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Issue title: Hip Disease in Cerebral Palsy
Article type: Research Article
Authors: Wynter, M. | Gibson, N.; | Kentish, M. | Love, S.; | Thomason, P. | Kerr Graham, H.;
Affiliations: Royal Children's Hospital, Brisbane, QLD, Australia | Princess Margaret Hospital for Children, Perth, WA, Australia | Royal Children's Hospital, Melbourne, Vic, Australia | University of Western Australia, Perth, WA, Australia | The University of Melbourne, Melbourne, Vic, Australia
Note: [] Corresponding author: Meredith Wynter, Queensland Cerebral Palsy Health Service, Department of Paediatric Rehabilitation, Royal Children's Hospital, Herston Road, Brisbane, QLD 4029, Australia. Tel.: +61 7 36365500; Fax: +61 7 36365480; E-mail: meredith_wynter@health.qld.gov.au
Abstract: Progressive hip displacement is the second most common deformity in children with cerebral palsy (CP) [1]. For many decades, the methods of monitoring hip health and development in children with CP varied widely between facilities. Recently, systematic population based studies have identified some of the factors and characteristics of children with CP who would most benefit from hip surveillance [2,3]. Health services providing hip surveillance within Australia identified a need for clinical guidelines to assist in provision of comprehensive and best practice health care for children with CP across all patient demographics. Guidelines providing clear, evidence based information on specific timing for commencement, frequency, and discharge have not previously been published. This article analyses the supportive evidence for comprehensive hip surveillance, discusses the development of draft guidelines in Australia, and describes the process for achieving national consensus resulting in the Consensus Statement on Hip Surveillance for Children with Cerebral Palsy: Australian Standards of Care. These standards of care are being followed in clinical facilities across Australia and are endorsed by the Australasian Academy of Cerebral Palsy and Developmental Medicine (AusACPDM).
Keywords: Hip Surveillance, Cerebral Palsy, children, guidelines, hip dislocation, hip displacement
DOI: 10.3233/PRM-2011-0173
Journal: Journal of Pediatric Rehabilitation Medicine, vol. 4, no. 3, pp. 171-182, 2011
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