Mobility and joint range of motion in adults with cerebral palsy: A population-based study
Engelsk titel: Mobility and joint range of motion in adults with cerebral palsy: A population-based study
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Författare:
Brantmark, Anette
;
Westbom, Lena
;
Nordmark, Eva
Email: anette.brantmark@ltblekinge.se
Språk: Eng
Antal referenser: 31
Dokumenttyp:
Artikel
UI-nummer: 15105239
Sammanfattning
Objective. The aim of this study was to describe the methods of mobility used in the community
in relation to subtypes of cerebral palsy (CP), level of gross motor function and passive joint range of
motion (PROM) in the lower limbs in young adults. Methods. From a total population of people with
CP, 102 young adults (63 males) aged 18–23 years (median 20 years) participated. All subtypes were
represented and the Gross Motor Function Classification System Expanded and Revised (GMFCS-
E&R) levels were I n = 38, II n = 21, III n = 13, IV n = 10 and V n = 20. The Functional Mobility Scale
500 metres (FMS500m) level was analysed in relation to PROM using chi-squared tests. Relative risk
was used to investigate the relationship between PROM and mobility. Results. All participants either
walked without aids or used a wheelchair to move or transport themselves 500 m. Significant
associations were found between FMS500m and PROM in the knee and ankle joints. Limited PROM in
popliteal angle and knee extension was associated with use of a wheelchair, while limited foot
dorsiflexion was associated with walking without support in the community. Conclusion. Method of
mobility was associated with PROM of the knee and ankle joints for all GMFCS-E&R levels and
subtypes of CP. To be able to continue to walk in adulthood, successful prevention of severe knee
contractures, and avoiding excessive lengthening of the calf muscles and tendons, seem important
for children with CP who are able to walk.