Relationship Between Function and Presence and Type of Deformity in Patients With Cerebral Palsy

Abstract

Objective: To evaluate the gross motor function (GMFCS) with respect to the prevalence and type of scoliosis in patients with cerebral palsy (CP). Methods: This was an analytical, cross-sectional study. We evaluated medical records and imaging studies of 100 patients randomly assigned to a specialist rehabilitation center for the care of such patients. The patients were classified according the gross motor function (GMFCS) and those with deformities were classified as per the kind of scoliosis through the classification of Lonstein and Akbarnia). A correlation was made among the presence of deformity, the variables of the type of deformity and motor function by GMFCS. Results: Of the 100 patients evaluated, 69 had scoliosis. The mean age of patients with scoliosis was higher than that of patients without deformity (12.63 and 10.46 years). Thirty-nine (57%) patients had spastic tetraparesis and 32 (46%) spastic diparesis. The most frequent curve pattern was the thoracolumbar and the average angular value of the main curve was 27 degrees. There was a positive correlation between the presence of scoliosis and GMFCS level V. There was also a positive correlation between the Lonstein Group II and GMFCS V. Conclusion: There is a positive correlation between the presence of scoliosis and greater involvement of gross motor function (GMFCS V). In patients with deformities, there is also a positive correlation between the Group II of Lonstein and GMFCS V.Keywords: Spine; Cerebral palsy; Scoliosis; Epidemiology. (12,63 e 10,46 RESUMO Objetivo: Avaliar a função motora grossa (GMFCS) com relação à prevalência e ao tipo de escoliose no paciente com paralisia cerebral (PC anos). Trinta e nove (57%) pacientes apresentavam tetraparesia espástica e 32 (46%) diparesia espástica. O padrão de curva mais frequente foi o toracolombar e o valor angular médio da curva principal foi de 27 graus. Houve uma correlação positiva entre a presença de escoliose e GMFCS nível V. Também houve correlação positiva entre o Grupo II de Lonstein e GMFCS V. Conclusão: Existe uma correlação positiva entre a presença de escoliose e maior acometimento da função motora grossa (GMFCS V). Nos pacientes com deformidades, também existe uma correlação positiva entre o Grupo II de Lonstein e o GMFCS V.Descritores: Coluna vertebral; Paralisia cerebral; Escoliose; Epidemiologia. RESUMEN Objetivo: Evaluar la función motora gruesa (GMFCS) con respecto a la prevalencia y tipo de escoliosis en pacientes con parálisis cerebral (PC). Métodos: Estudio transversal analítico. Se evaluaron los registros médicos y los estudios de imagen de 100 pacientes asignados al azar en un centro de rehabilitación especializado en el cuidado de estos pacientes. Los pacientes fueron clasificados de acuerdo con la función motora (GMFCS) y aquellos con deformidad

Radiographic Evaluation of Surgical Correction of Scoliosis Due to Cerebral Palsy Using Intra-Operative Traction and New Correction Technique With 3rd Provisional Rod

“…The prevalence varies according to the degree of functional impairment of the patient, being more frequent in patients with a lower walking ability (gross motor function classification (GMFCS) type IV and V). [1][2][3] The type of curve also varies according to the patient's function, with compensated trunk curves being more frequent in ambulatory patients (Lonstein and Akbarnia Group I), whereas non-ambulatory patients predominantly present with decompensated trunk curves and pelvic obliquity (PO) (Lonstein and Akbarnia Group II). 4 (Figure 1)…”

Avaliação da flexibilidade de crianças com paralisia cerebral após intervenção fisioterapêutica

“…O termo Paralisa Cerebral (PC) é reconhecido como uma condição do desenvolvimento neurológico que se caracteriza por alterações ocorridas na primeira infância, as quais persistem por toda a vida, porém de maneira não progressiva 1 . Tais alterações ocasionam desordens permanentes no desenvolvimento quanto ao movimento e à postura, causando incapacidades 2 . Frequentemente as alterações motoras são acompanhadas por distúrbios sensitivos, perceptivos, cognitivos, comunicativos e comportamentais, decorrentes de crises epilépticas ou alterações musculoesqueléticas secundárias 1,3 .…”

Developing a protocol for an online exercise programme for cerebral palsy clients using 'Physitrack'

“…Figure 1: Gross motor function classification system (GMFCS) adapted from (Daher et al, 2016) Another standardised system that is used with CP clients is the Manual Ability Classification System (MACS). MACS focuses on using the client's hands (Figure 2) and is useful for assessing handling ability levels (6).…”

“…The responsiveness of the GMFM-88 would have been hindered by the levels not classified. Bryant et al; Dodd et al would have been moreresponsive to the intervention's effectiveness as the GMFCS level were similar with only small amounts of function separating the classification level(19,29,30). Dimitrijević et al would not have been as highly responsive to the intervention's effectiveness because the GMFCS levels…”