Spinal Curvatures, Deformities, and the Level of Disability in People with Bilateral Spastic Cerebral Palsy Living in South Africa; A 6-Year Follow-Up Study During Adulthood
| Autor: | Elsabe Botha, Richard de Villiers, Jacques du Toit, Robert P. Lamberts, Maaike M. Eken, Nelleke G. Langerak |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Adult
medicine.medical_specialty Physical Therapy Sports Therapy and Rehabilitation Spondylolysis Scoliosis Spinal Curvatures Cerebral palsy South Africa medicine Back pain Animals Humans Kyphosis business.industry Cerebral Palsy Rehabilitation Gross Motor Function Classification System medicine.disease Spondylolisthesis Oswestry Disability Index Lordosis Physical therapy medicine.symptom business Follow-Up Studies |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 103:481-487 |
| ISSN: | 0003-9993 |
| Popis: | Determine if spinal curvatures, deformities, as well as level of disability (due to back pain) changes with aging in adults with bilateral spastic cerebral palsy after receiving orthopedic interval surgery approach treatment in childhood.Consecutive case-series SETTING: Urban South Africa PARTICIPANTS: Twenty-seven ambulatory adults with cerebral palsy MAIN OUTCOME MEASURES: Spinal curvatures (scoliosis, thoracic kyphosis and lumbar lordosis) and deformities (spondylolysis and spondylolisthesis) were determined with X-rays, while the level of disability was assessed with the Oswestry Disability Index.The prevalence of spinal abnormalities were: 30% scoliosis (mild:30°), 0% thoracic hyperkyphosis, 15% lumbar hyperlordosis, 0%; spondylolysis, and 0% spondylolisthesis. No changes in scoliosis and lumbar lordosis angles were observed, while the change in thoracic kyphosis angle was smaller than the minimal clinically important difference and moved closer toward the norm-values for typically developing adults. Level of disability remained similar with 63% reporting minimal disability, 26% moderate disability and 11% severe disability. No associations with spinal curvatures were found.No clinically meaningful changes in spinal curvatures, deformities and level of disability due to pain were seen during the 6 years follow-up period in adults with cerebral palsy who have been treated with interval surgery approach in childhood. |
| Databáze: | OpenAIRE |
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