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Type: Journal article
Title: Hip displacement and overall function in severe cerebral palsy
Author: Zarrinkalam, R.
Rice, J.
Brook, P.
Russo, R.
Citation: Journal of Pediatric Rehabilitation Medicine, 2011; 4(3):197-203
Publisher: IOS Press
Issue Date: 2011
ISSN: 1874-5393
Statement of
R. Zarrinkalam, J. Rice, P. Brook and R.N. Russo
Abstract: OBJECTIVE: The aim of this study was to investigate the relationship between hip displacement (HD) in individuals with severe cerebral palsy with function and quality of life (QOL). The second aim was to identify differences in these outcomes when comparing surgical and non-surgical management for HD. DESIGN: Cross-sectional study of 26 participants born between 1988 and 1998 who had hip displacement on their most recent hip radiograph. METHOD: Caregivers completed the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD©)questionnaire. Hip migration percentage and a validated hip classification were used. RESULTS: Significant positive correlation coefficients (CC) were found for mobility and comfort (CC = 0.620, ρ = 0.001) as well as for QOL and comfort (CC = 0.683,ρ <0.001). Orthopedic hip surgery was associated with better scores for mobility (median [95% CI]); surgery vs. none; (36.1 [27.7, 44.4]) vs (25.6 [22.2, 29.8]) and personal care, (32.1 [27.1, 43.2]) vs (25.9 [22.7, 30.8]). Severity of HD had no significant association with comfort or QOL. CONCLUSION: Mobility and personal care scores were significantly better in children who had undergone reconstructive hip surgery. However, QOL and pain scores were not associated with the severity of hip displacement or undertaking reconstructive hip surgery.
Keywords: Cerebral palsy
hip displacement
quality of life
Rights: © 2011 – IOS Press and the authors. All rights reserved
DOI: 10.3233/PRM-2011-0175
Appears in Collections:Aurora harvest
Orthopaedics and Trauma publications

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