Hip displacements and correctable scoliosis were prevalent in children with cerebral palsy registered in a Danish follow‐up programme from 2010 to 2020
Aim We need a better understanding of non‐surgical interventions for hip dislocations and scoliosis. This study estimated the cumulative incidence of problems among children with cerebral palsy and described the type and frequency of therapist‐led interventions. Methods The study comprised 1482 chil...
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Veröffentlicht in: | Acta Paediatrica 2024-02, Vol.113 (2), p.336-343 |
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creator | Krarup, Laerke Hartvig Kristensen, Pia Kjaer Stisen, Martin Baekgaard Nordbye‐Nielsen, Kirsten Mechlenburg, Inger |
description | Aim
We need a better understanding of non‐surgical interventions for hip dislocations and scoliosis. This study estimated the cumulative incidence of problems among children with cerebral palsy and described the type and frequency of therapist‐led interventions.
Methods
The study comprised 1482 children (58% male) aged 0–15 years, with a mean age of 3.6 years, who were registered in the Danish Cerebral Palsy Follow‐up Programme from 2010 to 2020. We used the Kaplan–Meier estimator to examine the cumulative incidence of hip displacement, hip dislocation, correctable scoliosis and non‐correctable scoliosis. The type and frequency of therapist‐led interventions are reported descriptively.
Results
The cumulative incidence of hip displacement and hip dislocation were 15.8% and 3.5%, respectively, and 39.0% and 13.9% for correctable and non‐correctable scoliosis. The most frequently reported type of therapist‐led intervention was a joint range of motion exercise. We found that 60.5% with hip displacements and 43.8% with correctable scoliosis used a standing aid. A further 5.4% used a spinal orthosis to prevent deformity and 8.1% for stabilisation.
Conclusion
Hip displacement and correctable scoliosis were prevalent in children with cerebral palsy, whereas the occurrence of hip dislocations and non‐correctable scoliosis was low. The use of assistive aids was low. |
doi_str_mv | 10.1111/apa.17013 |
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We need a better understanding of non‐surgical interventions for hip dislocations and scoliosis. This study estimated the cumulative incidence of problems among children with cerebral palsy and described the type and frequency of therapist‐led interventions.
Methods
The study comprised 1482 children (58% male) aged 0–15 years, with a mean age of 3.6 years, who were registered in the Danish Cerebral Palsy Follow‐up Programme from 2010 to 2020. We used the Kaplan–Meier estimator to examine the cumulative incidence of hip displacement, hip dislocation, correctable scoliosis and non‐correctable scoliosis. The type and frequency of therapist‐led interventions are reported descriptively.
Results
The cumulative incidence of hip displacement and hip dislocation were 15.8% and 3.5%, respectively, and 39.0% and 13.9% for correctable and non‐correctable scoliosis. The most frequently reported type of therapist‐led intervention was a joint range of motion exercise. We found that 60.5% with hip displacements and 43.8% with correctable scoliosis used a standing aid. A further 5.4% used a spinal orthosis to prevent deformity and 8.1% for stabilisation.
