Integrated hip surveillance pathways for pain, function and quality of life in children with Cerebral Palsy: A systematic literature review

IF 2.3 3区医学 Q3 CLINICAL NEUROLOGY

European Journal of Paediatric Neurology Pub Date : 2024-11-01 DOI:10.1016/j.ejpn.2024.10.012

Tanya M. McGrath , Shea T. Palmer

{"title":"Integrated hip surveillance pathways for pain, function and quality of life in children with Cerebral Palsy: A systematic literature review","authors":"Tanya M. McGrath , Shea T. Palmer","doi":"10.1016/j.ejpn.2024.10.012","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><div>To determine the effectiveness of integrated hip surveillance pathways on pain, function and quality of life (QOL) in children with Cerebral Palsy (CP).</div></div><div><h3>Method</h3><div>A systematic literature review, designed, conducted and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Inclusion criteria: confirmed CP diagnosis, management under recognised international hip surveillance pathways, outcome measures of hip displacement plus at least one other relevant to pain, function or QOL.</div></div><div><h3>Results</h3><div>100 articles were identified. 12 full text articles were screened, and four were included. Reduced range of movement was associated with hip pain in children with CP. Increasing age, Gross Motor Function Classification Score (GMFCS) and migration percentage (MP) were associated with increased hip pain. General health declined with increased age. Increased MP and GMFCS level were associated with interruption to activities of daily living.</div></div><div><h3>Interpretation</h3><div>Outcomes relating to function and QOL are under-researched in the current integrated hip surveillance pathway evidence-base. Wider outcomes related to function and QOL need to be included to capture the wider impact on children who are at risk of hip dislocation.</div></div><div><h3>What this paper adds</h3><div>Increased pain was associated with reduced joint range and increased migration percentage. Pain also increased with greater age and Gross Motor Function Classification Score. Early orthopaedic intervention for hip displacement may not successfully mitigate pain. Effectiveness of integrated pathways on function and quality of life is under-evidenced. Studies investigating integrated pathways and holistic outcomes are needed to inform practice.</div></div>","PeriodicalId":50481,"journal":{"name":"European Journal of Paediatric Neurology","volume":"53 ","pages":"Pages 166-173"},"PeriodicalIF":2.3000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Paediatric Neurology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S109037982400165X","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Aim

To determine the effectiveness of integrated hip surveillance pathways on pain, function and quality of life (QOL) in children with Cerebral Palsy (CP).

Method

A systematic literature review, designed, conducted and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Inclusion criteria: confirmed CP diagnosis, management under recognised international hip surveillance pathways, outcome measures of hip displacement plus at least one other relevant to pain, function or QOL.

Results

100 articles were identified. 12 full text articles were screened, and four were included. Reduced range of movement was associated with hip pain in children with CP. Increasing age, Gross Motor Function Classification Score (GMFCS) and migration percentage (MP) were associated with increased hip pain. General health declined with increased age. Increased MP and GMFCS level were associated with interruption to activities of daily living.

Interpretation

Outcomes relating to function and QOL are under-researched in the current integrated hip surveillance pathway evidence-base. Wider outcomes related to function and QOL need to be included to capture the wider impact on children who are at risk of hip dislocation.

What this paper adds

Increased pain was associated with reduced joint range and increased migration percentage. Pain also increased with greater age and Gross Motor Function Classification Score. Early orthopaedic intervention for hip displacement may not successfully mitigate pain. Effectiveness of integrated pathways on function and quality of life is under-evidenced. Studies investigating integrated pathways and holistic outcomes are needed to inform practice.

查看原文本刊更多论文

针对脑瘫儿童疼痛、功能和生活质量的综合髋关节监测路径：系统性文献综述。

目的：确定综合髋关节监测路径对脑瘫（CP）儿童疼痛、功能和生活质量（QOL）的影响：纳入标准：确诊为 CP，根据公认的国际髋关节监测路径进行管理，髋关节移位的结果测量，以及至少一项与疼痛、功能或 QOL 相关的结果测量：结果：共发现 100 篇文章。筛选出 12 篇全文文章，其中 4 篇被收录。CP患儿髋关节活动范围减少与髋关节疼痛有关。年龄、粗大运动功能分类评分（GMFCS）和迁移百分比（MP）的增加与髋关节疼痛的增加有关。总体健康状况随着年龄的增长而下降。MP和GMFCS水平的增加与日常生活活动的中断有关：在目前的髋关节综合监测路径证据库中，与功能和 QOL 相关的结果研究不足。需要纳入与功能和QOL相关的更广泛结果，以捕捉对有髋关节脱位风险的儿童的更广泛影响：疼痛加剧与关节活动范围缩小和移位百分比增加有关。年龄越大，粗大运动功能分类评分越高，疼痛感也越强。髋关节移位的早期矫形干预可能无法成功缓解疼痛。综合治疗路径对功能和生活质量的影响尚未得到充分验证。需要对综合路径和整体效果进行调查研究，为实践提供参考。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

European Journal of Paediatric Neurology 医学-临床神经学

CiteScore

6.30

自引率

3.20%

发文量

115

审稿时长

81 days

期刊介绍： The European Journal of Paediatric Neurology is the Official Journal of the European Paediatric Neurology Society, successor to the long-established European Federation of Child Neurology Societies. Under the guidance of a prestigious International editorial board, this multi-disciplinary journal publishes exciting clinical and experimental research in this rapidly expanding field. High quality papers written by leading experts encompass all the major diseases including epilepsy, movement disorders, neuromuscular disorders, neurodegenerative disorders and intellectual disability. Other exciting highlights include articles on brain imaging and neonatal neurology, and the publication of regularly updated tables relating to the main groups of disorders.