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

Pettersson, Katina LU and Rodby-Bousquet, Elisabet LU (2019) In Journal of Pediatric Rehabilitation Medicine 12(2). p.197-203
Abstract

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... (More)

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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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
adolescents, Cerebral palsy, children, goals, postural balance, spinal orthoses
in
Journal of Pediatric Rehabilitation Medicine
volume
12
issue
2
pages
7 pages
publisher
IOS Press
external identifiers
  • scopus:85071065060
ISSN
1874-5393
DOI
10.3233/PRM-180596
language
English
LU publication?
yes
id
50728084-fd61-41d7-b913-c497193db356
date added to LUP
2019-09-04 09:25:13
date last changed
2019-09-26 04:41:24
@article{50728084-fd61-41d7-b913-c497193db356,
  abstract     = {<p>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.</p>},
  author       = {Pettersson, Katina and Rodby-Bousquet, Elisabet},
  issn         = {1874-5393},
  keyword      = {adolescents,Cerebral palsy,children,goals,postural balance,spinal orthoses},
  language     = {eng},
  month        = {07},
  number       = {2},
  pages        = {197--203},
  publisher    = {IOS Press},
  series       = {Journal of Pediatric Rehabilitation Medicine},
  title        = {Prevalence and goal attainment with spinal orthoses for children with cerebral palsy},
  url          = {http://dx.doi.org/10.3233/PRM-180596},
  volume       = {12},
  year         = {2019},
}