The Impact of Secondary Orthopedic Complications on the Quality of Life in Children with Cerebral Palsy
Background. Infantile cerebral palsy (ICP) is one of the leading causes of disability among children, significantly affecting their physical and psychosocial condition. Joint contractures are a serious orthopedic complication of the disease, which exacerbate limitations in motor activity, increase p...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Vreden Russian Research Institute of Traumatology and Orthopedics
2025-06-01
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| Series: | Travmatologiâ i Ortopediâ Rossii |
| Subjects: | |
| Online Access: | https://journal.rniito.org/jour/article/viewFile/17653/pdf |
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| Summary: | Background. Infantile cerebral palsy (ICP) is one of the leading causes of disability among children, significantly affecting their physical and psychosocial condition. Joint contractures are a serious orthopedic complication of the disease, which exacerbate limitations in motor activity, increase pain severity and affect the quality of life. Assessment of the quality of life in children with ICP is an important indicator reflecting their physical condition and social adaptation, which allows for more accurate planning of treatment and rehabilitation.
The aim of the study — to analyze the impact of contractures and other orthopedic complications on the quality of life in children with cerebral palsy, taking into account the location and severity of the contractures, as well as the disease perception by the patients and their parents.
Methods. The study included 62 patients with spastic ICP aged 6-13 years. The level of motor functions was assessed according to the Gross Motor Function Classification System (GMFCS). The data collected included anamnesis, orthopedic clinical examination with the modified Ashworth scale assessment of spasticity, and information on concomitant disorders. The quality of life was assessed using the “Cerebral palsy” module of the Pediatric Quality of Life Inventory (PedsQL) questionnaire version 3.0.
Results. The data obtained revealed significant correlations between the level of GMFCS and limitations in such quality of life domains as “Daily activities” and “Movement and balance”. It was found that the presence of contractures of the hip and knee joints significantly reduces the indicators for the “Pain” and “Fatigue” domains. The impact of concomitant disorders, such as epilepsy, also negatively affects the perception of quality of life by children and their parents.
Conclusion. The revealed correlations emphasize the need for an integrated approach to the treatment and rehabilitation of children with cerebral palsy, including pain control, improvement in motor functions and consideration of psychosocial aspects. |
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| ISSN: | 2311-2905 2542-0933 |