Predictors of Range of Motion Restrictions in Children with Spastic Cerebral Palsy: A Registry-Based Study.

2021 
BACKGROUND Although children with spastic cerebral palsy (CP) commonly present with restricted passive range of motion (PROM) and contractures, knowledge about the child's characteristics that increase the risk of development of restricted PROM is limited. Identifying children who are more likely to develop contractures is important for early detection and the provision of appropriate medical management. This study aims to identify the most commonly restricted PROM of children with spastic CP, and (2) to examine the combined effect of a child's age, gender, gross motor functional classification level, and CP subtype on the development of restricted PROM in children with spastic CP. METHODS The PROM of 233 children diagnosed with CP were extracted from the national registry of CP in Jordan (CPUP-Jordan) in addition to information about children's age, gender, level of Gross Motor Furcation Classification System-Expanded and Revised (GMFCS-ER males demonstrated more restriction in hip abduction than females; children with lower GMFCS-ER and children with bilateral spastic CP had more restrictions in hip abduction than children with unilateral spastic CP. CONCLUSIONS PROM of the hip, knee, ankle joints of children with spastic CP were predicted by different sets of child characteristics. Implications for health professionals and follow-up registries of children with CP are provided.
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