The Impact of Secondary Orthopedic Complications on the Quality of Life in Children with Cerebral Palsy
- 作者: Novikov V.А.1, Umnov V.V.1, Zharkov D.S.1, Umnov D.V.1, Barlova O.V.1, Ivanov S.V.1, Mustafaeva A.R.1, Svinina U.A.1
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隶属关系:
- H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
- 期: 卷 31, 编号 2 (2025)
- 页面: 111-119
- 栏目: Clinical studies
- URL: https://journal-vniispk.ru/2311-2905/article/view/314141
- DOI: https://doi.org/10.17816/2311-2905-17653
- ID: 314141
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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.
作者简介
Vladimir Novikov
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
编辑信件的主要联系方式.
Email: novikov.turner@gmail.com
ORCID iD: 0000-0002-3754-4090
Cand. Sci. (Med.)
俄罗斯联邦, St. PetersburgValery Umnov
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: umnovvv@gmail.com
ORCID iD: 0000-0002-5721-8575
Dr. Sci. (Med.)
俄罗斯联邦, St. PetersburgDmitry Zharkov
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: striker5621@gmail.com
ORCID iD: 0000-0002-8027-1593
俄罗斯联邦, St. Petersburg
Dmitry Umnov
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: dmitry.umnov@gmail.com
ORCID iD: 0000-0003-4293-1607
Cand. Sci. (Med.)
俄罗斯联邦, St. PetersburgOlga Barlova
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: barlovaolga@gmail.com
ORCID iD: 0000-0002-0184-135X
Cand. Sci. (Med.)
俄罗斯联邦, St. PetersburgStanislav Ivanov
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: ortostas@mail.ru
ORCID iD: 0000-0002-2187-3973
Cand. Sci. (Med.)
俄罗斯联邦, St. PetersburgAlina Mustafaeva
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: alina.mys23@yandex.ru
ORCID iD: 0009-0003-4108-7317
俄罗斯联邦, St. Petersburg
Ulyana Svinina
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: dr.ua.svinina@gmail.com
ORCID iD: 0009-0003-5904-2192
俄罗斯联邦, St. Petersburg
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