Does hip displacement influence health-related quality of life in children with cerebral palsy?

Abstract Objective: To evaluate the association of hip lateralisation with health-related quality of life (HRQL) in children with cerebral palsy (CP) using the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD®) questionnaire. Methods: We assessed n = 34 patients (mean a...

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Published in:Developmental neurorehabilitation 2014-12, Vol.17 (6), p.420-425
Main Authors: Jung, Nikolai H., Pereira, Barbara, Nehring, Ina, Brix, Olga, Bernius, Peter, Schroeder, Sebastian A., Kluger, Gerhard J., Koehler, Tillmann, Beyerlein, Andreas, Weir, Shannon, von Kries, Rüdiger, Narayanan, Unni G., Berweck, Steffen, Mall, Volker
Format: Article
Language:English
Subjects:
Adolescent
Caregivers
Cerebral palsy
Cerebral Palsy - physiopathology
Cerebral Palsy - psychology
Child
Child, Preschool
CPCHILD
Disabled Children
Female
health related quality of life
Hip - physiopathology
Hip Dislocation
hip displacement
Humans
Male
Quality of Life
Surveys and Questionnaires
Treatment Outcome
Young Adult
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Summary:Abstract Objective: To evaluate the association of hip lateralisation with health-related quality of life (HRQL) in children with cerebral palsy (CP) using the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD®) questionnaire. Methods: We assessed n = 34 patients (mean age: 10.2 years, SD: 4.7 years; female: n = 16) with bilateral CP and Gross Motor Function Classification System (GMFCS) Level III-V using the CPCHILD® questionnaire. Hip lateralisation was measured by Reimer`s migration percentage (MP). Results: There was an association between both, MP and GMFCS with CPCHILD® total score. Stratified analyses did not suggest interaction of the association between MP and CPCHILD® total score by GMFCS level. After adjustment for GMFCS level, we found a significant linear decrease of CPCHILD® total score of −0.188 points by 1% increment in MP. Conclusions: There was an association between MP and HRQL, which could not be explained by the GMFCS level.
ISSN:1751-8423
1751-8431
DOI:10.3109/17518423.2014.941116