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    Five-year outcome of state-wide hip surveillance of children and adolescents with cerebral palsy

    Access Status
    Fulltext not available
    Authors
    Kentish, M.
    Wynter, M.
    Snape, N.
    Boyd, Roslyn
    Date
    2011
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Kentish, M. and Wynter, M. and Snape, N. and Boyd, R. 2011. Five-year outcome of state-wide hip surveillance of children and adolescents with cerebral palsy. Journal of Pediatric Rehabilitation Medicine. 4 (3): pp. 205-217.
    Source Title
    Journal of Pediatric Rehabilitation Medicine
    DOI
    10.3233/PRM-2011-0176
    ISSN
    1874-5393
    School
    School of Occupational Therapy and Social Work
    URI
    http://hdl.handle.net/20.500.11937/10519
    Collection
    • Curtin Research Publications
    Abstract

    This study reports the five-year outcomes of a prospective population-based study of clinical hip surveillance for children with cerebral palsy (CP) according to evidence-based standards of care. Systematic hip surveillance commenced in Queensland, Australia as a state-wide program in 2005. Queensland represents a dispersed population across a large geographical area, creating unique challenges in terms of service delivery. Over five years, 1,115 children with CP were recruited, representing 73% of the expected population based on 1.9 to 2.1 per 1,000 live births. Standardized clinical and radiological assessments have been provided, with a median follow-up of 1.2 years (range 1 month- 5+8 yrs). Of the 1,115 children, 423 (38%) have been discharged and 692 (62%) remain on surveillance with 314 (28%) identified as having hip displacement with Migration Percentage (MP) equal to or greater than 30% (= 30). The incidence of marked hip displacement (MP = 30) was directly related to gross motor function, classified according to the gross motor function classification system (GMFCS), with distribution of GMFCS I=10, (3%), II=40 (13%), III=53 (43%), IV=96 (59%), and V=115 (64%). This state-wide surveillance program has been successful in correctly identifying children with hip displacement (MP = 30), fast tracking children for orthopedic review and discharging those at minimal risk. No child has progressed to dislocation while on surveillance without orthopedic review. © 2011-IOS Press and the authors. All rights reserved.

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