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.

中文翻译：

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预测青少年脑瘫的髋关节发育不良，以优化预防和康复。纵向描述性研究

摘要

目的

要开发脑瘫（CP）青少年的神经肌肉髋关节发育不良（NHD）预测模型，以优化康复。

设计

一项纵向，多中心，双盲，描述性研究，针对102名青少年CP（年龄16.5±1.2岁，范围12-18岁）。从2005年至2017年收集了病因，诊断，痉挛，癫痫病，临床病史和功能评估的数据，并将其输入预测模型“ PredictMed”。

结果

行走能力差[ p <.001; 奇数比（OR）无穷大，脊柱侧弯（p 0.01; OR 3.22），躯干肌肉张力障碍（p 0.002; OR 4.81），痉挛（p 0.006; OR 6.6），运动功能差（p 0.02; OR 5.5），和癫痫（p = 0.03； OR 2.6）是NHD发生的预测指标。该模型的准确性为77％。

结论

躯干肌肉的语调障碍，严重的脊柱侧弯，癫痫和痉挛是CP青少年中NHD的预测指标。根据结果​​，我们制定了适当的预防性康复干预措施。