10대 뇌성마비에서의 척추와 하지 변형

• Published in: Annals of rehabilitation medicine pp. 135 - 142
• Main Authors: 이지선, 이규범, 김창원, 최유남, 정동화, 박상덕, 이우련
• Format: Journal Article
• Language: Korean
• Published: 대한재활의학회 01.04.2008
• Subjects: 재활의학
• ISSN: 2234-0645; 2234-0653

Objective: To investigate the state of musculoskeletal deformities in spine and lower extremities in teenagers with cerebral palsy. Method: 79 teenagers with cerebral palsy attending special schools were examined for deformities of the spine and the lower extremities with physical examinations and radiographic studies. Results: The number of cases with scoliosis was 47 (59.5%) and the mean of Cobb's angle was 21.7 degrees. There were 42 joints (26.6%) of hip subluxation and 10 joints (6.3%) of hip dislocation out of 158 hip joints. The mean of migration percentage was 53.6%. 30 participants (38.0%) had pelvic obliquity. The coxa valga appeared in 147 hip joints (93.0%), with the mean of femur neck-shaft angle was 156.0 degrees. It had a casual link with migration percentage (p＜0.001). 131 knee joints (82.9%) had the increased popliteal angle and 113 knees (71.5%) had patella alta. 72 cases (91.1%) had equinus feet, and 49 cases (62.0%) had planovalgus feet deformities on radiographic studies. As the score of Gross motor function measure (GMFM) was decreased, the migration percentage (p＜0.01), the Cobb's angle (p＜0.01), the popliteal angle increased (p＜0.001) and femur neck- shaft angle (p＜0.05). Conclusion: Teenagers with cerebral palsy are highly risk to develop musculoskeletal deformities in their spine and the lower extremities. Therefore, a close medical inspection should be paid on this group. KCI Citation Count: 3