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).
A university-based rehabilitation hospital.
Thirty-eight children with spastic CP.
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.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Archives of Physical Medicine and Rehabilitation
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Gastrointestinal manifestations in children with cerebral palsy.Brain Dev. 1999; 21: 307-311
- Disorders of oesophageal motility in children with psychomotor retardation and gastro-oesophageal reflux.Eur J Pediatr. 1991; 150: 638-641
- Cisapride in neurologically impaired children with chronic constipation.Dig Dis Sci. 1996; 41: 870-874
- Gastrointestinal problems in the neurologically impaired child.Baillieres Clin Gastroenterol. 1997; 11: 529-546
- The clinical value of solid marker transit studies in childhood constipation and soiling.Eur J Pediatr. 1994; 153: 560-564
- Nutritional status of institutionalized children and adolescents with developmental disabilities.Res Dev Disabil. 1989; 10: 33-52
- Measurement of low dietary fiber intake as a risk factor for chronic constipation in children.J Pediatr Gastroenterol Nutr. 1999; 29: 132-135
- Diet and chronic constipation in children.J Pediatr Gastroenterol Nutr. 1999; 28: 169-174
- Development of constipation in nursing home residents.Dis Colon Rectum. 2000; 43: 940-943
- Water supplementation enhances the effect of high-fiber diet on stool frequency and laxative consumption in adult patients with functional constipation.Hepatogastroenterology. 1998; 45: 727-732
- Development and reliability of a system to classify gross motor function in children with cerebral palsy.Dev Med Child Neurol. 1997; 39: 214-223
- Incidence of constipation after recent vascular hemiplegia.Rev Neurol (Paris). 2002; 158: 589-592
- Some parameters of large bowel motility in normal man.Gastroenterology. 1978; 75: 612-618
- Mechanisms of idiopathic constipation.Gastroenterology. 1978; 75: 623-631
- Segmental colonic transit time.Dis Colon Rectum. 1981; 24: 625-629
- Simplified assessment of segmental colonic transit.Gastroenterology. 1987; 92: 40-47
- Colonic transit time in children with recurrent abdominal pain.J Korean Pediatr Soc. 1997; 10: 1544-1551
- Gastrointestinal transit time, frequency of defecation, and anorectal manometry in healthy and constipated children.J Pediatr. 1985; 106: 379-382
- Dietary fiber intake, stool frequency and colonic transit time in chronic functional constipation in children.Braz J Med Biol Res. 2001; 34: 1147-1153
- Anorectal function in children with neurological problem. II: cerebral palsy.Dev Med Child Neurol. 1993; 35: 903-908
- [Vegetative disorders in children with cerebral palsy. Results of an inquiry of parents].Monatsschr Kinderheikd. 1976; 124 ([German]): 583-589
- MR imaging of perinatal brain damage.Am J Neuroradiol. 1998; 19: 1909-1921
- Gastroesophageal reflux among severely retarded children.J Pediatr. 1979; 94: 710-714
- Dietary fiber intake and constipation in children with severe developmental disabilities.J Paediatr Child Health. 2000; 36: 236-239
- The relationship between intake of dietary fiber and chronic constipation in children.Ned Tijdschr Geneeskd. 1996; 140: 2036-2039
- Effect of increased fluid intake on stool output in normal healthy volunteers.J Clin Gastroenterol. 1999; 28: 29-32
- Body composition in children with spastic quadriplegic cerebral palsy.J Pediatr. 1995; 126: 833-839
☆Supported by the Research Institute of Rehabilitation Medicine and the Brain Korea 21 Project for Medical Science, Yonsei University.
© 2004 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.