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
Hauptverfasser: Krarup, Laerke Hartvig, Kristensen, Pia Kjaer, Stisen, Martin Baekgaard, Nordbye‐Nielsen, Kirsten, Mechlenburg, Inger
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container_end_page 343
container_issue 2
container_start_page 336
container_title Acta Paediatrica
container_volume 113
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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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 &amp; Sons Ltd</rights><rights>2023 Foundation Acta Paediatrica. 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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. 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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. 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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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