Comparison of quality of life following Single- Event Multilevel Surgery (SEMLS) using Bandaging and Casting immobilization methods in cerebral palsy children.
Objective Cerebral palsy (CP) is a non-progressive Neurodevelopmental disorder mainly treated using Single-event multilevel surgery (SEMLS). SEMLS contains using a casting method to immobilize the operated limb. However, in the present study, in addition to casting, the bandaging method was also app...
| Published in: | Iranian Journal of Child Neurology Vol. 15; no. 3; pp. 55 - 65 |
|---|---|
| Main Authors: | , , , |
| Format: | research tables/charts randomized controlled trial Journal Article |
| Published: |
Iranian Journal of Child Neurology
Summer2021
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151386492&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151386492 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17354668 A91T jtl: Iranian Journal of Child Neurology issn: 17354668 maglogo: N pubinfo: dt: Summer2021 vid: 15 iid: 3 pid: 56766 pub: Iranian Journal of Child Neurology place: Tehran, <Blank> artinfo: ui: 151386492 151386492 151386492 10.22037/ijcn.v15i2.17361 151386492 ppf: 55 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Comparison of quality of life following Single- Event Multilevel Surgery (SEMLS) using Bandaging and Casting immobilization methods in cerebral palsy children. aug: au: SADEGHI, Esmaeil JAMEBOZORGI, Ali Asghar QOREISHY, Mohamad KANGARANI FARAHANI, Melika affil: Occupational Therapy, Iran University of Medical Sciences, Tehran, Iran sug: subj: Cerebral Palsy Surgery Orthopedic Surgery Methods Immobilization Methods Bandaging Techniques Casts Utilization Quality of Life Outcomes (Health Care) Human Randomized Controlled Trials Random Assignment Postoperative Period Recovery Hygiene Cast Care Physical Mobility Cross Sectional Studies Child, Preschool Child Questionnaires Nonparametric Statistics Mann-Whitney U Test Analysis of Variance Child, Preschool: 2-5 years Child: 6-12 years ab: Objective Cerebral palsy (CP) is a non-progressive Neurodevelopmental disorder mainly treated using Single-event multilevel surgery (SEMLS). SEMLS contains using a casting method to immobilize the operated limb. However, in the present study, in addition to casting, the bandaging method was also applied. Bandaging is a newer method compared to casting. No study has used bandage for post-surgery immobilization. According to the best knowledge of the authors, no study has compared the outcome of bandage and cast for postoperative immobilization regarding the rehabilitation and quality of life (QoL) in the first and third months following the surgery, within the recovery period, which is associated with consequences like caring, hygiene, transferring, and mobility that affect the spirit and function of children. As a result, we decided to investigate the effect of these methods on the QoL of children the following surgery to treat CP. Materials & Methods Following an analytical cross-sectional design, 100 children (aged 4-12 years) were randomly divided into hemiplegic and diplegic CP. The Cerebral Palsy QoL questionnaire (CP QOL-Child) was filled by parents of the participants. Based on the type of administered immobilizer, 80 children were randomly divided into two groups (40 subjects in each group). All subjects were evaluated using a similar questionnaire in the first and third months after surgery. The non-parametric Mann-Whitney test and ANOVA test were used to compare the study groups. Results The mean ratio of QoL changes, based on the CP QoL-Child questionnaire, was significantly increased in the bandage group during the first month after surgery. However, for the cast group, this parameter was significantly decreased (P<0.001). In the third month after surgery, the mean ratio of QoL changes was significantly increased in both groups, but the difference in the mean ratio of QoL changes between the two methods wasn't significant (P=0.64). Conclusion In the first month after surgery, the bandaging method was more effective than the casting method, but in the third month, the outcomes were similar for both groups. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|