Australian hip surveillance guidelines at 10 years: New evidence and implementation

Issue title: Cerebral Palsy

Guest editors: Deborah Gaebler-Spira, Michael Green and Heakyung Kim

Article type: Other

Authors: Gibson, Noula^{a; b; *} | Wynter, Meredith^{c; d} | Thomason, Pam^e | Baker, Felicity^f | Burnett, Heather^g | Graham, H. Kerr^{e; h} | Kentish, Megan^{c; d} | Love, Sarah C.^{i; m} | Maloney, Eliza^j | Stannage, Katherine^k | Willoughby, Kate^{h; l}

Affiliations: [a] Department of Physiotherapy, Perth Children’s Hospital, Nedlands, WA, Australia | [b] Curtin University, School of Physiotherapy and Exercise Science, Perth, WA, Australia | [c] Department of Paediatric Rehabilitation, Queensland Children’s Hospital, South Brisbane, QLD, Australia | [d] University of Queensland, Child Health Research Centre, Brisbane, QLD, Australia | [e] The Royal Children’s Hospital, Hugh Williamson Gait Laboratory, Parkville, VIC, Australia | [f] Women’s and Children’s Hospital, Paediatric Rehabilitation Department, North Adelaide, SA, Australia | [g] Hunter New England Local Health District, HNEkids Rehab, New Lambton, NSW, Australia | [h] Department of Orthopaedics, The Royal Children’s Hospital, Parkville, VIC, Australia | [i] University of Notre Dame, School of Physiotherapy, Fremantle, WA, Australia | [j] The Royal Hobart Hospital, State-Wide Paediatric Rehabilitation, Hobart, TAS, Australia | [k] Department of Orthopaedics, Perth Children’s Hospital, Australia, Nedlands, WA, Australia | [l] Murdoch Children’s Research Institute, Gait Lab and Orthopaedics Research Group, Parkville, VIC, Australia | [m] SensesWA, WA, Australia

Correspondence: [*] Corresponding author: Noula Gibson, Perth Children’s Hospital, Locked Bag 2010, Nedlands WA 6909, Australia. Tel.: +61 8 6456 4669; E-mail: Noula.Gibson@health.wa.gov.au.

Abstract: Optimum management of hip displacement in children with cerebral palsy (CP) is facilitated by an approach that focuses on anticipatory and preventive measures. Hip surveillance programs for children with CP were developed at the beginning of the new millennium, with the purpose of identifying hip displacement sufficiently early to permit a choice of effective management options. In the early years, hip surveillance was guided by epidemiological analysis of population-based studies of prevalence. In Australia, a National Hip Surveillance in CP Working Group was first convened in 2005. This resulted in a 2008 Consensus Statement of recommendations published and endorsed by Australasian Academy of Cerebral Palsy and Developmental Medicine (AusACPDM). The group undertook that the recommendations should be reviewed every 5 years to ensure currency and congruency with the emerging evidence base. As new evidence became available, hip surveillance guidelines developed, with the most recent 2020 Australian Hip Surveillance Guidelines endorsed by the AusACPDM. Implementing comprehensive hip surveillance programs has now been shown to improve the natural history of hip dislocations and improve quality of life. Standardised hip surveillance programs can also facilitate planning for multicentre research through harmonisation of data collection. This, in turn, can help with the identification of robust new evidence that is based on large cohort or population studies. Here a review of evidence informing the updated 2020 Hip Surveillance Guidelines is presented.

Keywords: Hip surveillance guidelines, cerebral palsy, progressive hip displacement, hip dislocation

DOI: 10.3233/PRM-220017

Journal: Journal of Pediatric Rehabilitation Medicine, vol. 15, no. 1, pp. 31-37, 2022