Conclusion
Hip displacement and correctable scoliosis were prevalent in children with cerebral palsy, whereas the occurrence of hip dislocations and non‐correctable scoliosis was low. The use of assistive aids was low.</description><identifier>ISSN: 0803-5253</identifier><identifier>ISSN: 1651-2227</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.17013</identifier><identifier>PMID: 37861180</identifier><language>eng</language><publisher>Norway: Wiley Subscription Services, Inc</publisher><subject>Cerebral palsy ; Children ; Developmental disabilities ; Hip dislocation ; hip displacement ; Paralysis ; physical therapy ; Scoliosis ; Therapists ; treatment outcome</subject><ispartof>Acta Paediatrica, 2024-02, Vol.113 (2), p.336-343</ispartof><rights>2023 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd</rights><rights>2023 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.</rights><rights>2024 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3883-63b81fd9905d16a907abb788ce2d73089661b4747decd2f7898fa42dc30a62543</citedby><cites>FETCH-LOGICAL-c3883-63b81fd9905d16a907abb788ce2d73089661b4747decd2f7898fa42dc30a62543</cites><orcidid>0000-0002-8743-8616 ; 0000-0003-4595-2649</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapa.17013$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapa.17013$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,11549,27911,27912,45561,45562,46039,46463</link.rule.ids><linktorsrc>$$Uhttps://onlinelibrary.wiley.com/doi/abs/10.1111%2Fapa.17013$$EView_record_in_Wiley-Blackwell$$FView_record_in_$$GWiley-Blackwell</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37861180$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krarup, Laerke Hartvig</creatorcontrib><creatorcontrib>Kristensen, Pia Kjaer</creatorcontrib><creatorcontrib>Stisen, Martin Baekgaard</creatorcontrib><creatorcontrib>Nordbye‐Nielsen, Kirsten</creatorcontrib><creatorcontrib>Mechlenburg, Inger</creatorcontrib><title>Hip displacements and correctable scoliosis were prevalent in children with cerebral palsy registered in a Danish follow‐up programme from 2010 to 2020</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>Aim
We need a better understanding of non‐surgical interventions for hip dislocations and scoliosis. This study estimated the cumulative incidence of problems among children with cerebral palsy and described the type and frequency of therapist‐led interventions.
Methods
The study comprised 1482 children (58% male) aged 0–15 years, with a mean age of 3.6 years, who were registered in the Danish Cerebral Palsy Follow‐up Programme from 2010 to 2020. We used the Kaplan–Meier estimator to examine the cumulative incidence of hip displacement, hip dislocation, correctable scoliosis and non‐correctable scoliosis. The type and frequency of therapist‐led interventions are reported descriptively.
Results
The cumulative incidence of hip displacement and hip dislocation were 15.8% and 3.5%, respectively, and 39.0% and 13.9% for correctable and non‐correctable scoliosis. The most frequently reported type of therapist‐led intervention was a joint range of motion exercise. We found that 60.5% with hip displacements and 43.8% with correctable scoliosis used a standing aid. A further 5.4% used a spinal orthosis to prevent deformity and 8.1% for stabilisation.
Conclusion
Hip displacement and correctable scoliosis were prevalent in children with cerebral palsy, whereas the occurrence of hip dislocations and non‐correctable scoliosis was low. The use of assistive aids was low.</description><subject>Cerebral palsy</subject><subject>Children</subject><subject>Developmental disabilities</subject><subject>Hip dislocation</subject><subject>hip displacement</subject><subject>Paralysis</subject><subject>physical therapy</subject><subject>Scoliosis</subject><subject>Therapists</subject><subject>treatment outcome</subject><issn>0803-5253</issn><issn>1651-2227</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp1kc9u1DAQhy0EokvhwAsgS1zgkHZsJ7FzXJU_RaoEBzhbjj3punLiYCdd7Y1H4Mrr8SS4bOGAxFxGmvn06Sf9CHnO4IyVOTezOWMSmHhANqxtWMU5lw_JBhSIquGNOCFPcr4B4KKr28fkREjVMqZgQ35c-pk6n-dgLI44LZmayVEbU0K7mD4gzTYGH7PPdI8J6Zzw1oRCUj9Ru_PBJZzo3i87asu_TybQ2YR8oAmvfV7Kzd2hhr4xk887OsQQ4v7nt-_rXGTxOplxRDqkOFIODOgSy-bwlDwaigaf3e9T8uXd288Xl9XVx_cfLrZXlRVKiaoVvWKD6zpoHGtNB9L0vVTKIndSgOralvW1rKVD6_ggVacGU3NnBZiWN7U4Ja-O3pLl64p50aPPFkMwE8Y1a65USVV3AAV9-Q96E9c0lXSad0yAYELKQr0-UjbFnBMOek5-NOmgGei7vnTpS__uq7Av7o1rP6L7S_4pqADnR2DvAx7-b9LbT9uj8hc5cZ_L</recordid><startdate>202402</startdate><enddate>202402</enddate><creator>Krarup, Laerke