ArticleBMC musculoskeletal disorders2022
Sequence of flexion contracture development in the lower limb: a longitudinal analysis of 1,071 children with cerebral palsy.
Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- 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
- Postural assessment of children with congenital Zika syndrome and caregivers in the home environment: a cross-sectional pilot study.Sao Paulo medical journal = Revista paulista de medicina · 2025Article
- Knee and ankle range of motion and spasticity from childhood into adulthood: a longitudinal cohort study of 3,223 individuals with cerebral palsy.Acta orthopaedica · 2024Article
- Incidence and sequence of scoliosis and windswept hip deformity: which comes first in 4148 children with cerebral palsy? A longitudinal cohort study.BMC musculoskeletal disorders · 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
- Knee Flexion While Walking Exceeds Knee Flexion Contracture in Children with Spastic Cerebral Palsy.Children (Basel, Switzerland) · 2023Article
- Epidemiology of Lower Limb Musculoskeletal Pathology in Cerebral Palsy: A Population-Based, Cohort Study.JB & JS open accessArticle
Corrections and comments
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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
backgroundTo prevent severe contractures and their impact on adjacent joints in children with cerebral palsy (CP), it is crucial to treat the reduced range of motion early and to understand the order by which contractures appear. The aim of this study was to determine how a hip-knee or ankle contracture are associated with the time to and sequence of contracture development in adjacent joints.
methodsThis was a longitudinal cohort study of 1,071 children (636 boys, 435 girls) with CP born 1990 to 2018 who were registered before 5 years of age in the Swedish surveillance program for CP and had a hip, knee or ankle flexion contracture of ≥ 10°. The results were based on 1,636 legs followed for an average of 4.6 years (range 0-17 years). The Cox proportional-hazards model adjusted for Gross Motor Function Classification System (GMFCS) levels I-V was used to compare the percentage of legs with and without more than one contracture.
resultsA second contracture developed in 44% of the legs. The frequency of multiple contractures increased with higher GMFCS level. Children with a primary hip or foot contracture were more likely to develop a second knee contracture. Children with a primary knee contracture developed either a hip or ankle contracture as a second contracture.
conclusionsMultiple contractures were associated with higher GMFCS level. Lower limb contractures appeared in specific patterns where the location of the primary contracture and GMFCS level were associated with contracture development in adjacent joints.
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