scholarly journals Primary surgery to prevent hip dislocation in children with cerebral palsy in Sweden: a minimum 5-year follow-up by the national surveillance program (CPUP)

2019 ◽  
Vol 90 (5) ◽  
pp. 495-500 ◽  
Author(s):  
Nikolaos Kiapekos ◽  
Eva Broström ◽  
Gunnar Hägglund ◽  
Per Åstrand
Keyword(s):  
Cerebral Palsy ◽  
Hip Dislocation ◽  
Surveillance Program ◽  
National Surveillance ◽  
Primary Surgery ◽  
Children With Cerebral Palsy

Hip surgery and radiology reporting for children with cerebral palsy prior to initiation of a hip surveillance program

2021 ◽  
pp. 1-7
Author(s):  
Kyra Kane ◽  
Marshall Siemens ◽  
Shane Wunder ◽  
Jacqueline Kraushaar ◽  
J. Alexandra Mortimer ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Retrospective Chart Review ◽  
Surveillance Program ◽  
Radiology Reporting ◽  
Reporting Practices ◽  
Hip Displacement ◽  
Primary Surgery ◽  
Radiology Reports ◽  
Children With Cerebral Palsy ◽  
Surveillance Programs

PURPOSE: Hip displacement impacts quality of life for many children with cerebral palsy (CP). While early detection can help avoid dislocation and late-stage surgery, formalized surveillance programs are not ubiquitous. This study aimed to examine: 1) surgical practices around pediatric hip displacement for children with CP in a region without formalized hip surveillance; and 2) utility of MP compared to traditional radiology reporting for quantifying displacement. METHODS: A retrospective chart review examined hip displacement surgeries performed on children with CP between 2007–2016. Surgeries were classified as preventative, reconstructive, or salvage. Pre- and post-operative migration percentage (MP) was calculated for available radiographs using a mobile application and compared using Wilcoxon Signed Ranks test. MPs were also compared with descriptions in the corresponding radiology reports using directed and conventional content analyses. RESULTS: Data from 67 children (115 surgical hips) was included. Primary surgery types included preventative (63.5% hips), reconstructive (36.5%), or salvage (0%). For the 92 hips with both radiology reports and radiographs available, reports contained a range of descriptors that inconsistently reflected the retrospectively-calculated MPs. CONCLUSION: Current radiology reporting practices do not appear to effectively describe hip displacement for children with CP. Therefore, standardized reporting of MP is recommended.

scholarly journals Evaluation of the effectiveness of screening and monitoring program for early prevention of orthopedic complications in children with cerebral palsy

2020 ◽  
Vol 64 (6) ◽  
pp. 79-83
Author(s):  
V. A. Zmanovskaya ◽  
E. V. Kashuba ◽  
R. I. Valeev ◽  
O. Yu. Ezhov
Keyword(s):  
Cerebral Palsy ◽  
Monitoring Program ◽  
Motor Impairment ◽  
Hip Dislocation ◽  
Preventive Treatment ◽  
Medical Rehabilitation ◽  
Control Group ◽  
Surveillance Program ◽  
Children With Cerebral Palsy ◽  
Hip Luxation

Hip instability and following hip luxation and subluxations remain common and serious problem among children with cerebral palsy (CP). The hip luxation and subluxations can be avoided using timely monitoring and early preventive treatment. However, standard scheme for patients’ management in children with CP is not adopted so far in Russian Federation. In 2014 on the territory of Tyumen region the Europe surveillance program for children with CP (CPUP) was introduced.Research purpose. To analyze the effectiveness of the early orthopedic complications prevention program in children with CP. Material and methods. The study included children with CP of the «Child psychoneurological medical-rehabilitation center «Nadezhda» register born in 2010 and earlier (n=176), undergoing surveillance under the European Program (main group); the comparison group consisted of children with CP which were treated before the adoption of the program (n=642). Group comparability was achieved by selecting children with one level of motor impairment according to the GMFCS classification. The presence of expressed orthopedic complications was exposed at the value of Reimers Index (RI) above 40%, and the effectiveness of the program was determined by a reduction in the frequency of such RI.Results. It was found that overall incidence of hip dislocation in control group decreased by 70%: in children with GMFCS II by 100%, GMFCS III – by 78%, GMFCS IV – by 62% and GMFCS V – by 74%.Conclusion. Due to the introduction of the Europe surveillance program on the territory of Tyumen region there is a significant decrease in orthopedic complications incidence in children with CP.

scholarly journals Cost-effectiveness analysis of a surveillance program to prevent hip dislocation in children with cerebral palsy

2020 ◽  
Vol 34 (4) ◽  
pp. 377-384 ◽  
Author(s):  
Laura Vallejo-Torres ◽  
Amado Rivero-Santana ◽  
Carlos Martin-Saborido ◽  
David Epstein ◽  
Lilisbeth Perestelo-Pérez ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Cost Effectiveness ◽  
Hip Dislocation ◽  
Cost Effectiveness Analysis ◽  
Surveillance Program ◽  
Effectiveness Analysis ◽  
Children With Cerebral Palsy

