Incidence and risk factors of hip joint pain in children with severe cerebral palsy

Jóźwiak, Marek; Harasymczuk, Piotr; Koch, A.; Kotwicki, Tomasz

doi:10.3109/09638288.2010.532281

Cited by 30 publications

(11 citation statements)

References 16 publications

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“…5 The frequency of pain in spastic hip disease remains controversial. In a series of 73 children, Jóźwiak et al 24 showed that 55% of children with spastic dislocation of the hip were in pain, and the incidence reported in the literature varied between 25% and 55%. [25][26][27][28][29] In our study, 40% of the children had pain.…”

Section: Discussionmentioning

confidence: 99%

Avascular necrosis as a complication of the treatment of dislocation of the hip in children with cerebral palsy

Koch

Jóźwiak

Idzior

et al. 2015

The Bone & Joint Journal

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We investigated the incidence and risk factors for the development of avascular necrosis (AVN) of the femoral head in the course of treatment of children with cerebral palsy (CP) and dislocation of the hip. All underwent open reduction, proximal femoral and Dega pelvic osteotomy. The inclusion criteria were: a predominantly spastic form of CP, dislocation of the hip (migration percentage, MP > 80%), Gross Motor Function Classification System, (GMFCS) grade IV to V, a primary surgical procedure and follow-up of > one year. There were 81 consecutive children (40 girls and 41 boys) in the study. Their mean age was nine years (3.5 to 13.8) and mean follow-up was 5.5 years (1.6 to 15.1). Radiological evaluation included measurement of the MP, the acetabular index (AI), the epiphyseal shaft angle (ESA) and the pelvic femoral angle (PFA). The presence and grade of AVN were assessed radiologically according to the Kruczynski classification. Signs of AVN (grades I to V) were seen in 79 hips (68.7%). A total of 23 hips (18%) were classified between grades III and V. Although open reduction of the hip combined with femoral and Dega osteotomy is an effective form of treatment for children with CP and dislocation of the hip, there were signs of avascular necrosis in about two-thirds of the children. There was a strong correlation between post-operative pain and the severity of the grade of AVN.

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Section: Discussionmentioning

confidence: 99%

Avascular necrosis as a complication of the treatment of dislocation of the hip in children with cerebral palsy

Koch

Jóźwiak

Idzior

et al. 2015

The Bone & Joint Journal

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“…Despite the fact that in none of the focus groups participants were oriented to think about hip pain specifically, findings suggest a difference between the countries in the occurrence of such pain. Chronic pain in children with CP is often related to hip dislocations [44], which was pointed out in six of the South African statements, whereas in Sweden, it was not mentioned at all. In accordance with the clinical prognostic messages published by Novak [2], this difference can probably be explained by the systematic, preventive CPUP surveillance that was introduced in Sweden two decades ago and which, since 2005, has been designated as a National Quality…”

Section: Occurrence Of Pain In School Settingsmentioning

confidence: 99%

Pain management for children with cerebral palsy in school settings in two cultures: action and reaction approaches

Adolfsson

Johnson

Nilsson

2017

Disability and Rehabilitation

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Differences might be due to school- and healthcare systems. To provide effective support when children with CP are in pain in school settings, an action-and-reaction approach would be optimal and the use of alternative and augmentative communication strategies would help to communicate children's pain. As prevention of pain is desired, structured surveillance and treatment programs are recommended along with trustful collaboration with parents and access to "hands-on" pain management when needed. Implications for rehabilitation • When providing support, hands-on interventions should be supplemented by structured preventive programs and routines for parent collaboration (action-and-reaction approach). • When regulating support, Sweden and South Africa can learn from each other; ○ In Sweden, the implementation of a prevention program has been successful. ○ In South Africa, the possibilities giving support directly when pain in children is observed have been beneficial.

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“…Self-report questionnaires are the most common method for collecting information about pain, and pain intensity is the most common domain assessed by clinicians and researchers (Jensen, 2011). Pain intensity measures that have been used in youths with physical disabilities include the Wong-Baker FACES Pain Rating Scale (FACES) (e.g., Ramchandren et al , 2014; Tüzün et al , 2010), the 0 – 10 Numerical Rating Scale (NRS-11) (e.g., Jóźwiak et al , 2011; Suokas et al , 2012; Tieleman et al , 2011), and the Visual Analogue Scale (VAS) (e.g., Vles et al , 2008; Wen et al , 2013). Another straightforward option for assessing pain intensity is the (categorical) Verbal Rating Scale (VRS), which asks the respondent to select the word or phrase from a list (e.g., None, Mild, Moderate, Severe) that best represents his or her pain intensity level (Jensen & Karoly, 2011).…”

Section: Introductionmentioning

confidence: 99%

Validity of three rating scales for measuring pain intensity in youths with physical disabilities

Miró

Castarlenas

Vega

et al. 2015

European Journal of Pain

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Background There is growing evidence confirming that youths with physical disabilities are at risk for chronic pain. Although many scales for assessing pain intensity exist, it is unclear whether they are all equally suitable for youths. The aim of this study was to address this knowledge gap by comparing the validity of the Numerical Rating Scale (NRS-11), the Wong Baker FACES Pain Rating Scale (FACES), and a 6-point categorical Verbal Rating Scale (VRS-6) for assessing pain intensity among youths (aged 8 to 20) with physical disabilities. Methods One hundred and thirteen youths (mean age= 14.19 years; SD = 2.9) were interviewed and asked to rate their current pain intensity and recalled (in the past week) worst, least, and average pain with the NRS-11 and the FACES. Participants were also asked to rate their average pain intensity during the past 4 weeks using a VRS-6, and were administered measures assessing pain interference, disability and psychological functioning. Results Analyses showed that all of the pain intensity measures were associated positively with each other. Nevertheless, the NRS-11 appeared to out-perform both the VRS-6 and in particular the FACES scale with respect to: (1) the associations with the validity criterion (i.e., pain interference, disability and psychological functioning) and (2) a lack of any moderating effect of age on the association between the measure and the criterion variables. Conclusions The findings support the validity of the NRS-11 for assessing pain intensity in youths with physical disabilities between the ages of 8 and 20 years.

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Incidence and risk factors of hip joint pain in children with severe cerebral palsy

Cited by 30 publications

References 16 publications

Avascular necrosis as a complication of the treatment of dislocation of the hip in children with cerebral palsy

Avascular necrosis as a complication of the treatment of dislocation of the hip in children with cerebral palsy

Pain management for children with cerebral palsy in school settings in two cultures: action and reaction approaches

Validity of three rating scales for measuring pain intensity in youths with physical disabilities

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