Hip contractures were associated with low gross motor function in children with cerebral palsy

TY - JOUR

T1 - Hip contractures were associated with low gross motor function in children with cerebral palsy

AU - Mechlenburg, Inger

AU - Østergaard, Malene Tousgaard Foget

AU - Menzel, Christina Bach

AU - Nordbye-Nielsen, Kirsten

N1 - This article is protected by copyright. All rights reserved.

PY - 2021/5

Y1 - 2021/5

N2 - AIM: The aim was to identify the prevalence of hip contractures and their association with gross motor function and pain in the lower extremities among Danish children with cerebral palsy (CP).METHODS: his cross-sectional study was based on data collected during regular clinical examinations in 2018-2019 and registered in the National Danish Clinical Quality Database of children with CP. The study population was 688 children (59% boys) aged five to 12 years across all Gross Motor Function Classification System (GMFCS) levels. Any associations between hip contracture and gross motor function and pain were investigated with logistic regression analysis and presented as odds ratios (OR) with 95% confidence intervals (95% CI).RESULTS: The prevalence of hip contracture was 22% across all five GMFCS levels and the incidence varied across the five Danish regions. The odds ratios for hip contracture were significantly higher at GMFCS level IV (OR 1.99, 95% CI 1.10-3.62) and V (OR 5.49, 95% CI 3.33-9.07) compared with level I. Hip contractures were not significantly associated with pain in the lower extremities (OR 1.43, 95% CI 0.95-2.15).CONCLUSION: Hip contractures were frequent and associated with low gross motor function, but not lower extremity pain, in children with CP.

AB - AIM: The aim was to identify the prevalence of hip contractures and their association with gross motor function and pain in the lower extremities among Danish children with cerebral palsy (CP).METHODS: his cross-sectional study was based on data collected during regular clinical examinations in 2018-2019 and registered in the National Danish Clinical Quality Database of children with CP. The study population was 688 children (59% boys) aged five to 12 years across all Gross Motor Function Classification System (GMFCS) levels. Any associations between hip contracture and gross motor function and pain were investigated with logistic regression analysis and presented as odds ratios (OR) with 95% confidence intervals (95% CI).RESULTS: The prevalence of hip contracture was 22% across all five GMFCS levels and the incidence varied across the five Danish regions. The odds ratios for hip contracture were significantly higher at GMFCS level IV (OR 1.99, 95% CI 1.10-3.62) and V (OR 5.49, 95% CI 3.33-9.07) compared with level I. Hip contractures were not significantly associated with pain in the lower extremities (OR 1.43, 95% CI 0.95-2.15).CONCLUSION: Hip contractures were frequent and associated with low gross motor function, but not lower extremity pain, in children with CP.

KW - cerebral palsy

KW - gross motor function

KW - hip contracture

KW - lower extremities

KW - pain

U2 - 10.1111/apa.15717

DO - 10.1111/apa.15717

M3 - Journal article

C2 - 33305389

SN - 0803-5253

VL - 110

SP - 1562

EP - 1568

JO - Acta Paediatrica

JF - Acta Paediatrica

IS - 5

ER -