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.
(Less)
- author
- Pettersson, Katina
LU
and Rodby-Bousquet, Elisabet
LU
- organization
- publishing date
- 2019-07-26
- 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
- SAGE Publications
- external identifiers
-
- pmid:31227670
- 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
- 2025-04-17 05:50:21
@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}},
keywords = {{adolescents; Cerebral palsy; children; goals; postural balance; spinal orthoses}},
language = {{eng}},
month = {{07}},
number = {{2}},
pages = {{197--203}},
publisher = {{SAGE Publications}},
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}},
doi = {{10.3233/PRM-180596}},
volume = {{12}},
year = {{2019}},
}