We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Prevention of hip displacement in children with cerebral palsy: a systematic review.
- Authors
Miller, Stacey D; Juricic, Maria; Hesketh, Kim; Mclean, Lynore; Magnuson, Sonja; Gasior, Sherylin; Schaeffer, Emily; O'donnell, Maureen; Mulpuri, Kishore
- Abstract
<bold>Aim: </bold>To conduct a systematic review and evaluate the quality of evidence for interventions to prevent hip displacement in children with cerebral palsy (CP).<bold>Method: </bold>A systematic review was performed using American Academy of Cerebral Palsy and Developmental Medicine (AACPDM) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology. Searches were completed in seven electronic databases. Studies were included if participants had CP and the effectiveness of the intervention was reported using a radiological measure. Results of orthopaedic surgical interventions were excluded.<bold>Results: </bold>Twenty-four studies fulfilled the inclusion criteria (4 botulinum neurotoxin A; 2 botulinum neurotoxin A and bracing; 1 complementary and alternative medicine; 1 intrathecal baclofen; 1 obturator nerve block; 8 positioning; 7 selective dorsal rhizotomy). There was significant variability in treatment dosages, participant characteristics, and duration of follow-up among the studies. Overall, the level of evidence was low. No intervention in this review demonstrated a large treatment effect on hip displacement.<bold>Interpretation: </bold>The level and quality of evidence for all interventions aimed at slowing or preventing hip displacement is low. There is currently insufficient evidence to support or refute the use of the identified interventions to prevent hip displacement or dislocation in children and young people with CP.<bold>What This Paper Adds: </bold>High-quality evidence on prevention of hip displacement is lacking. No recommendations can be made for preventing hip displacement in children with cerebral palsy because of poor-quality evidence. High-quality, prospective, longitudinal studies investigating the impact of interventions on hip displacement are required.
- Subjects
CHILDREN with cerebral palsy; CEREBRAL palsy; JOINT dislocations; RHIZOTOMY; DEVELOPMENTAL disabilities; PREVENTION; BOTULINUM toxin; THERAPEUTICS; MUSCLE relaxants; ALTERNATIVE medicine; DATABASES; HIP joint dislocation; ORTHOPEDIC apparatus; NERVE block; HEALTH outcome assessment; SYSTEMATIC reviews; DISEASE complications
- Publication
Developmental Medicine & Child Neurology, 2017, Vol 59, Issue 11, p1130
- ISSN
0012-1622
- Publication type
journal article
- DOI
10.1111/dmcn.13480