Cerebral Palsy Hip Health Related Quality of Life

University of British Columbia31 enrolled

Overview

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.

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.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Cerebral Palsy Patient Undergoing Hip Surgery Quality of Life

Interventions

Eligibility

Sex: ALLMin age: 4 YearsMax age: 18 Years

Medical Language ↔ Plain English

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%

Outcomes

Primary Outcomes

Change in quality of life from pre-op to one year post-op

Change in quality of life will be measured by the Caregiver Priorities and Child Health Index of Life with Disabilities questionnaires.

Time frame: Baseline to 1 year post-op

Secondary Outcomes

Changes in variables obtained from physical and radiological examination

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.