We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Hip health at skeletal maturity: a population-based study of young adults with cerebral palsy.
- Authors
Wawrzuta, Joanna; Willoughby, Kate L; Molesworth, Charlotte; Ang, Soon Ghee; Shore, Benjamin J; Thomason, Pam; Graham, H Kerr
- Abstract
<bold>Aim: </bold>We studied 'hip health' in a population-based cohort of adolescents and young adults with cerebral palsy to investigate associations between hip morphology, pain, and gross motor function.<bold>Method: </bold>Ninety-eight young adults (65 males, 33 females) from the birth cohort were identified as having developed hip displacement (migration percentage >30) and were reviewed at a mean age of 18 years 10 months (range 15-24y). Hip morphology was classified using the Melbourne Cerebral Palsy Hip Classification Scale (MCPHCS). Severity and frequency of pain were recorded using Likert scales. Gross motor function was classified by the Gross Motor Function Classification System (GMFCS).<bold>Results: </bold>Hip pain was reported in 72% of participants. Associations were found between pain scores and both hip morphology and GMFCS. Median pain severity score for MCPHCS grades 1 to 4 was 2 (interquartile range [IQR] 1.0-3.0) compared to 7 (IQR 6.0-8.0) for grades 5 and 6 (severe subluxation or dislocation). Hip surveillance and access to surgery were associated with improved hip morphology and less pain.<bold>Interpretation: </bold>Poor hip morphology at skeletal maturity was associated with high levels of pain. Limited hip surveillance and access to surgery, rather than GMFCS, was associated with poor hip morphology. The majority of young adults who had access to hip surveillance, and preventive and reconstructive surgery, had satisfactory hip morphology at skeletal maturity and less pain.
- Subjects
VICTORIA; CEREBRAL palsy treatment; DISEASES in young adults; PAIN management; HIP joint diseases; SKELETAL maturity; LIKERT scale; CEREBRAL palsy; HIP joint; HIP joint dislocation; LONGITUDINAL method; ACQUISITION of data; SEVERITY of illness index; JOINT pain; DIAGNOSIS
- Publication
Developmental Medicine & Child Neurology, 2016, Vol 58, Issue 12, p1273
- ISSN
0012-1622
- Publication type
journal article
- DOI
10.1111/dmcn.13171