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Titre : | Are Seating Systems With a Medial Knee Support Really Helpful for Hip Displacement in Children With Spastic Cerebral Palsy GMFCS IV and V? (2019) |
Auteurs : | In Soo Kim ; Donghwi Park ; Jin Young Ko |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 2, 2019) |
Article en page(s) : | p. 247-253 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Paralysie cérébrale ; Rééducation et réadaptation ; Technologie |
Mots-clés: | Cerebral palsy ; Hip dislocation ; Luxation de la hanche ; Technology ; Wheelchairs ; Fauteuils roulants |
Résumé : |
Objective To evaluate whether medial knee support (MKS) in seating systems aggravates hip displacement in children with cerebral palsy (CP). Design Retrospective chart review. Setting Rehabilitation department of tertiary university hospital. Participants Children with CP (N=76) using seating systems (intervention group, n=42; mean age 6.86y) and using regular wheelchairs (control group, n=34; mean age 8.15y). Interventions The intervention group was provided with a seating system with MKS. We enrolled children who did not use a seating system in the control group, retrospectively. Main Outcome Measures By radiographic images, Reimers migration index (MI), lateral center edge angle (CEA), and femur neck shaft angle (NSA) were measured. We compared the demographic data, clinical variables, and radiographs between the 2 groups. Results In the intervention group, there was a significant deterioration in the MI, from 26.89% to 44.18% after using the system (P<.001 the progression of mi was and per year in intervention control groups respectively> Conclusion We should consider the possibility that seating systems with MKS may exacerbate hip displacement in children with CP. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318309304 |