RELATIONSHIP BETWEEN FUNCTION AND PRESENCE AND TYPE OF DEFORMITY IN PATIENTS WITH CEREBRAL PALSY

• Published in: Coluna 2016-12, Vol.15 (4), p.275-278
• Main Authors: Daher, Murilo Tavares, Martins, Paulo Leandro Souza, Esperidião, Adriano Passáglia, Felisbino Júnior, Pedro, Nascimento, Vinício Nunes, Pereira Júnior, José Humberto, Cardoso, André Luiz Passos, Araújo, Brenda Cristina Ribeiro, Daher, Sérgio
• Format: Article
• Language: English
• Subjects: Coluna vertebral; Epidemiologia; Escoliose; ORTHOPEDICS; Paralisia cerebral; REHABILITATION
• ISSN: 1808-1851; 2177-014X; 1808-1851
• DOI: 10.1590/s1808-185120161504157842

ABSTRACT Objective: To evaluate the gross motor function (GMFCS) with respect to the prevalence and type of scoliosis in patients with cerebral palsy (CP). Methods: This was an analytical, cross-sectional study. We evaluated medical records and imaging studies of 100 patients randomly assigned to a specialist rehabilitation center for the care of such patients. The patients were classified according the gross motor function (GMFCS) and those with deformities were classified as per the kind of scoliosis through the classification of Lonstein and Akbarnia). A correlation was made among the presence of deformity, the variables of the type of deformity and motor function by GMFCS. Results: Of the 100 patients evaluated, 69 had scoliosis. The mean age of patients with scoliosis was higher than that of patients without deformity (12.63 and 10.46 years). Thirty-nine (57%) patients had spastic tetraparesis and 32 (46%) spastic diparesis. The most frequent curve pattern was the thoracolumbar and the average angular value of the main curve was 27 degrees. There was a positive correlation between the presence of scoliosis and GMFCS level V. There was also a positive correlation between the Lonstein Group II and GMFCS V. Conclusion: There is a positive correlation between the presence of scoliosis and greater involvement of gross motor function (GMFCS V). In patients with deformities, there is also a positive correlation between the Group II of Lonstein and GMFCS V. RESUMEN Objetivo: Evaluar la función motora gruesa (GMFCS) con respecto a la prevalencia y tipo de escoliosis en pacientes con parálisis cerebral (PC). Métodos: Estudio transversal analítico. Se evaluaron los registros médicos y los estudios de imagen de 100 pacientes asignados al azar en un centro de rehabilitación especializado en el cuidado de estos pacientes. Los pacientes fueron clasificados de acuerdo con la función motora (GMFCS) y aquellos con deformidad se clasificaron según el tipo de escoliosis, de acuerdo con Lonstein y Akbarnia. Se hizo una correlación entre la presencia de deformidad, las variables del tipo de deformidad y la función motora por GMFCS. Resultados: De los 100 pacientes evaluados, 69 tenían escoliosis. La edad promedio de los pacientes con escoliosis fue mayor que la de los pacientes sin deformidad (12,63 y 10,46 años). Treinta y nueve (57%) pacientes tuvieron tetraparesia espástica y 32 (46%) diparesia espástica. El patrón de la curva más frecuente fue el toracolumbar y el prom