Predicting Hip Dysplasia in Teenagers with Cerebral Palsy in order to Optimize Prevention and Rehabilitation. A Longitudinal Descriptive Study

ABSTRACT

Objective

To develop a predictive model of neuromuscular hip dysplasia (NHD) in teenagers with cerebral palsy (CP) to optimize rehabilitation.

Design

A longitudinal, multicenter, double-blinded, descriptive study of one hundred and two teenagers with CP (age 16.5 ± 1.2 years, range 12–18 years). Data on etiology, diagnosis, spasticity, epilepsy, clinical history, and functional assessments were collected from 2005 to 2017 and entered in the prediction model “PredictMed.”

Results

Poor walking abilities [p < .001; Odd Ratio (OR) Infinity], scoliosis (p 0.01; OR 3.22), trunk muscles’ tone disorder (p 0.002; OR 4.81), spasticity (p 0.006; OR 6.6), poor motor function (p 0.02; OR 5.5), and epilepsy (p 0.03; OR 2.6) were predictors of NHD development. The accuracy of the model was 77%.

Conclusion

Trunk muscles’ tone disorder, severe scoliosis, epilepsy, and spasticity were predictors of NHD in teenagers with CP. Based on the results we have developed appropriate preventative rehabilitation interventions.

KEYWORDS:

• Hip dysplasia
• cerebral palsy
• prediction model
• data analysis
• therapy interventions

Declaration Of Conflicting Interests

The author(s) declared no potential conflicts of interest with respect to this research, authorship and/or publication of this article.

Supplementary Material

Supplemental data for this article can be accessed on the publisher’s website.

Additional information

Funding

The author(s) received no financial support for the research, authorship and/or publication of this article.