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The effect of asymmetrical limited hip flexion on seating posture, scoliosis and windswept hip distortion

Ágústsson, Atli; Sveinsson, Þórarinn and Rodby-Bousquet, Elisabet LU (2017) In Research in Developmental Disabilities 71. p.18-23
Abstract

Background Postural asymmetries with seating problems are common in adults with cerebral palsy. Aims To analyse the prevalence of asymmetrical limited hip flexion (<90°) in adults with CP, and to evaluate the association between asymmetrical limited hip flexion and postural asymmetries in the sitting position. Methods and procedures Cross-sectional data of 714 adults with CP, 16–73 years, GMFCS level I–V, reported to CPUP, the Swedish cerebral palsy national surveillance program and quality registry, from 2013 to 2015. Hip range of motion was analysed in relation to pelvic obliquity, trunk asymmetry, weight distribution, scoliosis and windswept hip distortion. Outcomes and results The prevalence of asymmetrical limited hip flexion... (More)

Background Postural asymmetries with seating problems are common in adults with cerebral palsy. Aims To analyse the prevalence of asymmetrical limited hip flexion (<90°) in adults with CP, and to evaluate the association between asymmetrical limited hip flexion and postural asymmetries in the sitting position. Methods and procedures Cross-sectional data of 714 adults with CP, 16–73 years, GMFCS level I–V, reported to CPUP, the Swedish cerebral palsy national surveillance program and quality registry, from 2013 to 2015. Hip range of motion was analysed in relation to pelvic obliquity, trunk asymmetry, weight distribution, scoliosis and windswept hip distortion. Outcomes and results The prevalence of asymmetrical limited hip flexion increased as GMFCS level decreased. Of adults at GMFCS level V, 22% had asymmetrical limited hip flexion (<90°). The odds of having an oblique pelvis (OR 2.6, 95% CI:1.6–2.1), an asymmetrical trunk (OR 2.1, 95% CI:1.1–4.2), scoliosis (OR 3.7, 95% CI:1.3–9.7), and windswept hip distortion (OR 2.6, 95% CI:1.2–5.4) were higher for adults with asymmetrical limited hip flexion compared with those with bilateral hip flexion > 90°. Conclusions and implications Asymmetrical limited hip flexion affects the seating posture and is associated with scoliosis and windswept hip distortion.

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author
organization
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type
Contribution to journal
publication status
published
subject
keywords
Adult, Cerebral palsy, Contracture, Hip, Pelvis, Posture, Range of motion, Scoliosis
in
Research in Developmental Disabilities
volume
71
pages
6 pages
publisher
Elsevier
external identifiers
  • scopus:85030465624
  • wos:000414884600003
ISSN
0891-4222
DOI
10.1016/j.ridd.2017.09.019
language
English
LU publication?
yes
id
fef6d25e-06e3-4a5f-8e78-2199920d454a
date added to LUP
2017-10-16 08:18:53
date last changed
2018-01-16 13:23:01
@article{fef6d25e-06e3-4a5f-8e78-2199920d454a,
  abstract     = {<p>Background Postural asymmetries with seating problems are common in adults with cerebral palsy. Aims To analyse the prevalence of asymmetrical limited hip flexion (&lt;90°) in adults with CP, and to evaluate the association between asymmetrical limited hip flexion and postural asymmetries in the sitting position. Methods and procedures Cross-sectional data of 714 adults with CP, 16–73 years, GMFCS level I–V, reported to CPUP, the Swedish cerebral palsy national surveillance program and quality registry, from 2013 to 2015. Hip range of motion was analysed in relation to pelvic obliquity, trunk asymmetry, weight distribution, scoliosis and windswept hip distortion. Outcomes and results The prevalence of asymmetrical limited hip flexion increased as GMFCS level decreased. Of adults at GMFCS level V, 22% had asymmetrical limited hip flexion (&lt;90°). The odds of having an oblique pelvis (OR 2.6, 95% CI:1.6–2.1), an asymmetrical trunk (OR 2.1, 95% CI:1.1–4.2), scoliosis (OR 3.7, 95% CI:1.3–9.7), and windswept hip distortion (OR 2.6, 95% CI:1.2–5.4) were higher for adults with asymmetrical limited hip flexion compared with those with bilateral hip flexion &gt; 90°. Conclusions and implications Asymmetrical limited hip flexion affects the seating posture and is associated with scoliosis and windswept hip distortion.</p>},
  author       = {Ágústsson, Atli and Sveinsson, Þórarinn and Rodby-Bousquet, Elisabet},
  issn         = {0891-4222},
  keyword      = {Adult,Cerebral palsy,Contracture,Hip,Pelvis,Posture,Range of motion,Scoliosis},
  language     = {eng},
  month        = {12},
  pages        = {18--23},
  publisher    = {Elsevier},
  series       = {Research in Developmental Disabilities},
  title        = {The effect of asymmetrical limited hip flexion on seating posture, scoliosis and windswept hip distortion},
  url          = {http://dx.doi.org/10.1016/j.ridd.2017.09.019},
  volume       = {71},
  year         = {2017},
}