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首页> 外文期刊>BMC Musculoskeletal Disorders >Hip pain in children with cerebral palsy: a population-based registry study of risk factors
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Hip pain in children with cerebral palsy: a population-based registry study of risk factors

机译：脑瘫儿童的髋关节疼痛：危险因素的基于人口的注册表研究

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Hip pain is prevalent in children with cerebral palsy (CP). Hip displacement is a known risk factor for hip pain. However, many children do not have displaced hips but still have hip pain and the aetiologies are poorly understood. The aims of this study were to investigate: 1. the prevalence of hip pain related to age, gender, gross motor function, degree of hip displacement and 2. the associations between hip pain and age, gender, gross motor function, degree of hip displacement, ranges of hip and knee motion (ROM) and degree of spasticity in the muscles around the hip. This was a cross-sectional retrospective register study based on data from the Swedish follow-up programme and national healthcare registry CPUP, which includes ?95% of children with CP in Sweden. The participants were born in 2000 or later and 4-16?years of age. Data from the latest examination were used. In Aim 1, the prevalence of hip pain was calculated using frequencies and crosstabs. Differences between groups were calculated using chi-square tests and independent samples t-tests. In Aim 2, associations between hip pain and the variables were analysed using logistic regression. The overall prevalence of hip pain was 7%. No significant gender difference was found. Hip pain prevalence increased with age, lower gross motor function and higher degree of hip displacement. The median migration percentage (MP) in painful hips was 26%, compared to 21% in hips where pain was not reported. In the multivariable analysis, significant associations with hip pain were found for MP??30% and decreased ROM in abduction, flexion and inwards rotation of the hip (p??0.05). Hip displacement was associated with hip pain. However, hip displacement was not present in the majority of painful hips. In addition to hip displacement, decreased ROM was also associated with hip pain.
机译：患有脑瘫（CP）的儿童患有髋关节疼痛。髋关节位移是髋关节疼痛的已知风险因素。然而，许多孩子没有流离失所的臀部，但仍然有髋关节疼痛，而且疾病理解得很差。本研究的目的是调查：1。与年龄，性别，总机函数，髋关节程度，髋部疼痛和年龄，性别，总电机功能，髋关节程度之间的关联患病率位移，臀部和膝关节运动的范围和臀部周围肌肉的痉挛度。这是基于瑞典后续计划和国家医疗保健登记CPUP的数据的横断面回顾寄存器研究，其中包括>？？95％的瑞典CP的儿童。参与者出生于2000年或以后，4-16岁。使用最新检查的数据。在AIM 1中，使用频率和串扰计算髋关节疼痛的患病率。使用Chi-Square测试和独立样品T检验计算组之间的差异。在AIM 2中，使用Logistic回归分析髋关节疼痛和变量之间的关联。髋关节疼痛的总体流行率为7％。没有发现显着的性别差异。髋关节疼痛患病率随着年龄而较低的，较低的运动功能和更高程度的髋关节位移。痛苦的臀部中位数迁移百分比（MP）为26％，而疼痛未报告疼痛的21％。在多变量的分析中，发现MP的髋关节疼痛的显着关联伴有髋关节疼痛，并在绑架，屈曲和向内旋转中减少臀部（P？<β05）。髋关节位移与髋关节疼痛有关。然而，髋关节位移不存在于大多数痛苦的臀部中。除了髋关节位移外，降低的ROM也与髋关节疼痛有关。

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