ArticleActa orthopaedica2021
Knee and foot contracture occur earliest in children with cerebral palsy: a longitudinal analysis of 2,693 children.
Article in Acta orthopaedica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 24 citations in OpenAlex.
- Gastrocnemius muscle properties in children with cerebral palsy: An exploratory cross-sectional study of variability in gastrocnemius properties.Experimental physiology · 2026Article
- Three-year outcomes of repeated botulinum neurotoxin A injections to the lower extremities in young children with spastic cerebral palsy in GMFCS levels I to III.Developmental medicine and child neurology · 2026Observational
- Upper-limb range of motion in children with cerebral palsy treated with botulinum neurotoxin: a population-based cohort study.BMC musculoskeletal disorders · 2026Article
- Is there a directional relationship between windswept hips and scoliosis in children with cerebral palsy?BMC musculoskeletal disorders · 2025Article
- Development of ankle and knee range of motion after isolated gastrocsoleus lengthening in children with cerebral palsy: a register-based longitudinal cohort study.Acta orthopaedica · 2025Article
- A "motor learning based intervention for lower extremities (MOBILE)" to target walking performance in ambulant children with cerebral palsy: A feasibility study.HRB open research · 2025Article
- Exploration of the triceps surae muscle in ambulatory children with cerebral palsy using instrumented measurements of stiffness and diffusion tensor magnetic resonance imaging for muscle architecture.BMC musculoskeletal disorders · 2024Observational
- Changes in foot posture evaluated with dynamic pedobarography over the course of childhood in ambulatory youth with cerebral palsy.Journal of children's orthopaedics · 2024Article
- Reliability and Construct Validity of the Japanese Version of the Posture and Postural Ability Scale in Individuals with Cerebral Palsy.Physical therapy research · 2024Article
- A longitudinal analysis of selective motor control during gait in individuals with cerebral palsy and the relation to gait deviations.PloS one · 2023Article
- Sequence of flexion contracture development in the lower limb: a longitudinal analysis of 1,071 children with cerebral palsy.BMC musculoskeletal disorders · 2022Article
- Postural Asymmetries and Assistive Devices Used by Adults With Cerebral Palsy in Lying, Sitting, and Standing.Frontiers in neurology · 2021Article
- Epidemiology of Lower Limb Musculoskeletal Pathology in Cerebral Palsy: A Population-Based, Cohort Study.JB & JS open accessArticle
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - Joint contracture is a common problem among children with cerebral palsy (CP). To prevent severe contracture and its effects on adjacent joints, it is crucial to identify children with a reduced range of motion (ROM) early. We examined whether significant hip, knee, or foot contracture occurs earliest in children with CP.Patients and methods - This was a longitudinal study involving 27,230 measurements obtained for 2,693 children (59% boys, 41% girls) with CP born 1990 to 2018 and registered before 5 years of age in the Swedish surveillance program for CP. The analysis was based on 4,751 legs followed up for an average of 5.0 years. Separate Kaplan-Meier (KM) curves were drawn for each ROM to illustrate the proportions of contracture-free legs at a given time during the follow-up. Using a clustered bootstrap method and considering the child as the unit of clustering, 95% pointwise confidence intervals were generated for equally spaced time points every 2.5 years for each KM curve.Results - Contracture developed in 34% of all legs, and the median time to the first contracture was 10 years from the first examination. Contracture was most common in children with a higher Gross Motor Function Classification System (GMFCS) level. The first contracture was a flexion contracture preventing dorsiflexion in children with GMFCS level I or II and preventing knee extension in children with GMFCS level III to V.Interpretation - Early interventions to prevent knee and foot contractures in children with CP should be considered.
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