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ORIGINAL ARTICLE
Year : 2020  |  Volume : 2  |  Issue : 2  |  Page : 106-112

Prevalence of limb deformities among children having cerebral palsy in Jalandhar District of Punjab


1 Department of Physiotherapy, Lyallpur Khalsa College, Jalandhar, Punjab, India
2 Department of Physiotherapy, Punjabi University, Patiala, Punjab, India

Correspondence Address:
Dr. Raju Sharma
Lyallpur Khalsa College, Jalandhar, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijptr.ijptr_78_19

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Introduction: Cerebral palsy (CP) is a nonprogressive disorder of the developing brain. The newborn child with CP usually has no deformities or musculoskeletal abnormalities at birth. However, the distribution and prevalence of deformities in CP is a less researched area. Most of the studies have dealt with the correction of deformities. The purpose of this study is to determine the prevalence of deformities in CP and explore the relationship between their impairments and function. Methodology: A database of 248 children with CP between the age group of 3 and 13 years in a survey conducted in Jalandhar District of Punjab constituted the population of this study. Each child was physically examined by the researcher to assess primary and secondary impairments using standard clinical tests, such as Gross Motor Function Measure (GMFM-88), Quality of Upper Extremity Skill Test (QUEST), Gross Motor Function Classification System (GMFCS), and passive range of motion. Cross tabulation with Chi-square and correlation was a tool of statistical analysis for categorical variables, whereas t-test was used for continuous variables. Results: Equinus deformity of the ankle was most common followed by knee flexion, forearm pronation, and wrist flexion deformities. Deformity score showed statistically significant negative correlation with GMFM score (r = −0.43, P < 0.001) and QUEST score (r = −0.42, P < 0.01) and positive correlation with GMFCS levels (r = 0.42, P < 0.001) and all domains of self-care. Conclusions: Occurrence of deformities is the most common secondary impairment observed in children with CP. Deformities limit gross as well as the fine motor activities and hence the overall functional outcome in these children.


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