitationThe preferred posture, observed in immobile adults with cerebral palsy, leads to a distortion of their body shape.One in four adults with cerebral palsy use only one position when in bed.The results indicate the need for early introduction of appropriate posture control in individuals unable to change position.

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Adult, cerebral palsy, hip, scoliosis, wind-sweeping
in
Disability and Rehabilitation
pages
5 pages
publisher
Taylor & Francis
external identifiers
  • scopus:85049941193
ISSN
0963-8288
DOI
10.1080/09638288.2018.1492032
language
English
LU publication?
yes
id
41457354-3392-4d15-8d35-ccb6a176b60d
date added to LUP
2018-08-02 08:48:56
date last changed
2019-01-14 07:39:55
@article{41457354-3392-4d15-8d35-ccb6a176b60d,
  abstract     = {<p>Objective: The aim of this study was to clarify the association of scoliosis and windswept hips with immobility, lying position, and time in lying, in adults with cerebral palsy (CP). Methods: This cross-sectional study included 830 adults (469 males and 361 females) with a diagnosis of CP, 16–73 years, and classified at levels I–V according to the Gross Motor Function Classification System (GMFCS). Subjects’ Gross motor function classification system level, presence and severity of scoliosis, hip and knee joint range of movement, lying position, postural ability in lying, and time in lying were used to identify connections between them. Results: Adults who are immobile in the lying position have higher odds of both scoliosis and windswept hips. Spending more than 8 h daily in the same lying position, increased the odds of having scoliosis, while lying solely in a supine position, resulted in higher odds of windswept hips. Conclusions: The “preferred” habitual posture frequently observed in immobile adults with CP, leads to established distortion of their body shape. The results indicate the need for early introduction of appropriate posture control, in immobile individuals with CP, from a young age.Implications for rehabilitationThe preferred posture, observed in immobile adults with cerebral palsy, leads to a distortion of their body shape.One in four adults with cerebral palsy use only one position when in bed.The results indicate the need for early introduction of appropriate posture control in individuals unable to change position.</p>},
  author       = {Ágústsson, Atli and Sveinsson, Thorarinn and Pope, Pauline and Rodby-Bousquet, Elisabet},
  issn         = {0963-8288},
  keyword      = {Adult,cerebral palsy,hip,scoliosis,wind-sweeping},
  language     = {eng},
  pages        = {5},
  publisher    = {Taylor & Francis},
  series       = {Disability and Rehabilitation},
  title        = {Preferred posture in lying and its association with scoliosis and windswept hips in adults with cerebral palsy},
  url          = {http://dx.doi.org/10.1080/09638288.2018.1492032},
  year         = {2018},
}