title: Abnormality of standing posture improves in patients with bilateral spastic cerebral palsy following lower limb surgery.
abstract: The degree of abnormality of the gait pattern of children with bilateral spastic cerebral palsy (BSCP) can be reduced by lower limb orthopaedic surgery. However, little attention is paid to the effects of surgery on standing posture. Here, we investigated the abnormality of standing posture in young people with BSCP as well as the effects of surgery on standing posture.
  
  
  
  We have developed an index of standing posture, the Standing Posture Score (SPS), which is similar in composition to the gait profile score (GPS). We applied SPS retrospectively to 32 typically developing children and 85 children with BSCP before and after surgery to the lower limbs aimed at improving gait. We investigated the relationship between SPS and GPS before surgery and also the relationship between changes in these variables before and after surgery.
  
  
  
  SPS is significantly higher in young people with BSCP. SPS reduces after surgery and this reduction is correlated with the reduction in GPS.
  
  
  
  Successful surgery improves the alignment of the lower limbs in BSCP in standing and may have a positive impact on the activities of daily living which depend on a stable and efficient standing posture.
authors.affiliation: Guy's & St Thomas' NHS Foundation Trust, London, SE1 9RT, UK. Electronic address: pranai.buddhdev@gstt.nhs.uk.
authors.forename: P
authors.initials: P
authors.lastname: Buddhdev
authors.affiliation: Guy's & St Thomas' NHS Foundation Trust, London, SE1 9RT, UK. Electronic address: Nicola.fry@gstt.nhs.uk.
authors.forename: N R
authors.initials: NR
authors.lastname: Fry
authors.affiliation: King's College London, Strand, London WC2R 2LS, UK. Electronic address: rorylepage@gmail.com.
authors.forename: R
authors.initials: R
authors.lastname: LePage
authors.affiliation: King's College London, Strand, London WC2R 2LS, UK. Electronic address: wmary52@yahoo.com.
authors.forename: M
authors.initials: M
authors.lastname: Wiley
authors.affiliation: Guy's & St Thomas' NHS Foundation Trust, London, SE1 9RT, UK. Electronic address: martin.gough@gstt.nhs.uk.
authors.forename: M
authors.initials: M
authors.lastname: Gough
authors.affiliation: Guy's & St Thomas' NHS Foundation Trust, London, SE1 9RT, UK. Electronic address: adam.shortland@gstt.nhs.uk.
authors.forename: A P
authors.initials: AP
authors.lastname: Shortland
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications / Q000503:physiopathology* / Q000601:surgery; D002648:Child; D005260:Female; D005684:Gait / Q000502:physiology; D020233:Gait Disorders, Neurologic / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D035002:Lower Extremity / Q000601:surgery*; D008297:Male; D011187:Posture / Q000502:physiology*; D012189:Retrospective Studies
keywords: Bilateral spastic cerebral palsy; Gait profile score; Lower limb orthopaedic surgery; Standing posture score