Abnormality of standing posture improves in patients with bilateral spastic cerebral palsy following lower limb surgery

P. Buddhdev, N.R. Fry, R. LePage, M. Wiley, Martin Gough, A.P. Shortland

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)
245 Downloads (Pure)

Abstract

Objectives
The degree of abnormality of the gait pattern of children with bilateral spastic cerebral palsy (BSCP) can be reduced by lower limb orthopaedic surgery. However, little attention is paid to the effects of surgery on standing posture. Here, we investigated the abnormality of standing posture in young people with BSCP as well as the effects of surgery on standing posture.
MethodsWe have developed an index of standing posture, the Standing Posture Score (SPS), which is similar in composition to the gait profile score (GPS). We applied SPS retrospectively to 32 typically developing children and 85 children with BSCP before and after surgery to the lower limbs aimed at improving gait. We investigated the relationship between SPS and GPS before surgery and also the relationship between changes in these variables before and after surgery.
ResultsSPS is significantly higher in young people with BSCP. SPS reduces after surgery and this reduction is correlated with the reduction in GPS.
InterpretationSuccessful surgery improves the alignment of the lower limbs in BSCP in standing and may have a positive impact on the activities of daily living which depend on a stable and efficient standing posture.
Original languageEnglish
Pages (from-to)255-258
JournalGAIT AND POSTURE
Volume54
Early online date9 Mar 2017
DOIs
Publication statusPublished - May 2017

Keywords

  • Bilateral spastic cerebral palsy
  • Gait profile score
  • Standing profile score
  • lower limb orthopaedic surgery

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