Predicting Hip Dysplasia in Teenagers with Cerebral Palsy in order to Optimize Prevention and Rehabilitation. A Longitudinal Descriptive Study.

To develop a predictive model of neuromuscular hip dysplasia (NHD) in teenagers with cerebral palsy (CP) to optimize rehabilitation. A longitudinal, multicenter, double-blinded, descriptive study of one hundred and two teenagers with CP (age 16.5 ± 1.2 years, range 12–18 years). Data on etiology, di...

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Published in:Developmental Neurorehabilitation Vol. 24; no. 3; pp. 166 - 173
Main Authors: Bertoncelli, Carlo, Altamura, Paola, Vieira, Edgar Ramos, Bertoncelli, Domenico, Solla, Federico
Format: diagnostic images research tables/charts Journal Article
Published: Taylor & Francis Ltd Apr2021
Online Access:View this record in EBSCOhost
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      dt: Apr2021
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      pub: Taylor & Francis Ltd
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        10.1080/17518423.2020.1819459
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        atl: Predicting Hip Dysplasia in Teenagers with Cerebral Palsy in order to Optimize Prevention and Rehabilitation. A Longitudinal Descriptive Study.
      aug:
        au:
          Bertoncelli, Carlo
          Altamura, Paola
          Vieira, Edgar Ramos
          Bertoncelli, Domenico
          Solla, Federico
        affil: Nicole Wertheim College of Nursing and Health Sciences, Department of Physical Therapy, Florida International University, Miami, FL, USA
      sug:
        subj:
          Cerebral Palsy Rehabilitation
          Hip Dislocation, Congenital Rehabilitation
          Prediction Models
          Neuromuscular Diseases Rehabilitation
          Prospective Studies
          Descriptive Research
          Multicenter Studies
          Double-Blind Studies
          Child
          Adolescence
          Walking
          Odds Ratio
          Confidence Intervals
          Scoliosis
          Torso
          Muscle Spasticity
          Male
          Female
          Descriptive Statistics
          Human
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: To develop a predictive model of neuromuscular hip dysplasia (NHD) in teenagers with cerebral palsy (CP) to optimize rehabilitation. A longitudinal, multicenter, double-blinded, descriptive study of one hundred and two teenagers with CP (age 16.5 ± 1.2 years, range 12–18 years). Data on etiology, diagnosis, spasticity, epilepsy, clinical history, and functional assessments were collected from 2005 to 2017 and entered in the prediction model "PredictMed." Poor walking abilities [p <.001; Odd Ratio (OR) Infinity], scoliosis (p 0.01; OR 3.22), trunk muscles' tone disorder (p 0.002; OR 4.81), spasticity (p 0.006; OR 6.6), poor motor function (p 0.02; OR 5.5), and epilepsy (p 0.03; OR 2.6) were predictors of NHD development. The accuracy of the model was 77%. Trunk muscles' tone disorder, severe scoliosis, epilepsy, and spasticity were predictors of NHD in teenagers with CP. Based on the results we have developed appropriate preventative rehabilitation interventions.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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