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

Dev Neurorehabil. 2014 Dec;17(6):420-5. doi: 10.3109/17518423.2014.941116. Epub 2014 Jul 24.

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.

Keywords: CPCHILD; Cerebral palsy; health related quality of life; hip displacement; quality of life.

MeSH terms

  • Adolescent
  • Caregivers
  • Cerebral Palsy / physiopathology*
  • Cerebral Palsy / psychology
  • Child
  • Child, Preschool
  • Children with Disabilities
  • Female
  • Hip / physiopathology
  • Hip Dislocation*
  • Humans
  • Male
  • Quality of Life*
  • Surveys and Questionnaires
  • Treatment Outcome
  • Young Adult