Postural Deformities in Non-Ambulant People with Cerebral Palsy
Author Information
Author(s): David Porter, Shona Michael, Craig Kirkwood
Primary Institution: Oxford Brookes University
Hypothesis
What is the relationship between the direction of scoliosis, direction of pelvic obliquity, direction of windswept hip deformity and side of hip dislocation?
Conclusion
The study found that individual asymmetrical postural deformities are related in direction and not equally distributed to the left or right.
Supporting Evidence
- Significant associations were found between the direction of scoliosis and pelvic obliquity.
- More windswept deformities were observed to the right.
- Hips were more often subluxed on the left side.
- Lateral lumbar/lower thoracic spinal curves were more often convex to the left.
Takeaway
This study looked at how different body deformities in kids who can't walk are connected, and found that they often happen together in specific ways.
Methodology
Cross-sectional observational study involving physical examination of non-ambulant individuals with cerebral palsy.
Potential Biases
Selection bias was minimized by including all eligible patients undergoing routine assessments.
Limitations
The study relied on physical examination rather than radiography, which may have limited the accuracy of scoliosis characterization.
Participant Demographics
Participants were aged 6 to 80 years, with a median age of 18 years and 10 months; 51.9% were male.
Statistical Information
P-Value
P < 0.001
Confidence Interval
95% CI 50.6% to 62.4%
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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