Patterns of hip migration in non-ambulant children with cerebral palsy : A prospective cohort study / Isabelle Poirot in Annals of physical and rehabilitation medicine, Vol. 63, n°5 (Octobre 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°5 (Octobre 2020) . - p. 400-407 Titre : Patterns of hip migration in non-ambulant children with cerebral palsy : A prospective cohort study Type de document : texte imprimé Auteurs : Isabelle Poirot ; Valérie Laudy ; Muriel Rabilloud ; Sylvain Roche ; Jean Iwaz ; Behrouz Kassai ; Carole Vuillerot Année de publication : 2020 Article en page(s) : p. 400-407 Note générale : doi.org/10.1016/j.rehab.2019.04.008 Langues : Anglais (eng) Mots-clés : Cerebral palsy  Children  Hip migration  Trajectory modeling  Surgery Résumé : Background In children with cerebral palsy (CP), we have little information on when hip migration (HM) starts, what causes hip displacement, how HM changes over time, and how to halt this migration to avoid surgery. Objectives We aimed to estimate the prevalence of HM percentage (HMP) >4 0% in a homogeneous population of non-ambulant children with CP and model the changes in HMP over a 2.6-year mean follow-up. Methods From September 2009 to September 2015, this observational, prospective, multicenter cohort study recruited 235 children from 51 centers who were 3 to 10 years old and had levels IV and V of the Gross Motor Function Classification System for CP. The outcomes were yearly HMP measurements by the Reimers index. Only children with at least one hip with HMP ≤ 40% at baseline were included in trajectory modeling. Comparisons of chidren's characteristics between trajectory groups were adjusted by the false discovery rate method. Results The prevalence of children with at least one hip with HMP > 40% was estimated at 24.3% (95% confidence interval 18.6–30.0). Pelvic obliquity was observed in 51.4% and 24.4% of children with asymmetric and symmetric HMP (P = 0.002). The trajectory modelling identified 3 types of MP changes over time. Many children (67.4% and 79.3% for the right and left hip) could be assigned to the “stable” trajectory group. Conclusions In non-ambulant children with CP, the prevalence of HM requiring surgery is low and most hips remain practically stable over time. Permalink : ./index.php?lvl=notice_display&id=91309 [article] Patterns of hip migration in non-ambulant children with cerebral palsy : A prospective cohort study [texte imprimé] / Isabelle Poirot ; Valérie Laudy ; Muriel Rabilloud ; Sylvain Roche ; Jean Iwaz ; Behrouz Kassai ; Carole Vuillerot . - 2020 . - p. 400-407. doi.org/10.1016/j.rehab.2019.04.008 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°5 (Octobre 2020) . - p. 400-407 Mots-clés : Cerebral palsy  Children  Hip migration  Trajectory modeling  Surgery Résumé : Background In children with cerebral palsy (CP), we have little information on when hip migration (HM) starts, what causes hip displacement, how HM changes over time, and how to halt this migration to avoid surgery. Objectives We aimed to estimate the prevalence of HM percentage (HMP) >4 0% in a homogeneous population of non-ambulant children with CP and model the changes in HMP over a 2.6-year mean follow-up. Methods From September 2009 to September 2015, this observational, prospective, multicenter cohort study recruited 235 children from 51 centers who were 3 to 10 years old and had levels IV and V of the Gross Motor Function Classification System for CP. The outcomes were yearly HMP measurements by the Reimers index. Only children with at least one hip with HMP ≤ 40% at baseline were included in trajectory modeling. Comparisons of chidren's characteristics between trajectory groups were adjusted by the false discovery rate method. Results The prevalence of children with at least one hip with HMP > 40% was estimated at 24.3% (95% confidence interval 18.6–30.0). Pelvic obliquity was observed in 51.4% and 24.4% of children with asymmetric and symmetric HMP (P = 0.002). The trajectory modelling identified 3 types of MP changes over time. Many children (67.4% and 79.3% for the right and left hip) could be assigned to the “stable” trajectory group. Conclusions In non-ambulant children with CP, the prevalence of HM requiring surgery is low and most hips remain practically stable over time. Permalink : ./index.php?lvl=notice_display&id=91309

