332710
{332710:4YECA5Q4}
1
vancouver
50
default
7787
https://neuropediatoolkit.org/wp-content/plugins/zotpress/
%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%224YECA5Q4%22%2C%22library%22%3A%7B%22id%22%3A332710%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Graham%20et%20al.%22%2C%22parsedDate%22%3A%222021-03%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%20style%3D%5C%22clear%3A%20left%3B%20%5C%22%3E%5Cn%20%20%20%20%3Cdiv%20class%3D%5C%22csl-left-margin%5C%22%20style%3D%5C%22float%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%5C%22%3E1.%3C%5C%2Fdiv%3E%3Cdiv%20class%3D%5C%22csl-right-inline%5C%22%20style%3D%5C%22margin%3A%200%20.4em%200%201.5em%3B%5C%22%3EGraham%20HK%2C%20Thomason%20P%2C%20Willoughby%20K%2C%20Hastings-Ison%20T%2C%20Stralen%20RV%2C%20Dala-Ali%20B%2C%20et%20al.%20Musculoskeletal%20Pathology%20in%20Cerebral%20Palsy%3A%20A%20Classification%20System%20and%20Reliability%20Study.%20Children%20%5BInternet%5D.%202021%20Mar%20%5Bcited%202025%20Feb%2024%5D%3B8%283%29%3A252.%20Available%20from%3A%20%3Ca%20class%3D%27zp-ItemURL%27%20href%3D%27https%3A%5C%2F%5C%2Fwww.mdpi.com%5C%2F2227-9067%5C%2F8%5C%2F3%5C%2F252%27%3Ehttps%3A%5C%2F%5C%2Fwww.mdpi.com%5C%2F2227-9067%5C%2F8%5C%2F3%5C%2F252%3C%5C%2Fa%3E%3C%5C%2Fdiv%3E%5Cn%20%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Musculoskeletal%20Pathology%20in%20Cerebral%20Palsy%3A%20A%20Classification%20System%20and%20Reliability%20Study%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22H.%20Kerr%22%2C%22lastName%22%3A%22Graham%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Pam%22%2C%22lastName%22%3A%22Thomason%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kate%22%2C%22lastName%22%3A%22Willoughby%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tandy%22%2C%22lastName%22%3A%22Hastings-Ison%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Renee%20Van%22%2C%22lastName%22%3A%22Stralen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Benan%22%2C%22lastName%22%3A%22Dala-Ali%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Peter%22%2C%22lastName%22%3A%22Wong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Erich%22%2C%22lastName%22%3A%22Rutz%22%7D%5D%2C%22abstractNote%22%3A%22This%20article%20presents%20a%20classification%20of%20lower%20limb%20musculoskeletal%20pathology%20%28MSP%29%20for%20ambulant%20children%20with%20cerebral%20palsy%20%28CP%29%20to%20identify%20key%20features%20from%20infancy%20to%20adulthood.%20The%20classification%20aims%20to%20improve%20communication%2C%20and%20to%20guide%20referral%20for%20interventions%2C%20which%20if%20timed%20appropriately%2C%20may%20optimise%20long-term%20musculoskeletal%20health%20and%20function.%20Consensus%20was%20achieved%20by%20discussion%20between%20staff%20in%20a%20Motion%20Analysis%20Laboratory%20%28MAL%29.%20A%20four-stage%20classification%20system%20was%20developed%3A%20Stage%201%3A%20Hypertonia%3A%20Abnormal%20postures%20are%20dynamic.%20Stage%202%3A%20Contracture%3A%20Fixed%20shortening%20of%20one%20or%20more%20muscle-tendon%20units.%20Stage%203%3A%20Bone%20and%20joint%20deformity%3A%20Torsional%20deformities%20and%5C%2For%20joint%20instability%20%28e.g.%2C%20hip%20displacement%20or%20pes%20valgus%29%2C%20usually%20accompanied%20by%20contractures.%20Stage%204%3A%20Decompensation%3A%20Severe%20pathology%20where%20restoration%20of%20optimal%20joint%20and%20muscle-tendon%20function%20is%20not%20possible.%20Reliability%20of%20the%20classification%20was%20tested%20using%20the%20presentation%20of%2016%20clinical%20cases%20to%20a%20group%20of%20experienced%20observers%2C%20on%20two%20occasions%2C%20two%20weeks%20apart.%20Reliability%20was%20found%20to%20be%20very%20good%20to%20excellent%2C%20with%20mean%20Fleiss%5Cu2019%20kappa%20ranging%20from%200.72%20to%200.84.%20Four-stages%20are%20proposed%20to%20classify%20lower%20limb%20MSP%20in%20children%20with%20CP.%20The%20classification%20was%20reliable%20in%20a%20group%20of%20clinicians%20who%20work%20together.%20We%20emphasise%20the%20features%20of%20decompensated%20MSP%20in%20the%20lower%20limb%2C%20which%20may%20not%20always%20benefit%20from%20reconstructive%20surgery%20and%20which%20can%20be%20avoided%20by%20timely%20intervention.%22%2C%22date%22%3A%222021%5C%2F3%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.3390%5C%2Fchildren8030252%22%2C%22ISSN%22%3A%222227-9067%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.mdpi.com%5C%2F2227-9067%5C%2F8%5C%2F3%5C%2F252%22%2C%22collections%22%3A%5B%22A9QSM2TM%22%5D%2C%22dateModified%22%3A%222025-03-03T17%3A26%3A59Z%22%7D%7D%5D%7D
1.
Graham HK, Thomason P, Willoughby K, Hastings-Ison T, Stralen RV, Dala-Ali B, et al. Musculoskeletal Pathology in Cerebral Palsy: A Classification System and Reliability Study. Children [Internet]. 2021 Mar [cited 2025 Feb 24];8(3):252. Available from: https://www.mdpi.com/2227-9067/8/3/252
Spanish 
English