Hip displacement and overall function in severe cerebral palsy

Zarrinkalam, R; Rice, James; Brook, P. D.; Russo, Remo

doi:10.3233/prm-2011-0175

Cited by 16 publications

(13 citation statements)

References 17 publications

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“…The number of participants in our study was greater than in previous studies that have used CPCHILD to examine the effects of hip displacement on HRQL in children with CP (Zarrinkalam et al. 2011, Jung et al. 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Since the latter 2 domains were not significantly associated with hip displacement, either in the present study or 2 previous studies (Zarrinkalam et al. 2011, Jung et al. 2014), they could be omitted.…”

Section: Discussionmentioning

confidence: 99%

“…An Australian study of 26 children with CP at GMFCS levels IV–V (Zarrinkalam et al. 2011) and a German study of 34 children with CP at GMFCS levels III–V (Jung et al. 2014) found no such association.…”

Section: Discussionmentioning

confidence: 99%

“…2014, Zarrinkalam et al. 2011). An additional argument for reducing the number of domains is that there were significant correlations between all 5 domains in our study, and between the Comfort and Emotions domain and Health domain and the other domains in a previous report (Zarrinkalam et al.…”

Section: Discussionmentioning

confidence: 99%

“…An additional argument for reducing the number of domains is that there were significant correlations between all 5 domains in our study, and between the Comfort and Emotions domain and Health domain and the other domains in a previous report (Zarrinkalam et al. 2011). Thus, a simplified version of the CPCHILD questionnaire, targeted to children with hip problems, could include 7 of the 9 items of domain 3 (Pain and Discomfort), 4 of the 7 items of domain 4 (Communication and Social Interaction), and the 3 items of domain 5 (Health), thus reducing the total number of items from 37 to 14.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Severe hip displacement reduces health-related quality of life in children with cerebral palsy

Ramstad¹,

Jahnsen²,

Terjesen

2016

Acta Orthopaedica

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Background and purposeHip displacement is common in children with severe cerebral palsy (CP) and can cause problems such as pain, contractures, and nursing difficulties. Caregiver priorities and child health index of life with disabilities (CPCHILD) is a recently developed measure of health-related quality of life (HRQL) in children with severe CP. The associations between CPCHILD scores and hip displacement have not been investigated. We explored the effect of hip displacement on HRQL.Patients and methods67 children were recruited from the population-based Norwegian CP register. Mean age was 9 (7–12) years. There were 40 boys. Gross motor function classification system (GMFCS) distribution was 12 level III, 17 level IV, and 38 level V. Hip displacement was assessed by radiographic migration percentage (MP). The criterion for hip displacement was MP of the worst hip of ≥40%. Primary caregivers responded to 5 of the 6 domains of the CPCHILD questionnaire.ResultsHip displacement was found in 18 children and it was significantly associated with lower scores on the CPCHILD domains 3 (Comfort and Emotions) and 5 (Health), but not with domains 1 (Activities of Daily Living/Personal Care), 2 (Positioning, Transfer, and Mobility), and 6 (Overall Quality of Life). GMFCS level V was a significant predictor of low scores in all the domains.InterpretationFor the assessment of HRQL in children with severe CP and hip problems, we propose a modified and simplified version of the CPCHILD consisting of 14 of 37 questions. This would reduce the responders’ burden and probably increase the response rate in clinical studies without losing important information.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%