CHILDREN WITH CEREBRAL PALSY

PEDIATRICS ◽  
1957 ◽  
Vol 20 (4) ◽  
pp. 703-715
Author(s):  
Helen M. Wallace ◽  
Margaret A. Losty ◽  
David Sanders ◽  
Robert S. Siffert ◽  
Jerome S. Tobis ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Cerebral Palsy ◽  
Financial Aid ◽  
York City ◽  
Follow Up Study ◽  
Children With Cerebral Palsy

This report describes the findings and interim results of a follow-up study of 770 children with cerebral palsy who were cared for under the aegis of the New York City Financial Aid Program from 1945 to July 1, 1954. The findings seem to indicate that some redirection of the program to include development, expansion and improvement of some alternate services within the community is advisable. It is likely that this same type of follow-up study would be of equal value for children of other diagnostic groups, and similar studies might be initiated.

scholarly journals Comparison of hamstring transfer with hamstring lengthening in ambulatory children with cerebral palsy: further follow-up

2014 ◽  
Vol 8 (6) ◽  
pp. 513-520 ◽  
Author(s):  
Camila De Mattos ◽  
K. Patrick Do ◽  
Rosemary Pierce ◽  
Jing Feng ◽  
Michael Aiona ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Children With Cerebral Palsy

scholarly journals STATURE ESTIMATE OF CHILDREN WITH CEREBRAL PALSY THROUGH SEGMENTAL MEASURES: A SYSTEMATIC REVIEW

2020 ◽  
Vol 38 ◽  
Author(s):  
Joel Alves Lamounier ◽  
Nathália Macedo Marteletto ◽  
Cristina Amaral Calixto ◽  
Marcia Reimol de Andrade ◽  
Jacqueline Domingues Tibúrcio
Keyword(s):  
Cerebral Palsy ◽  
Infant Health ◽  
Body Height ◽  
Japanese Patients ◽  
Healthcare Research ◽  
Small Samples ◽  
Children With Cerebral Palsy ◽  
Actual Height ◽  
Meta Analyses

ABSTRACT Objective: To review studies that evaluate the correspondence between the estimate height via segmental measures and the actual height of children with cerebral palsy. Data sources: Systematic literature review between 1995–2018, guided by the PRISMA criteria (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), in PubMed, BVS, MEDLINE and Lilacs databases. The descriptors, connected by the AND Boolean Operators, were: anthropometry, cerebral palsy, child and body height. The research comprised papers in Portuguese, English and Spanish, with Qualis-CAPES equal or superior to B3 that addressed the question: “Is there any correlation between estimate height by equations and direct height measures in children with cerebral palsy?” 152 studies were recovered and seven were selected. Their methodological quality was assessed by the scale of the Agency for Healthcare Research and Quality (AHRQ). Data synthesis: Most studies showed no correspondence between estimated and real height. Studies that showed coincidence of the measures contain limitations that could jeopardize the results (sample losses, small samples and exclusion of patients with severe contractures, scoliosis and severe cerebral palsy). Japanese researchers developed an equation which harmoniously aligns the statures; the study comprised only Japanese patients, though. Conclusions: Given the importance of accuracy in height measures to evaluate infant health, it is crucial to carry out more researches in order to safely establish an association between both estimate and real statures. The development of anthropometric protocols, emerged from such researches, would benefit the follow-up of children with severe psychomotor disabilities.

Development of a wearable orthotic device pattern to prevent hip dislocation in children with cerebral palsy

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Hyunjung Han ◽  
Jeong Ha Kim
Keyword(s):  
Cerebral Palsy ◽  
Great Trochanter ◽  
Hip Dislocation ◽  
Virtual Model ◽  
Persons With Disabilities ◽  
Content Type ◽  
Final Version ◽  
Orthotic Device ◽  
Children With Cerebral Palsy ◽  
Child Patient

PurposeThis study suggest the development of a wearable orthotic device pattern that can reduce pain and deformation, and help in the normal development of children with cerebral palsy. Such a pattern enables daily wear before hip subluxation occurs, to prevent hip dislocation and subluxation.Design/methodology/approachThis study set the design line by carrying out cell work on the actual model, then proceeded with the first pattern design. The final version of the second orthotic device was designed by conducting discussions with experts and the patient's guardian, with the device fitted to the child patient. The evaluation of the second orthotic device used the virtual model to check the pressure area and level through virtual fitting. An evaluation was then conducted with the device fitted to the child patient, to verify the functionality and suitability of the final pattern.FindingsFollowing the initial fitting evaluation, the second pattern was presented after modifying and supplementing issues such as movement suitability with posture change, position change of the great trochanter when wearing a diaper, pressure control of the X-shaped band on the genital area and thigh abduction. The master pattern of the final version of the second orthotic device was proposed after confirming that the femoral head of the hip joint was stably fixed, and the compression was applied through a verification based on the virtual fitting using the virtual model, and with the device fitted to the child patient.Originality/valueWith this study, it is expected that the process and design plan for the development of wearable orthotic device patterns for the persons with disabilities impaired mobility can be used as a basic resource to create devices that merge the clothing and medical fields.

scholarly journals Early intervention and follow-up programs among children with cerebral palsy in Moldova: potential impact on impairments?

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ecaterina Gincota Bufteac ◽  
Guro L. Andersen ◽  
Larisa Spinei ◽  
Reidun Birgitta Jahnsen
Keyword(s):  
Cerebral Palsy ◽  
Early Intervention ◽  
Children With Cerebral Palsy ◽  
Potential Impact
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