American Journal of Clinical Medicine Research. 2019, 7(2), 48-52
DOI: 10.12691/AJCMR-7-2-3
Original Research

Estimation Body Height according to Tibia Length in Children with Cerebral Palsy Aged 6-12 Years in Bandung, Indonesia

Tika Ermawati1, , Eddy Fadlyana1 and Dwi Prasetyo1

1Department of Paediatrics Faculty of Medicine Universitas Padjadjaran/Hasan Sadikin General Hospital Bandung, Indonesia

Pub. Date: October 17, 2019

Cite this paper

Tika Ermawati, Eddy Fadlyana and Dwi Prasetyo. Estimation Body Height according to Tibia Length in Children with Cerebral Palsy Aged 6-12 Years in Bandung, Indonesia. American Journal of Clinical Medicine Research. 2019; 7(2):48-52. doi: 10.12691/AJCMR-7-2-3

Abstract

Background and Objective. Children with Cerebral Palsy (CP) have a risk of contracture or hypotonia causing difficulty in measuring their standardized height hence it requires height estimation based on the tibial length as an alternative measurement. Estimation body height formula is not available yet in Indonesia. We aim to determine the estimation body height according to tibia length in children with cerebral palsy aged 6-12 years in Bandung, Indonesia. Methods. The subjects are children 6-12 years old with CP who attended Special School, Growth and Development Clinic, Neuropediatric, and Medical Rehabilitation Outpatient Department at Hasan Sadikin General Hospital in Bandung, Indonesia between March until May 2019. This research performed a cross-sectional study. The height, body length, and tibia length of subjects who met the inclusion criteria were measured concomitantly. Data analysis was performed using linear regression. Results. We found 68 CP patients who met the inclusion criterion. Patients could be measured using the standard method are 36 children which then analyzed statistically. There were 36 subjects consisting of 22 boys (61,1%) and 14 girls (38,9%). The new calculation formula for body height estimation based on the tibia length in CP children aged 6-12 years is = 32,01 + 2,90 * tibia length (Standard error of the estimate ±1,85). Conclusion. Measurement of tibia length is important in determining the height estimation in children with CP so growth could still be monitored in the patients. There is a new calculation formula that we can use for height estimation based on the tibial length in children with CP aged 6-12 years.

Keywords

cerebral palsy, estimation body height, tibia length

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  World Health Organization. Training course on child growth assessments. WHO child growth standards: 15-28.
 
[2]  Bell KL, Davies PS, Boyd RN, Stevenson RD. Use of segmental lengths for the assessment of growth in children with cerebral palsy. Handbook of Anthropometry. Edisi: Springer; 2012. P: 1279 -97.
 
[3]  Carey A, McCarthy H, Gill J, Thompson A, McNulty H. Novel segmental proxy measures for estimating weight and height in healthy school children aged 11-18 years. Clinical nutrition ESPEN. 2015; 10(5):e211.
 
[4]  Grantham-McGregor S, Cheung YB, Cueto S, Glewwe P, Richter L, Strupp B. Developmental Potential in the First 5 Years for Children in Developing Countries. Lancet. 2007; 369: 60-70.
 
[5]  RI BPPKKK. Riset Kesehatan Dasar. 2013:1-306.
 
[6]  Organization WHO. Global Targets 2025. http://www.who.int/nutrition/topics/nutritionglobaltargets20252010. [accessed Oktober 2017].
 
[7]  Onis Md, Blossner M, Borghi E. Global Prevalence and Trends of Overweight and Obesity among Preschool Children. Am J Clin Nutr. 2010; 92: 1257-64.
 
[8]  Prendergast AJ, Humphrey JH. The Stunting Syndrome in Developing Countries. Paediatrics and International Child Health. 2014; 34(4): 250-65.
 
[9]  Haapala H, Peterson MD, Daunter A, Hurvitz EA. Agreement between actual height and estimated height using segmental limb lengths for individuals with cerebral palsy. American journal of physical medicine & rehabilitation/Association of Academic Physiatrists. 2015; 94(7): 539.
 
[10]  CDC. The CDC Growth Charts for Children Special Need 2009: 1-28.
 
[11]  Stavsky M, Mor O, Mastrolia S, Greenbaum S, Than N, Erez O. Cerebral Palsy trends in epidemiology and recent development in prenatal mechanisms of disease, treatment, and prevention. Frontiers in Pediatrics. 2017; 5: 1-10.
 
[12]  Donald K, Samia P, Mwesige A, Bearden D. Pediatric cerebral palsy in Africa: A systematic review. Seminars in Pediatric Neurology. 2014; 21(1): 30-35.
 
[13]  Oskoui M, Countinho F, Dykeman J, Jette N, Pringsheim T. An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Developmental Medicine & Child Neurology. 2013; 55: 509-19.
 
[14]  Hirvonen M, Ojala R, Korhonen P, Haataja P, Erisson K, Gissler M, et al. Cerebral palsy among children born moderately and late preterm. Pediaric. 2014; 134(6): 1584-93.
 
[15]  Risan A. Nelly. Keterlambatan motorik atau palsi serebral? IDAI cabang DKI Jakarta. UKK Neurologi IDAI. 2010: 101-8.
 
[16]  Stevenson RD. Use of segmental measures to estimate stature in children with cerebral palsy. Archives of pediatrics & adolescent medicine. 1995;149(6):658-62.
 
[17]  Duyar I, Pelin C. Body height estimation based on tibia length in different stature groups. American Journal of Physical Anthropology: The Official Publication of the American Association of Physical Anthropologists. 2003; 122(1): 23-7.
 
[18]  Chulani V, Gordon Loona, Adolescent growth and development. Prim Care Clin Office Pract. 2014; 41:465-87.
 
[19]  Soliman A, Sanctis V, Elalaily R, Bedair S. Advances in pubertal growth and factors influencing it: Can we increase pubertal growth? Indian Journal of Endocrinology and Metabolism. 2014; 18: S54-62.
 
[20]  Rosen D. Physiologic growth and development during adolescence. Pediatric in review. 2004; 25(6): 194-99.
 
[21]  Stevenson R, Conaway M, Chumlea C, Rosebaum P, Fung E, Henderson R. Growth and health in children with moderate-to-severe cerebral palsy. PEDIATRICS. 2006; 118(3): 1010-18.
 
[22]  Fang S, Bell KL. Assessment of growth ang nutrition in children with cerebral palsy. European journal of clinical nutrition. 2013; 67: s5-s8.
 
[23]  Fang Samson L, Stevenson R. Linear growth velocity in children with cerebral palsy. Developmental medicine and child neurology. 1998; 40: 689-92.
 
[24]  Prendergast AJ, Humphrey JH. The Stunting Syndrome in Developing Countries. Paediatrics and International Child Health. 2014; 34(4): 250-65.