Premium
Hip contractures were associated with low gross motor function in children with cerebral palsy
Author(s) -
Mechlenburg Inger,
Østergaard Malene Tousgaard Foget,
Menzel Christina Bach,
NordbyeNielsen Kirsten
Publication year - 2021
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.15717
Subject(s) - gross motor function classification system , medicine , cerebral palsy , odds ratio , muscle contracture , physical therapy , contracture , gross motor skill , confidence interval , population , surgery , motor skill , environmental health , psychiatry
Aim The aim was to identify the prevalence of hip contractures and their association with gross motor function and pain in the lower extremities among Danish children with cerebral palsy (CP). Methods This cross‐sectional study was based on data collected during regular clinical examinations in 2018–2019 and registered in the National Danish Clinical Quality Database of children with CP. The study population was 688 children (59% boys) aged five to 12 years across all Gross Motor Function Classification System (GMFCS) levels. Any associations between hip contracture and gross motor function and pain were investigated with logistic regression analysis and presented as odds ratios (OR) with 95% confidence intervals (95% CI). Results The prevalence of hip contracture was 22% across all five GMFCS levels, and the incidence varied across the five Danish regions. The odds ratios for hip contracture were significantly higher at GMFCS level IV (OR 1.99, 95% CI 1.10–3.62) and V (OR 5.49, 95% CI 3.33–9.07) compared with level I. Hip contractures were not significantly associated with pain in the lower extremities (OR 1.43, 95% CI 0.95–2.15). Conclusion Hip contractures were frequent and associated with low gross motor function, but not lower extremity pain, in children with CP.