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Prevalence of pain in 240 non-ambulatory children with severe cerebral palsy / Isabelle Poirot in Annals of physical and rehabilitation medicine, Vol. 60, n° 6 (November 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 371-375 Titre : Prevalence of pain in 240 non-ambulatory children with severe cerebral palsy Type de document : texte imprimé Auteurs : Isabelle Poirot, Auteur ; Valérie Laudy, Auteur ; Muriel Rabilloud, Auteur Année de publication : 2017 Article en page(s) : p. 371-375 Langues : Anglais (eng) Français (fre) Mots-clés : Infirmité motrice cérébrale  Douleur  Enfant  Cerebral palsy,Pain,Children Résumé : Background: Several studies have given frequencies of pain in children with cerebral palsy, but comparing the findings is difficult. We aimed to estimate the prevalence of pain in non-ambulatory children with cerebral palsy and describe their characteristics by presence or absence of pain. Methods:Data were extracted from an ongoing longitudinal national cohort following non-ambulatory children with severe cerebral palsy aged 3 to 10years over 10years. We described and compared data for the first 240 children at inclusion by presence or absence of pain. Pain was assessed by a visual analog scale and the Douleur Enfant San Salvadour scales and by investigator interview. Results: Overall, 65 children experienced pain, for a prevalence of 27.1% (95% confidence interval 22–33%). All children experiencing pain had orthopaedic pain and 45.6% had pain from another origin. The main pain sites were hips (43.4%) and feet (26.9%). Joint mobilisation was the source of pain for 58.3% of children experiencing pain, and sitting was identified as painful for 10.3%. Pain was greater with scoliosis (43.1% vs 24.1% with and without pain; P =0.006) and spasticity treatment (32.3% vs 17.2%; P =0.020). Conclusion: Children with cerebral palsy frequently experience pain and also early pain, mostly articular and orthopedic. The assessment of pain should be systematic because of its high prevalence. Interventions to prevent scoliosis, hip luxation, and foot deformities and to reduce spasticity, such as the use of analgesics before joint mobilization exercises, may reduce the prevalence of this pain. Permalink : ./index.php?lvl=notice_display&id=53842 [article] Prevalence of pain in 240 non-ambulatory children with severe cerebral palsy [texte imprimé] / Isabelle Poirot, Auteur ; Valérie Laudy, Auteur ; Muriel Rabilloud, Auteur . - 2017 . - p. 371-375. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 371-375 Mots-clés : Infirmité motrice cérébrale  Douleur  Enfant  Cerebral palsy,Pain,Children Résumé : Background: Several studies have given frequencies of pain in children with cerebral palsy, but comparing the findings is difficult. We aimed to estimate the prevalence of pain in non-ambulatory children with cerebral palsy and describe their characteristics by presence or absence of pain. Methods:Data were extracted from an ongoing longitudinal national cohort following non-ambulatory children with severe cerebral palsy aged 3 to 10years over 10years. We described and compared data for the first 240 children at inclusion by presence or absence of pain. Pain was assessed by a visual analog scale and the Douleur Enfant San Salvadour scales and by investigator interview. Results: Overall, 65 children experienced pain, for a prevalence of 27.1% (95% confidence interval 22–33%). All children experiencing pain had orthopaedic pain and 45.6% had pain from another origin. The main pain sites were hips (43.4%) and feet (26.9%). Joint mobilisation was the source of pain for 58.3% of children experiencing pain, and sitting was identified as painful for 10.3%. Pain was greater with scoliosis (43.1% vs 24.1% with and without pain; P =0.006) and spasticity treatment (32.3% vs 17.2%; P =0.020). Conclusion: Children with cerebral palsy frequently experience pain and also early pain, mostly articular and orthopedic. The assessment of pain should be systematic because of its high prevalence. Interventions to prevent scoliosis, hip luxation, and foot deformities and to reduce spasticity, such as the use of analgesics before joint mobilization exercises, may reduce the prevalence of this pain. Permalink : ./index.php?lvl=notice_display&id=53842

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