Article| Volume 85, ISSUE 3, P453-456, March 2004

Colonic transit time and constipation in children with spastic cerebral palsy 1


      Park ES, Park CI, Cho S-R, Na S, Cho YS. Colonic transit time and constipation in children with spastic cerebral palsy. Arch Phys Med Rehabil 2004;85:453–6.


      To evaluate colonic motility and to investigate contributing factors to colonic dysmotility in children with spastic cerebral palsy (CP).


      Cross-sectional study.


      A university-based rehabilitation hospital.


      Thirty-eight children with spastic CP.


      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.


      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).


      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.


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