Abstract
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.
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.
Keywords
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Article info
Footnotes
☆Supported by the Research Institute of Rehabilitation Medicine and the Brain Korea 21 Project for Medical Science, Yonsei University.
Identification
Copyright
© 2004 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