Hartvig</creator><creator>Kristensen, Pia Kjaer</creator><creator>Stisen, Martin Baekgaard</creator><creator>Nordbye‐Nielsen, Kirsten</creator><creator>Mechlenburg, Inger</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8743-8616</orcidid><orcidid>https://orcid.org/0000-0003-4595-2649</orcidid></search><sort><creationdate>202402</creationdate><title>Hip displacements and correctable scoliosis were prevalent in children with cerebral palsy registered in a Danish follow‐up programme from 2010 to 2020</title><author>Krarup, Laerke Hartvig ; Kristensen, Pia Kjaer ; Stisen, Martin Baekgaard ; Nordbye‐Nielsen, Kirsten ; Mechlenburg, Inger</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3883-63b81fd9905d16a907abb788ce2d73089661b4747decd2f7898fa42dc30a62543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Cerebral palsy</topic><topic>Children</topic><topic>Developmental disabilities</topic><topic>Hip dislocation</topic><topic>hip displacement</topic><topic>Paralysis</topic><topic>physical therapy</topic><topic>Scoliosis</topic><topic>Therapists</topic><topic>treatment outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krarup, Laerke Hartvig</creatorcontrib><creatorcontrib>Kristensen, Pia Kjaer</creatorcontrib><creatorcontrib>Stisen, Martin Baekgaard</creatorcontrib><creatorcontrib>Nordbye‐Nielsen, Kirsten</creatorcontrib><creatorcontrib>Mechlenburg, Inger</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Krarup, Laerke Hartvig</au><au>Kristensen, Pia Kjaer</au><au>Stisen, Martin Baekgaard</au><au>Nordbye‐Nielsen, Kirsten</au><au>Mechlenburg, Inger</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hip displacements and correctable scoliosis were prevalent in children with cerebral palsy registered in a Danish follow‐up programme from 2010 to 2020</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2024-02</date><risdate>2024</risdate><volume>113</volume><issue>2</issue><spage>336</spage><epage>343</epage><pages>336-343</pages><issn>0803-5253</issn><issn>1651-2227</issn><eissn>1651-2227</eissn><abstract>Aim
We need a better understanding of non‐surgical interventions for hip dislocations and scoliosis. This study estimated the cumulative incidence of problems among children with cerebral palsy and described the type and frequency of therapist‐led interventions.
Methods
The study comprised 1482 children (58% male) aged 0–15 years, with a mean age of 3.6 years, who were registered in the Danish Cerebral Palsy Follow‐up Programme from 2010 to 2020. We used the Kaplan–Meier estimator to examine the cumulative incidence of hip displacement, hip dislocation, correctable scoliosis and non‐correctable scoliosis. The type and frequency of therapist‐led interventions are reported descriptively.
Results
The cumulative incidence of hip displacement and hip dislocation were 15.8% and 3.5%, respectively, and 39.0% and 13.9% for correctable and non‐correctable scoliosis. The most frequently reported type of therapist‐led intervention was a joint range of motion exercise. We found that 60.5% with hip displacements and 43.8% with correctable scoliosis used a standing aid. A further 5.4% used a spinal orthosis to prevent deformity and 8.1% for stabilisation.
Conclusion
Hip displacement and correctable scoliosis were prevalent in children with cerebral palsy, whereas the occurrence of hip dislocations and non‐correctable scoliosis was low. The use of assistive aids was low.</abstract><cop>Norway</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37861180</pmid><doi>10.1111/apa.17013</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-8743-8616</orcidid><orcidid>https://orcid.org/0000-0003-4595-2649</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Cerebral palsy Children Developmental disabilities Hip dislocation hip displacement Paralysis physical therapy Scoliosis Therapists treatment outcome |
title | Hip displacements and correctable scoliosis were prevalent in children with cerebral palsy registered in a Danish follow‐up programme from 2010 to 2020 |
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