Development of lower limb range of motion from early childhood to adolescence in cerebral palsy: a population-based study

<p>Abstract</p> <p>Background</p> <p>The decreasing range of joint motion caused by insufficient muscle length is a common problem in children with cerebral palsy (CP), often worsening with age. In 1994 a CP register and health care programme for children with CP was in...

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Main Authors: Lauge-Pedersen Henrik, Hägglund Gunnar, Nordmark Eva, Wagner Philippe, Westbom Lena
Format: Article
Language:English
Published: BMC 2009-10-01
Series:BMC Medicine
Online Access:http://www.biomedcentral.com/1741-7015/7/65
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spelling doaj-4580fa5fcc554ba8ac9cbd1bff099a462020-11-25T00:37:43ZengBMCBMC Medicine1741-70152009-10-01716510.1186/1741-7015-7-65Development of lower limb range of motion from early childhood to adolescence in cerebral palsy: a population-based studyLauge-Pedersen HenrikHägglund GunnarNordmark EvaWagner PhilippeWestbom Lena<p>Abstract</p> <p>Background</p> <p>The decreasing range of joint motion caused by insufficient muscle length is a common problem in children with cerebral palsy (CP), often worsening with age. In 1994 a CP register and health care programme for children with CP was initiated in southern Sweden. The aim of this study was to analyse the development of the passive range of motion (ROM) in the lower limbs during all the growth periods in relation to gross motor function and CP subtype in the total population of children with CP.</p> <p>Methods</p> <p>In total, 359 children with CP born during 1990-1999, living in the southernmost part of Sweden in the year during which they reached their third birthday and still living in the area in the year of their seventh birthday were analysed. The programme includes a continuous standardized follow-up with goniometric measurements of ROM in the lower limbs. The assessments are made by each child's local physiotherapist twice a year until 6 years of age, then once a year. In total, 5075 assessments from the CPUP database from 1994 to 1 January 2007 were analysed.</p> <p>Results</p> <p>The study showed a decreasing mean range of motion over the period 2-14 years of age in all joints or muscles measured. The development of ROM varied according to GMFCS level and CP subtype.</p> <p>Conclusion</p> <p>We found a decreasing ROM in children with CP from 2-14 years of age. This information is important for both the treatment and follow-up planning of the individual child as well as for the planning of health care programmes for all children with CP.</p> http://www.biomedcentral.com/1741-7015/7/65
collection DOAJ
language English
format Article
sources DOAJ
author Lauge-Pedersen Henrik
Hägglund Gunnar
Nordmark Eva
Wagner Philippe
Westbom Lena
spellingShingle Lauge-Pedersen Henrik
Hägglund Gunnar
Nordmark Eva
Wagner Philippe
Westbom Lena
Development of lower limb range of motion from early childhood to adolescence in cerebral palsy: a population-based study
BMC Medicine
author_facet Lauge-Pedersen Henrik
Hägglund Gunnar
Nordmark Eva
Wagner Philippe
Westbom Lena
author_sort Lauge-Pedersen Henrik
title Development of lower limb range of motion from early childhood to adolescence in cerebral palsy: a population-based study
title_short Development of lower limb range of motion from early childhood to adolescence in cerebral palsy: a population-based study
title_full Development of lower limb range of motion from early childhood to adolescence in cerebral palsy: a population-based study
title_fullStr Development of lower limb range of motion from early childhood to adolescence in cerebral palsy: a population-based study
title_full_unstemmed Development of lower limb range of motion from early childhood to adolescence in cerebral palsy: a population-based study
title_sort development of lower limb range of motion from early childhood to adolescence in cerebral palsy: a population-based study
publisher BMC
series BMC Medicine
issn 1741-7015
publishDate 2009-10-01
description <p>Abstract</p> <p>Background</p> <p>The decreasing range of joint motion caused by insufficient muscle length is a common problem in children with cerebral palsy (CP), often worsening with age. In 1994 a CP register and health care programme for children with CP was initiated in southern Sweden. The aim of this study was to analyse the development of the passive range of motion (ROM) in the lower limbs during all the growth periods in relation to gross motor function and CP subtype in the total population of children with CP.</p> <p>Methods</p> <p>In total, 359 children with CP born during 1990-1999, living in the southernmost part of Sweden in the year during which they reached their third birthday and still living in the area in the year of their seventh birthday were analysed. The programme includes a continuous standardized follow-up with goniometric measurements of ROM in the lower limbs. The assessments are made by each child's local physiotherapist twice a year until 6 years of age, then once a year. In total, 5075 assessments from the CPUP database from 1994 to 1 January 2007 were analysed.</p> <p>Results</p> <p>The study showed a decreasing mean range of motion over the period 2-14 years of age in all joints or muscles measured. The development of ROM varied according to GMFCS level and CP subtype.</p> <p>Conclusion</p> <p>We found a decreasing ROM in children with CP from 2-14 years of age. This information is important for both the treatment and follow-up planning of the individual child as well as for the planning of health care programmes for all children with CP.</p>
url http://www.biomedcentral.com/1741-7015/7/65
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