Purpose

Craniosynostosis correction involves major skull surgery in infancy—a potential source of worry for parents when their treated children begin involvement in sports.

Methods

Electronic multiple choice survey of parents of children who had undergone craniosynostosis surgery in infancy using 5-point Likert scales.

Results

Fifty-nine completed surveys were obtained from parents of children who had undergone previous craniosynostosis surgery. Mean age of children was 7.8 years (range 3 months to 22 years), with 36 non-syndromic and 23 syndromic cases. The most common surgery was fronto-orbital remodelling (18). Fifty-two of 59 were involved in athletic activity. The most intense sport type was non-contact in 23, light contact in 20, heavy contact in 4 and combat in 5. Participation level was school mandatory in 12, school club in 17, non-school sport club in 21 and regional representative in 2. One child had been advised to avoid sport by an external physician. Mean anxiety (1–5 Likert) increased with sport intensity: non-contact 1.7, light contact 2.2, heavy contact 3.5 and combat 3.6. Twenty-nine of 59 parents had been given specific advice by the Craniofacial Team regarding athletic activity, 28 of which found useful. Three sport-related head injuries were reported, none of which required hospitalisation.

Conclusion

Little information exists regarding sports for children after craniosynostosis surgery. This study suggests that parental anxiety remains high, particularly for high impact/combat sports, and that parents would like more information from clinicians about the safety of post-operative sporting activities.

中文翻译：

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儿童颅缝早闭手术后的体育活动：父母焦虑的来源。

目的

颅缝早闭矫正涉及婴儿期的主要颅骨手术——当他们接受治疗的孩子开始参与体育运动时，父母可能会担心。

方法

使用李克特 5 点量表对婴儿期接受过颅缝早闭手术的儿童的父母进行电子多项选择调查。

结果

从曾接受过颅缝早闭手术的儿童的父母那里获得了 59 份已完成的调查。儿童的平均年龄为 7.8 岁（范围为 3 个月至 22 岁），其中 36 例非综合征病例和 23 例综合征病例。最常见的手术是额眶重塑（18）。59 人中有 52 人参与了体育活动。最激烈的运动类型是非接触性23个，轻度接触性20个，重度接触性4个，战斗5个。参与程度是学校强制性12个，学校俱乐部17个，非学校体育俱乐部21个，区域代表5个。 2. 外科医生建议一名儿童避免运动。平均焦虑（1-5 Likert）随着运动强度的增加而增加：非接触 1.7，轻度接触 2.2，重度接触 3.5 和战斗 3.6。59 位家长中有 29 位接受了颅面小组关于体育活动的具体建议，其中 28 位认为有用。报告了三起与运动有关的头部受伤，均无需住院治疗。

结论

关于颅缝早闭手术后儿童运动的信息很少。这项研究表明，父母的焦虑仍然很高，特别是对于高冲击/战斗运动，并且父母希望临床医生提供更多关于术后体育活动安全性的信息。