Hip Flexion Contracture and Diminished Functional Outcomes in Cerebral Palsy

Pinero, Joseph R.; Goldstein, Rachel Y.; Culver, Stephanie; Kuhns, Craig A.; Feldman, David S.; Otsuka, Norman Y.

doi:10.1097/bpo.0b013e31824b2a42

Cited by 10 publications

(10 citation statements)

References 31 publications

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“…Estimates of the prevalence of hip dislocation in CP vary from 1.5 to 75%, correlating with the severity of motor impairment 21 . Hip flexion contractures are amongst the most common musculoskeletal deformities seen in CP 22 and increasing impairment of function has been described with increasing severity of joint restriction 23 . In our cohort, after accounting for the effect of GMFCS level, an earlier M A N U S C R I P T .…”

Section: Discussionmentioning

confidence: 99%

Progression to musculoskeletal deformity in childhood dystonia

Lumsden

Gimeno

Elze

et al. 2016

European Journal of Paediatric Neurology

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Section: Discussionmentioning

confidence: 99%

Progression to musculoskeletal deformity in childhood dystonia

Lumsden

Gimeno

Elze

et al. 2016

European Journal of Paediatric Neurology

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“…Frequent symptoms of CP are impaired muscle function and increased muscle tone, which can decrease both the ability to stand and walk and contribute to the development of lower limb contractures 4 . Contractures are common in children with low gross motor function, 5 and hip contracture is one of the most frequently observed, and treated, complications in children with CP 6 . The cause of progressive development of contractures is complex, and both neural and muscular factors are involved 6‐8 .…”

Section: Introductionmentioning

confidence: 99%

“…4 Contractures are common in children with low gross motor function, 5 and hip contracture is one of the most frequently observed, and treated, complications in children with CP. 6 The cause of progressive development of contractures is complex, and both neural and muscular factors are involved. [6][7][8] Contractures may result in decreased mobility, 1 which have been reported to affect everyday life 9 and should be prevented.Similarly, pain is a frequent symptom of CP 10 and three out of four children with CP experience pain.…”

mentioning

confidence: 99%

“…6 The cause of progressive development of contractures is complex, and both neural and muscular factors are involved. [6][7][8] Contractures may result in decreased mobility, 1 which have been reported to affect everyday life 9 and should be prevented.Similarly, pain is a frequent symptom of CP 10 and three out of four children with CP experience pain. 11 Hip pain, in particular,…”

mentioning

confidence: 99%

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Hip contractures were associated with low gross motor function in children with cerebral palsy

et al. 2020

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Aim The aim was to identify the prevalence of hip contractures and their association with gross motor function and pain in the lower extremities among Danish children with cerebral palsy (CP). Methods This cross‐sectional study was based on data collected during regular clinical examinations in 2018–2019 and registered in the National Danish Clinical Quality Database of children with CP. The study population was 688 children (59% boys) aged five to 12 years across all Gross Motor Function Classification System (GMFCS) levels. Any associations between hip contracture and gross motor function and pain were investigated with logistic regression analysis and presented as odds ratios (OR) with 95% confidence intervals (95% CI). Results The prevalence of hip contracture was 22% across all five GMFCS levels, and the incidence varied across the five Danish regions. The odds ratios for hip contracture were significantly higher at GMFCS level IV (OR 1.99, 95% CI 1.10–3.62) and V (OR 5.49, 95% CI 3.33–9.07) compared with level I. Hip contractures were not significantly associated with pain in the lower extremities (OR 1.43, 95% CI 0.95–2.15). Conclusion Hip contractures were frequent and associated with low gross motor function, but not lower extremity pain, in children with CP.

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“…18,19 The PODCI has been used in the fields of orthopaedics and rheumatology, musculoskeletal disorders related to cerebral palsy and other paediatric pathologies such as arthrogryposis. 18,20 Patients and methods…”

Section: Introductionmentioning

confidence: 99%

Reliability of home-based, motor function measure in hereditary neuromuscular diseases

2017

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ObjectiveTo evaluate the reliability of the motor function measure (MFM) scale in the assessment of disease severity and progression when administered at home and clinic and assess its correlation with the Paediatric Outcomes Data Collection Instrument (PODCI).MethodsIn this prospective study, two assessors rated children with hereditary neuromuscular diseases (HNMDs) using the MFM at the clinic and then 2 weeks later at the patients’ home. Intraclass correlation coefficient (ICC) was calculated for the reliability of the MFM and its domains. The reliability of each item was assessed and the correlation between MFM and three domains of PODCI was evaluated.ResultsA total of 48 children (5–17 years of age) were assessed in both locations and the MFM scale demonstrated excellent inter-rater reliability (ICC, 0.98). Weighted kappa ranged from excellent to poor. Correlation of the home-based MFM with the PODCI domain ‘basic mobility and transfers’ was excellent, with the ‘upper extremity’ domain was moderate, but there was no correlation with the ‘happiness’ domain.ConclusionThe MFM is a reliable tool for assessing patients with HNMD when used in a home-based setting.

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Hip Flexion Contracture and Diminished Functional Outcomes in Cerebral Palsy

Abstract: Level II, prospective study.

Cited by 10 publications

References 31 publications

Progression to musculoskeletal deformity in childhood dystonia

Progression to musculoskeletal deformity in childhood dystonia

Hip contractures were associated with low gross motor function in children with cerebral palsy

Reliability of home-based, motor function measure in hereditary neuromuscular diseases

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