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Motor function levels and pelvic parameters in walking or ambulating children with cerebral palsy = Niveaux fonctionnels et évaluation des paramètres pelviens chez l'enfant PC marchant ou déambulant

In children with cerebral palsy, spinal equilibrium and pelvic
strategies may vary according to the functional status.
OBJECTIVES: To study the
relationship between motor function and pelvic and spinal parameters in a
population of children and adolescents with cerebral palsy (rated from level I to
level IV on Gross Motor Function Classification System [GMFCS]). A sagittal X-ray
of the spine in the standing position was analyzed with Optispine((R)) software.
RESULTS: The study population comprised 114 children and adolescents (mean
[range] age: 12.35 [4-17]). For the study population as a whole, there were
significant overall correlations between the GMFCS level on one hand and pelvic
incidence and pelvic tilt (PT) on the other (P=0.013 and 0.021, respectively).
DISCUSSION: Pelvic parameters vary according to the GMFCS level but do not appear
to affect spinal curvature. The sacrum is positioned in front of the head of the
femur (i.e. negative PT) in GMFCS level I and progressively moves backwards (i.e.
positive PT) in GMFCS levels II, III and IV.
CI - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS

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