Document Detail


Asymmetric skull deformity in children with cerebral palsy: frequency and correlation with postural abnormalities and deformities.
MedLine Citation:
PMID:  23138456     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Asymmetrical skull deformity is frequently seen in children with cerebral palsy, and may contribute to postural abnormalities and deformities. The aim of this cross-sectional- survey was to determine the frequency of asymmetrical skull deformity and its correlation with clinical parameters.
METHODS: A 10-item checklist for asymmetrical skull deformity, postural abnormalities, and deformities was developed, and its inter-rater reliability was tested. A total of 110 participants aged 1-18 years (mean age 9.3 years (standard deviation 4.7)) was assessed using the checklist. The frequency of asymmetrical skull deformity was analysed and related to the Gross Motor Function Classification System (GMFCS), postural abnormalities, and deformities.
RESULTS: The reliability of the checklist was satisfactory (κ > 0.8). Asymmetrical skull deformity was observed in 44 children, 24 showing right and 20 showing left flat occipital deformity. Its frequency was significantly related to GMFCS and with the patterns of asymmetrical posture and deformities (p < 0.05). Children with right flat occipital asymmetrical skull deformity showed predominantly rightward facial direction and right-side-dominant asymmetrical tonic neck reflex, left convex scoliosis, right-side-elevated pelvic obliquity, and left-sided hip dislocation. Those with left flat occipital asymmetrical skull deformity demonstrated the reverse tendency.
CONCLUSION: Asymmetrical skull deformity is frequent in cerebral palsy and closely related to asymmetrical posture and deformities. This information will be useful to manage these problems.
Authors:
Michiyuki Kawakami; Meigen Liu; Tomoyoshi Otsuka; Ayako Wada; Ken Uchikawa; Asako Aoki; Yohei Otaka
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  45     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-25     Completed Date:  2013-07-19     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  149-53     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Bone Diseases / etiology*,  physiopathology
Cerebral Palsy / complications*,  physiopathology
Checklist / standards
Child
Child, Preschool
Craniofacial Abnormalities / epidemiology,  etiology*,  physiopathology
Cross-Sectional Studies
Face
Female
Hip
Hip Dislocation / etiology
Humans
Infant
Male
Musculoskeletal Abnormalities / epidemiology,  etiology*,  physiopathology
Neck
Occipital Bone / abnormalities*
Pelvis
Posture*
Reflex
Reproducibility of Results
Scoliosis / etiology,  physiopathology
Spine / abnormalities,  physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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