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Colonic transit time and constipation in children with spastic cerebral palsy

Authors
 Eun Sook Park  ;  Chang Il Park  ;  Youn Soo Cho  ;  Sang-il Na  ;  Sung-Rae Cho 
Citation
 ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, Vol.85(3) : 453-456, 2004 
Journal Title
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
ISSN
 0003-9993 
Issue Date
2004
MeSH
Brain/pathology ; Cerebral Palsy/complications ; Cerebral Palsy/pathology ; Cerebral Palsy/physiopathology* ; Child ; Child, Preschool ; ColonicDiseases, Functional/etiology ; ColonicDiseases, Functional/physiopathology* ; Constipation/etiology ; Constipation/physiopathology* ; Cross-Sectional Studies ; Diet ; Female ; GastrointestinalTransit/physiology* ; Humans ; Magnetic Resonance Imaging ; Male ; TimeFactors
Keywords
Cerebral palsy ; Colon ; Gastrointestinal motility ; Rehabilitation
Abstract
OBJECTIVES: To evaluate colonic motility and to investigate contributing factors to colonic dysmotility in children with spastic cerebral palsy (CP).
DESIGN: Cross-sectional study.
SETTING: A university-based rehabilitation hospital.
PARTICIPANTS: Thirty-eight children with spastic CP.
INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: Colonic transit time was measured by using a Sitzmarks. The nutrient intake during 3 consecutive days was analyzed by using the ESHA Food Processor program.
RESULTS: A significant relationship between colon transit time and stool frequency was observed (P<.05). All children with constipation and 17 (60.8%) of 28 without constipation showed an abnormal segmental colon transit time in at least 1 segment of the colon. A transit time delay at the proximal segment of colon was remarkable in CP children with constipation. In children without constipation, a transit time delay was marked at the rectosigmoid colon only. Constipation and transit time delay were significantly related to ambulatory function (P<.05).
CONCLUSIONS: A transit time delay at total or segmental colon was frequently observed in children with CP. Constipation and colonic motility were related to ambulatory function.
Files in This Item:
T200404358.pdf Download
DOI
10.1016/S0003-9993(03)00479-9
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun Sook(박은숙) ORCID logo https://orcid.org/0000-0002-9144-3063
Park, Chang Il(박창일)
Cho, Sung-Rae(조성래) ORCID logo https://orcid.org/0000-0003-1429-2684
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/112943
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