Cerebral Palsy, Patient Undergoing Hip Surgery, Quality of Life
Conditions
Keywords
Cerebral Palsy, Hip surgery, Quality of Life
Brief summary
Children with cerebral palsy are at an increased risk of having their hips move partially or completely out of joint. This can cause pain and restrict movement at the hip, making sitting in a wheelchair uncomfortable and make personal care difficult. This condition may be treated with surgery. Surgeons use x-rays taken before and after the surgery to determine whether or not the surgery has been successful. However, it is also important to know whether the surgery has improved life from the child or the caregiver's point of view. The investigators will also evaluate if waiting for surgery affects the child. This information will be added to results from a physical exam and an evaluation of the child's x-rays for a more complete picture of how this surgery impacts the lives of our patients. It is predicted that that the health-related quality of life of children with cerebral palsy will improve following surgery.
Detailed description
HRQoL will be measured using the Child Health Index of Life with Disabilities (CPCHILD). Our specific hypothesis is that health related quality of life, as measured by the CPCHILD will change by at least a mean of 10 points from pre- to post-surgery.
Interventions
PROCEDURECerebral palsy, post hip surgery
All subjects will undergo surgical treatment for hip subluxation or dislocation. HRQoL, radiographic, and clinical data will be measured at multiple time points.
Sponsors
University of British Columbia
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
4 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Ages 4-18 * Undergoing surgical treatment for hip subluxation or dislocation * Diagnosis of cerebral palsy or similar condition causing motor impairment * Consent to participate
Exclusion criteria
* Diagnosis of neuromuscular disorders other than cerebral palsy * younger than 4, older than 18 * Reimer's migration percentage \<40%
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in quality of life from pre-op to one year post-op | Baseline to 1 year post-op | Change in quality of life will be measured by the Caregiver Priorities and Child Health Index of Life with Disabilities questionnaires. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in variables obtained from physical and radiological examination | Baseline to 1 year post-op | A physical exam includes: child's range of motion at the hip, true hamstring length, tone, Gross Motor Function Classification System level, functional mobility, and pain. Radiological measures include: acetabular index, centre edge angle of Wiberg and shape of head, avascular necrosis of the femoral head, arthritis, pelvic obliquity, Cobb's angle for scoliosis. |
Countries
Canada
Outcome results
None listed