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Published on: January 11, 2016
Hip displacement and overall function in severe cerebral palsy
R Zarrinkalam1, J Rice, P Brook
1The Department of Paediatric Rehabilitation, Women's and Children's Health Network, Women's and Children's Hospital Campus, North Adelaide, SA, Australia. rosa.zarrinkalam@health.sa.gov.au
Journal of Pediatric Rehabilitation Medicine
|December 31, 2011
Summary
Reconstructive hip surgery improved mobility and personal care in children with severe cerebral palsy and hip displacement. However, quality of life and pain were not linked to surgery or displacement severity.
Area of Science:
- Orthopedics
- Pediatric Rehabilitation
- Quality of Life Research
Background:
- Hip displacement (HD) is a common complication in severe cerebral palsy (CP).
- The impact of HD and its management on functional outcomes and quality of life (QOL) in CP requires further investigation.
Purpose of the Study:
- To examine the relationship between hip displacement (HD) and functional outcomes/QOL in severe CP.
- To compare functional outcomes and QOL between surgical and non-surgical management of HD.
Main Methods:
- Cross-sectional study of 26 participants with severe CP and hip displacement.
- Utilized hip migration percentage and validated hip classification.
- Assessed function and QOL using the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD©) questionnaire.
Main Results:
- Positive correlations found between mobility, QOL, and comfort.
- Orthopedic hip surgery was associated with significantly better mobility and personal care scores compared to non-surgical management.
- Severity of hip displacement did not significantly correlate with comfort or QOL.
Conclusions:
- Reconstructive hip surgery in severe CP is linked to improved mobility and personal care.
- Quality of life and pain were not significantly associated with the severity of hip displacement or surgical intervention.
