Department of Orthopaedic Surgery, Aarhus University Hospital, Aarhus N, Denmark.
Department of Clinical Medicine, Aarhus University, Aarhus N, Denmark.
Acta Paediatr. 2024 Feb;113(2):336-343. doi: 10.1111/apa.17013. Epub 2023 Oct 20.
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.
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.
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.
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.
我们需要更好地了解髋关节脱位和脊柱侧凸的非手术干预措施。本研究估计了脑瘫儿童中出现问题的累积发生率，并描述了治疗师主导的干预类型和频率。
该研究纳入了 2010 年至 2020 年期间在丹麦脑瘫随访计划中登记的 1482 名儿童（58%为男性），年龄为 0-15 岁，平均年龄为 3.6 岁。我们使用 Kaplan-Meier 估计法来检查髋关节移位、髋关节脱位、可矫正性脊柱侧凸和不可矫正性脊柱侧凸的累积发生率。治疗师主导的干预类型和频率以描述性方式报告。
髋关节移位和髋关节脱位的累积发生率分别为 15.8%和 3.5%，可矫正性和不可矫正性脊柱侧凸的累积发生率分别为 39.0%和 13.9%。报告频率最高的治疗师主导的干预类型是关节活动度练习。我们发现，60.5%的髋关节移位和 43.8%的可矫正性脊柱侧凸患儿使用了站立辅助器。另有 5.4%使用脊柱矫形器来预防畸形，8.1%用于稳定。
髋关节移位和可矫正性脊柱侧凸在脑瘫儿童中较为常见，而髋关节脱位和不可矫正性脊柱侧凸的发生率较低。辅助器具的使用较低。
