Evaluation of the effectiveness of screening and monitoring program for early prevention of orthopedic complications in children with cerebral palsy
Hip instability and following hip luxation and subluxations remain common and serious problem among children with cerebral palsy (CP). The hip luxation and subluxations can be avoided using timely monitoring and early preventive treatment. However, standard scheme for patients’ management in childre...
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| Format: | Article |
| Language: | Russian |
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Ltd. “The National Academy of Pediatric Science and Innovation”
2020-01-01
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| Series: | Rossijskij Vestnik Perinatologii i Pediatrii |
| Subjects: | |
| Online Access: | https://www.ped-perinatology.ru/jour/article/view/1022 |
| _version_ | 1797875178772889600 |
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| author | V. A. Zmanovskaya E. V. Kashuba R. I. Valeev O. Yu. Ezhov |
| author_facet | V. A. Zmanovskaya E. V. Kashuba R. I. Valeev O. Yu. Ezhov |
| author_sort | V. A. Zmanovskaya |
| collection | DOAJ |
| description | Hip instability and following hip luxation and subluxations remain common and serious problem among children with cerebral palsy (CP). The hip luxation and subluxations can be avoided using timely monitoring and early preventive treatment. However, standard scheme for patients’ management in children with CP is not adopted so far in Russian Federation. In 2014 on the territory of Tyumen region the Europe surveillance program for children with CP (CPUP) was introduced.Research purpose. To analyze the effectiveness of the early orthopedic complications prevention program in children with CP. Material and methods. The study included children with CP of the «Child psychoneurological medical-rehabilitation center «Nadezhda» register born in 2010 and earlier (n=176), undergoing surveillance under the European Program (main group); the comparison group consisted of children with CP which were treated before the adoption of the program (n=642). Group comparability was achieved by selecting children with one level of motor impairment according to the GMFCS classification. The presence of expressed orthopedic complications was exposed at the value of Reimers Index (RI) above 40%, and the effectiveness of the program was determined by a reduction in the frequency of such RI.Results. It was found that overall incidence of hip dislocation in control group decreased by 70%: in children with GMFCS II by 100%, GMFCS III – by 78%, GMFCS IV – by 62% and GMFCS V – by 74%.Conclusion. Due to the introduction of the Europe surveillance program on the territory of Tyumen region there is a significant decrease in orthopedic complications incidence in children with CP. |
| first_indexed | 2024-04-10T01:42:26Z |
| format | Article |
| id | doaj.art-7edaac9d3c8c465bb0b18cebd0028f72 |
| institution | Directory Open Access Journal |
| issn | 1027-4065 2500-2228 |
| language | Russian |
| last_indexed | 2024-04-10T01:42:26Z |
| publishDate | 2020-01-01 |
| publisher | Ltd. “The National Academy of Pediatric Science and Innovation” |
| record_format | Article |
| series | Rossijskij Vestnik Perinatologii i Pediatrii |
| spelling | doaj.art-7edaac9d3c8c465bb0b18cebd0028f722023-03-13T09:12:48ZrusLtd. “The National Academy of Pediatric Science and Innovation”Rossijskij Vestnik Perinatologii i Pediatrii1027-40652500-22282020-01-01646798310.21508/1027-4065-2019-64-6-79-83827Evaluation of the effectiveness of screening and monitoring program for early prevention of orthopedic complications in children with cerebral palsyV. A. Zmanovskaya0E. V. Kashuba1R. I. Valeev2O. Yu. Ezhov3ГАУЗ ТО «Детский психоневрологический лечебно-реабилитационный центр «Надежда»ФГБОУ ВО «Тюменский государственный медицинский университет» Минздрава РоссииФГБОУ ВО «Тюменский государственный медицинский университет» Минздрава РоссииФГБОУ ВО «Тюменский государственный медицинский университет» Минздрава РоссииHip instability and following hip luxation and subluxations remain common and serious problem among children with cerebral palsy (CP). The hip luxation and subluxations can be avoided using timely monitoring and early preventive treatment. However, standard scheme for patients’ management in children with CP is not adopted so far in Russian Federation. In 2014 on the territory of Tyumen region the Europe surveillance program for children with CP (CPUP) was introduced.Research purpose. To analyze the effectiveness of the early orthopedic complications prevention program in children with CP. Material and methods. The study included children with CP of the «Child psychoneurological medical-rehabilitation center «Nadezhda» register born in 2010 and earlier (n=176), undergoing surveillance under the European Program (main group); the comparison group consisted of children with CP which were treated before the adoption of the program (n=642). Group comparability was achieved by selecting children with one level of motor impairment according to the GMFCS classification. The presence of expressed orthopedic complications was exposed at the value of Reimers Index (RI) above 40%, and the effectiveness of the program was determined by a reduction in the frequency of such RI.Results. It was found that overall incidence of hip dislocation in control group decreased by 70%: in children with GMFCS II by 100%, GMFCS III – by 78%, GMFCS IV – by 62% and GMFCS V – by 74%.Conclusion. Due to the introduction of the Europe surveillance program on the territory of Tyumen region there is a significant decrease in orthopedic complications incidence in children with CP.https://www.ped-perinatology.ru/jour/article/view/1022детидетский церебральный параличпрограмма наблюденияперинатальное поражение нервной системыортопедические осложнениявывих в тазобедренном суставеиндекс реймерса |
| spellingShingle | V. A. Zmanovskaya E. V. Kashuba R. I. Valeev O. Yu. Ezhov Evaluation of the effectiveness of screening and monitoring program for early prevention of orthopedic complications in children with cerebral palsy Rossijskij Vestnik Perinatologii i Pediatrii дети детский церебральный паралич программа наблюдения перинатальное поражение нервной системы ортопедические осложнения вывих в тазобедренном суставе индекс реймерса |
| title | Evaluation of the effectiveness of screening and monitoring program for early prevention of orthopedic complications in children with cerebral palsy |
| title_full | Evaluation of the effectiveness of screening and monitoring program for early prevention of orthopedic complications in children with cerebral palsy |
| title_fullStr | Evaluation of the effectiveness of screening and monitoring program for early prevention of orthopedic complications in children with cerebral palsy |
| title_full_unstemmed | Evaluation of the effectiveness of screening and monitoring program for early prevention of orthopedic complications in children with cerebral palsy |
| title_short | Evaluation of the effectiveness of screening and monitoring program for early prevention of orthopedic complications in children with cerebral palsy |
| title_sort | evaluation of the effectiveness of screening and monitoring program for early prevention of orthopedic complications in children with cerebral palsy |
| topic | дети детский церебральный паралич программа наблюдения перинатальное поражение нервной системы ортопедические осложнения вывих в тазобедренном суставе индекс реймерса |
| url | https://www.ped-perinatology.ru/jour/article/view/1022 |
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