Dr JC. Bernard, J. Deceuninck, E. Loustalet, E. Morel

Motor function levels and pelvic parameters in walking or ambulating cerebral palsy children Dr J‐C. Bernard, J. Deceuninck, E. Loustalet, E. Morel, A. Combey, J. Sutton, E. Berthonnaud, Dr E. Chaléat‐Valayer.
Centre Médico‐Chirurgical des Massues.Croix‐Rouge française. bernard‐mpr@cmcr‐massues.com
Sagittal X‐ray parameters in walking or ambulating children with cerebral palsy. Annals of Physical and Rehabilitation Medicine. 2013 ; 56 (2) : 123‐133. GMFCS and sagittal spine in a cerebral palsy
population • Objectives: to allow a relation between motor function and pelvis shape in a cerebral palsy population level I to IV on Gross Motor Function Classification System (GMFCS). This study is based on sagittal X‐Ray of spine in standing position which is analyzed by Optispine® software.
GMFCS Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997;39(4):214‐23.
GMFCS and pelvic parameters in walking or ambulating cerebral palsy children
Results
Correlations between GMFCS and pelvic parameters ( Pelvic Incidence, Pelvic Tilt) and
plumb line of C7.
p value
GMFCS and PI
p=0.013
r
0.231
0.216
GMFCS and PT
p=0.021
GMFCS and HC7
p=0.490
0.066
Case report: Isis born 1/10/2005
GMFCS 1
Déc 2009: SS 60° L1L5 60° T4T12 27°
PI 48° PT ‐13°
Nov 2013: SS 40° L1L5 42° T4T12 44°
PI 44° PT ‐8°
Results: Our results are about 114 patients who are aged 12.35 in mean (4‐18). There is a significative correlation between GMFCS and pelvic incidence (PI) (p=0.013) and between GMFCS and pelvic tilt (PT) (p=0.021) for the all population.
Discussion: There is an adaptation of pelvic parameters according to the GMFCS. The pelvic tilt will adjust with the GMFCS: the sacrum is in front (negative PT) of femoral heads for level I and gradually passed back (positive PT) for levels II, III and IV.
Discussion: GMFCS
Kevin 15 years old
GMFCS I
GMFCS 2: 16 years old
Samir 15 ans
GMFCS III
Thank you for your attention
Low PI High PI