Five-year outcome of state-wide hip surveillance of children and adolescents with cerebral palsy
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. Queensla...
| Main Authors: | , , , |
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| Format: | Journal Article |
| Published: |
2011
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| Online Access: | http://hdl.handle.net/20.500.11937/10519 |
| _version_ | 1848747554934620160 |
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| author | Kentish, M. Wynter, M. Snape, N. Boyd, Roslyn |
| author_facet | Kentish, M. Wynter, M. Snape, N. Boyd, Roslyn |
| author_sort | Kentish, M. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T06:51:00Z |
| format | Journal Article |
| id | curtin-20.500.11937-10519 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T06:51:00Z |
| publishDate | 2011 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-105192017-09-13T14:53:52Z Five-year outcome of state-wide hip surveillance of children and adolescents with cerebral palsy Kentish, M. Wynter, M. Snape, N. Boyd, Roslyn 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. 2011 Journal Article http://hdl.handle.net/20.500.11937/10519 10.3233/PRM-2011-0176 restricted |
| spellingShingle | Kentish, M. Wynter, M. Snape, N. Boyd, Roslyn Five-year outcome of state-wide hip surveillance of children and adolescents with cerebral palsy |
| title | Five-year outcome of state-wide hip surveillance of children and adolescents with cerebral palsy |
| title_full | Five-year outcome of state-wide hip surveillance of children and adolescents with cerebral palsy |
| title_fullStr | Five-year outcome of state-wide hip surveillance of children and adolescents with cerebral palsy |
| title_full_unstemmed | Five-year outcome of state-wide hip surveillance of children and adolescents with cerebral palsy |
| title_short | Five-year outcome of state-wide hip surveillance of children and adolescents with cerebral palsy |
| title_sort | five-year outcome of state-wide hip surveillance of children and adolescents with cerebral palsy |
| url | http://hdl.handle.net/20.500.11937/10519 |