Quality of life in youngsters with cerebral palsy after single-event multilevel surgery

Quality of life and satisfaction after multilevel surgery in cerebral palsy: Confronting the experience of children and their parents

“…Himpens et al [24], quant à eux, ont évalué la qualité de vie des enfants après chirurgie multi-étagée en utilisant le Cerebral Palsy Quality of Life Questionnaire for Children (CP QOLChild) ainsi qu'un questionnaire construit par ces derniers, chez 40 enfants et leurs parents. Ils classent les sujets selon leur âge, leur niveau GMFCS ainsi que selon le temps passé depuis la chirurgie.…”

“…They observed an improvement for the total QoL score of the parent version (+17.6%; P < 0.001) and for the physical dimension of the scale (+25.0%; P < 0.001). They observed the same thing, but in a statistically non-significant manner for the total score of the Himpens et al [24] evaluated the quality of life of children after multilevel surgery using the Cerebral Palsy Quality of Life Questionnaire for Children (CP QOL-Child) as well as their own self-designed questionnaire, in 40 children and their parents. They classified subjects according to their age, GMFCS level, as well as time elapsed since surgery.…”

“…The present study is the only one with the one published by Himpens et al [24] that focused on measuring children's quality of life as perceived by children themselves and their parent, as well as the correlation between the answers provided by children and their parent after this type of surgery. Himpens et al [24] showed significantly higher scores in children/ adolescents in their study vs. parents in all the CP QOL domains.…”

“…Himpens et al [24] showed significantly higher scores in children/ adolescents in their study vs. parents in all the CP QOL domains. Other authors, such as Majnemer et al [29] using PedsQL in school-age children with CP, conducted a study outside of a surgical context and found a moderate to important correlation coefficient and thus reported that the vision of parents and children were comparable.…”

Pediatric Tone Management

“…Current evidence suggests that single-event multilevel surgery provides better quality-of-life outcomes. 23 After any tenotomy, there is observed short-term tone reduction. There is fibrosis and decreased responsiveness of the Golgi tendon organs in rat models.…”