Correlation between pelvic inclinations and spinal alignment in children with cerebral palsy / Doaa Attia Gamil Hassan ; Supervised Elham Elsayed Salem , Sherif Naseef Girgis Bishay , Mahmoud Samir Mohammed

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Growth and Development Disorders in Pediatrics

Background: Spinal malalignment and pelvic obliquity are main causes of disturbances of standing, balance and gait in children with cerebral palsy. Purpose: This study aimed to determine the correlation between pelvic inclinations and spinal alignment in children with cerebral palsy. Subjects and procedures: Sixty children with spastic cerebral palsy from both sexes were selected, their ages ranged from 5 to 10 years, with grade 1 or 1+ on the Modified Ashworth scale, who can stand independently without assistive devices level I, II according to the Gross Motor Function Classification System (GMFCS). All children were assessed for measuring pelvic inclination using pelvic inclinometer and spinal alignment using radiological X{u2013}rays. The Cobb angle was used to determine and correlate between the results. Results: Relationship between pelvic inclination and spinal alignment in children with hemiplegia: weak positive non-significant between (anterior pelvic tilt and lumber scoliosis r = 0.19, p = 0.33), (right anterior pelvic tilt and lordosis r = 0.11, p = 0.54), (lateral pelvic tilt and lumber scoliosis r = 0.06, p = 0.73) and between (lateral pelvic tilt and lordosis r = 0.02, p = 0.91) and moderate negative significant between (anterior pelvic tilt and kyphosis r = -0.37, p = 0.03) and between ( lateral pelvic tilt and thoracic scoliosis r = -0.37, p = 0.04). In children with diplegia: moderate positive between (anterior pelvic tilt and thoracic scoliosis r = 0.42, p = 0.02), (anterior pelvic tilt and lumber scoliosis r = 0.07, p = 0.71), (anterior pelvic tilt and lordosis r = 0.44, p = 0.01), (lateral pelvic tilt and thoracic scoliosis r = 0.14, p = 0.43), (lateral pelvic tilt and lumber scoliosis r = 0.47, p = 0.008) and between (lateral pelvic tilt and kyphosis r = 0.1, p = 0.56)

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