Screening for Scoliosis in Children and Adolescents with Cerebral Palsy: A Pilot Study
Lucicleia Nascimento Santos, Julie Cristine Santos da Silva and Rafael Menezes-Reis
Federal University of Amazonas, Institute of Health and Biotechnology, Brazil
*Corresponding Author: Rafael Menezes-Reis, Federal University of Amazonas, Institute of Health and Biotechnology, Brazil.
July 28, 2022; Published: October 04, 2022
Introduction: Cerebral palsy (CP) is a non-gradual brain disease, caused by damage to the brain, resulting in permanent motor impairment. Vertebral deformity in a patient with CP has a multifactorial cause, muscle weakness, spasticity and inefficient muscle control. The aim of this study was to perform a screening of neuromuscular scoliosis in children and adolescents with cerebral palsy.
Methods: A prospective, observational and cross-sectional study, where children with CP and healthy aged 3 to 15 years were evaluated. The trunk rotation angle (ATR) of children with cerebral palsy was measured using the Scoliometer app on cervical, thoracic and lumbar spine regions. The Early Clinical Assessment of Balance (ECAB) was also applied to assess trunk balance.
Results: Thirteen children diagnosed with cerebral palsy were evaluated. Four children were able to move independently (functional group) and nine children were functionally incapacitate (non-functional group). The ATR of functional CP children were 5.25 ± 2.0 (cervical), 10.25 ± 2.1 (thoracic), 4.75 ± 2.1 (lumbar) and 10.25 ± 2.1 (highest ATR). The ATR of non-functional CP children were 5.88 ± 3.4 (cervical), 14.33 ± 9.9 (thoracic), 14.89 ± 10.3 (lumbar) and 16.13 ± 10.5 (highest ATR). The trunk balance were 38.63 ± 3.6 (functional group) and 18.11 ± 12.2 (non-functional group). Healthy children presents ATR = 13.08 ± 8.4 (highest ATR).
Conclusions: All children with CP had ATR > 7°. Non-functional group have a significant higher lumbar angle of trunk rotation (p = 0.01) and worse trunk balance than functional children with CP (p = 0.0009). Children with CP had a significant higher ATR than healthy children (p < 0.0001).
Keywords: Scoliosis; Cerebral Palsy; Chronic; Trunk; Spine; Diagnosis
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