| Abstrakt: |
Objective: To investigate the association between GMlFCS level, hours of standing, and hip subluxation/dislocation. Method: A cross sectional study was done at the tertiary centre in Malaysia. Hip migration percentage (MP) and acetabular index (Al) were measured from plain radiographs of the pelvis (AP view). Results: A total of 36 bilateral spastic CP patients who were compliant to physiotherapy sessions, seating management, and standing were included in this study. The subjects were between 6 and 12 years old with GMFCS III-V. All subjects stood a minimum of 1 hour to a maximum of ≥3 hours. All patients practiced standing from a minimum of 4 years to a maximum of 10 years. A statistically significant association was found between the GMFCS level and the severity of MP (p = 0.01) and the Al (p = 0.01). MP was maintained at 10% and 20-30% in CP children who stood 3 or more hours and 2 hours, respectively. However, the results were not statistically significant (p = 0.24). The Al of CP children was 20 degrees in all groups which demonstrated that even an hour of standing in children who were compliant to physiotherapy and postural care helps to reduce the Al. However, the results were not significant (p = 0.43). Implications/Impact on Rehabilitation: The GMFCS level impacts the MP and Al. A standing duration of 3 hours or more in a day in CP children for minimum of 4 years showed promising effects on MP and Al; however, a future large scale study is recommended. [ABSTRACT FROM AUTHOR] |
