{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T01:01:44Z","timestamp":1774573304323,"version":"3.50.1"},"reference-count":26,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2007,12,1]],"date-time":"2007-12-01T00:00:00Z","timestamp":1196467200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2007,12]]},"abstract":"<jats:p> Objective: To investigate: (a) associations between the direction of scoliosis, direction of pelvic obliquity, direction of windswept deformity and side of hip subluxation\/ dislocation in non-ambulant people with cerebral palsy; and (b) the lateral distribution of these postural asymmetries. <\/jats:p><jats:p> Design: Cross-sectional observational study. <\/jats:p><jats:p> Setting: Posture management services in three centres in the UK. <\/jats:p><jats:p> Subjects: Non-ambulant people at level five on the gross motor function classification system for cerebral palsy. <\/jats:p><jats:p> Main measures: Direction of pelvic obliquity and lateral spinal curvature determined from physical examination, direction of windswept hip deformity derived from range of hip abduction\/adduction, and presence\/side of unilateral hip subluxation defined by hip migration percentage. <\/jats:p><jats:p> Results: A total of 747 participants were included in the study, aged 6\u201480 years (median 18 years 10 months). Associations between the direction of scoliosis and direction of pelvic obliquity, and between the direction of windswept hip deformity and side hip subluxation\/dislocation were confirmed. A significant association was also seen between the direction of scoliosis and the direction of the windswept hip deformity (P&lt;0.001) such that the convexity of the lateral spinal curve was more likely to be opposite to the direction of windsweeping. Furthermore, significantly more windswept deformities to the right (P = 0.007), hips subluxed on the left (P = 0.002) and lateral lumbar\/lower thoracic spinal curves convex to the left (P = 0.03) were observed. <\/jats:p><jats:p> Conclusions: The individual asymmetrical postural deformities are not unrelated in terms of direction and not equally distributed to the left\/right. A pattern of postural deformity was observed. <\/jats:p>","DOI":"10.1177\/0269215507080121","type":"journal-article","created":{"date-parts":[[2007,11,27]],"date-time":"2007-11-27T11:48:41Z","timestamp":1196164121000},"page":"1087-1096","source":"Crossref","is-referenced-by-count":60,"title":["Patterns of postural deformity in non-ambulant people with cerebral                palsy: what is the relationship between the direction of scoliosis, direction of                pelvic obliquity, direction of windswept hip deformity and side of hip                dislocation?"],"prefix":"10.1177","volume":"21","author":[{"given":"David","family":"Porter","sequence":"first","affiliation":[{"name":"School of Health & Social Care, Oxford Brookes University, Oxford,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shona","family":"Michael","sequence":"additional","affiliation":[{"name":"Medical Physics & Engineering, Leeds University Teaching Hospitals NHS Trust, Leeds"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Kirkwood","sequence":"additional","affiliation":[{"name":"Tayside Assistive Technology Service, Acute Services Division NHS Tayside,\r                  Dundee, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2007,12,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)01302-6"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162201001086"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198401000-00013"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1097\/00001577-199801030-00002"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1979.tb01696.x"},{"key":"atypb6","first-page":"48","volume":"132","author":"Lisboa C.","year":"1985","journal-title":"Am Rev Respir Dis"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199301000-00007"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1097\/00001577-199700940-00005"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199707010-00007"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198609000-00001"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198111000-00009"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1097\/00004694-199907000-00011"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1997.tb07414.x"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-9406(05)65499-5"},{"key":"atypb15","volume-title":"Study of patterns of postural deformity in non-ambulant people with cerebral palsy","author":"Porter D.","year":"2004"},{"key":"atypb16","volume-title":"Practical statistics for medical research","author":"Altman DG","year":"1991"},{"key":"atypb17","volume-title":"Range of motion \u2014 AO neutral-O method measurement and documentation","author":"Ryf C.","year":"1999"},{"key":"atypb18","volume-title":"The clinical measurement of joint motion","author":"Greene WB","year":"1994"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.3109\/ort.1980.51.suppl-184.01"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1995.tb11928.x"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-9406(05)60039-9"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198705000-00005"},{"key":"atypb23","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199005000-00017"},{"key":"atypb24","doi-asserted-by":"publisher","DOI":"10.1016\/0268-0890(95)90014-4"},{"key":"atypb25","unstructured":"Banks GM, Schwender JD, Transfeldt EE Clinical application of biomechanics. In Weinstein SL ed. The pediatric spine: principles and practice ,\n                  second edition. Lippincott Williams &\n                  Wilkins, 2001:\n               73\u201490."},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1976.tb03652.x"}],"container-title":["Clinical Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269215507080121","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269215507080121","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T23:06:46Z","timestamp":1740784006000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0269215507080121"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,12]]},"references-count":26,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2007,12]]}},"alternative-id":["10.1177\/0269215507080121"],"URL":"https:\/\/doi.org\/10.1177\/0269215507080121","relation":{},"ISSN":["0269-2155","1477-0873"],"issn-type":[{"value":"0269-2155","type":"print"},{"value":"1477-0873","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,12]]}}}