Hip dislocation in children with cerebral palsy (CP) is a common and severe problem. The can be avoided, by screening preventive treatment of hips at risk. aim this study was to analyse the characteristics CP who develop hip displacement, order optimise surveillance programme. In total population standardised clinical radiological follow-up carried out as part prevention present based on 212 followed until 9–16 years age. Of children, 38 (18%) developed displacement Migration Percentage (MP)...

In 1994 a cerebral palsy (CP) register and healthcare programme was established in southern Sweden with the primary aim of preventing dislocation hip these children. The results from first ten years were published 2005 showed decrease incidence hip, 8% historical control group 103 children born between 1990 1991 to 0.5% 258 1992 1997. These two cohorts have now been re-evaluated an additional 431 1998 2007 has added. By 1 January 2014, nine group, study none second had developed dislocated...

In 1994, a register for cerebral palsy and health-care programme were started in southern Sweden with the aim of preventing dislocation hip children palsy. It involved all born 1992 or later. None 206 affected between 1997 has developed following introduction prevention programme. Another 48 moved into area none any further dislocation. Of 251 palsy, aged five 11 years, living on January 1, 2003, only two had dislocated hip. One boy at age nine girl whose parents chose not to participate...

In Brief Study Design. Epidemiological total population study based on a prospective follow-up cerebral palsy (CP) registry. Objective. To describe the prevalence of scoliosis in children with CP, to analyze relation between scoliosis, gross motor function, and CP subtype, age at diagnosis scoliosis. Summary Background Data. Children have an increased risk developing The reported incidence varies, partly due different definitions groups. Knowledge characteristics unselected group types...

The aim of this study was to investigate the prevalence cerebral palsy (CP) as well characterize CP population, its participation in a secondary prevention programme (CPUP) and validate CPUP database. population born 1990–1997 resident Skåne/Blekinge on Jan 1st 2002. Multiple sources were used. Irrespective earlier diagnoses, neuropaediatrician other professional medical records evaluated for all children at child habilitation units. database diagnosis registers hospital departments searched...

We assessed prevalence and location of pain in a total population children adolescents with cerebral palsy (CP) based on the Gross Motor Function Classification System (GMFCS), age gender.This cross-sectional study was last assessment aged 1-14 years combined Swedish follow-up programme national quality register for CP. All were born 2001-2012 reported to registry 2013-2014. Logistic regression used regress age, gender GMFCS level presence pain. also sites among groups.We included 2777 (57%...

Background and purpose — Surveillance of scoliosis in individuals with cerebral palsy (CP) is important for ensuring timely diagnosis identification curve progression. We analyzed the incidence relation to age, sex, gross motor function a population-based cohort CP. Patients methods This was prospective register study all 1,025 born 1990–2012 southern Sweden (1.4 million inhabitants) Swedish surveillance program CP, which included >95% total population people CP area. Annual clinical...

Purpose: To describe a concept for prevention of secondary conditions in individuals with chronic neuromuscular disabilities by using two Swedish developed follow-up-programmes cerebral palsy (CP; CPUP) and myelomeningocele (MMC; MMCUP) respectively as examples. Method: This paper describes outlines the rationale, development implementation CPUP MMCUP. Results: Both programmes are multidisciplinary longitudinal follow-up that simultaneously serve national registries. The population-based set...

The Gross Motor Function Classification System (GMFCS) has become an important tool to describe motor function in children with Cerebral Palsy (CP). Manual Ability (MACS) was developed recently as a corresponding classification of manual ability. aim this study the association between gross and ability total population cerebral palsy. 365 children, born 1992 2001, who were registered population-based health care programme (CPUP) for CP living south Sweden included study. GMFCS evaluated by...

During the 1990s three new techniques to reduce spasticity and dystonia in children with cerebral palsy (CP) were introduced southern Sweden: selective dorsal rhizotomy, continuous intrathecal baclofen infusion botulinum toxin treatment. In 1994 a CP register health care programme, aimed prevent hip dislocation severe contractures, initiated area. The total population of born 1990–1991, 1992–1993 1994–1995 was evaluated compared at 8 years age. non-ambulant passive range motion hip, knee...

The decreasing range of joint motion caused by insufficient muscle length is a common problem in children with cerebral palsy (CP), often worsening age. In 1994 CP register and health care programme for was initiated southern Sweden. aim this study to analyse the development passive (ROM) lower limbs during all growth periods relation gross motor function subtype total population CP. total, 359 born 1990-1999, living southernmost part Sweden year which they reached their third birthday still...

The development of spasticity with age in children cerebral palsy (CP) has, to our knowledge, not been studied before. In 1994, a register and health care program for CP southern Sweden were initiated. the programme child's muscle tone according modified Ashworth scale is measured twice year until six years age, then once year. We have used this data analyse total population palsy.All measurements gastrocnemius-soleus all from 0 15 during period 1995-2006 analysed. subtypes classified...

The frequency of slipping and osteoarthritis the contralateral hip was recorded in 260 patients with slipped upper femoral epiphysis between 1910 1960. Twenty-three these (9%) had primary bilateral slipping, 32 (12%) a slip diagnosed later during adolescence further 104 (40%) signs at follow-up 16 to 66 years later, giving total 159 cases (61%) slips. Of slippings follow-up, 25% showed osteoarthritis. It is concluded that, epiphysis, prophylactic pinning should be performed avoid reduce risk

Hip dislocation is a serious complication among children with cerebral palsy (CP). The aim of this study was to compare the prevalence hip CP in an area providing regular care surveillance services. This cross-sectional seven Norwegian counties and one Swedish healthcare region where programme introduced 1994. Data were provided by Cerebral Palsy Register Southern Sweden. Children born 1996 - 2003 moderate severe CP, defined as Gross Motor Classification System (GMFCS) levels III V,...

Background and purpose Spasticity muscle contracture are two common manifestations of cerebral palsy (CP). A spastic may inhibit growth in length the muscle, but importance this relationship is not known. In 1994, a register healthcare program for children with CP southern Sweden were initiated. The child's tone according to Ashworth scale ankle range motion (ROM) measured annually during entire period. We have used these data analyze between spasticity ROM gastrosoleus muscle. Patients...

Ankle-foot orthosis (AFO) is the most frequently used type of in children with cerebral palsy (CP). AFOs are designed either to improve function or prevent treat muscle contractures. The purpose present study was analyse use of, indications for, and outcome using AFO, relative age gross motor a total population palsy. A cross-sectional performed 2200 (58% boys, 42% girls), 0–19 years old (median 7 years), based on data from national Swedish follow-up programme registry for CP. To passive...

Purpose Hip dislocation in cerebral palsy (CP) is a serious complication. By radiographic screening and prophylactic surgery of children at risk most dislocations can be prevented. CPUP, the Swedish CP registry follow-up program, includes annual examinations Gross Motor Function Classification System (GMFCS) levels III–V. Data from CPUP were analysed to assess hip displacement relation GMFCS age. Methods All III–V ( N = 353) whose first occurred before 3 years age followed between ages 2–7...

Abstract Aim To describe gender difference in a total population of children with cerebral palsy ( CP ), related to subtype, gross and fine motor function, compare incidence trends girls boys. Methods All 590 born southern Sweden 1990–2005 were included. subtype was classified according the S urveillance C erebral P alsy E urope, function G ross M otor F unction lassification ystem GMFCS ) manual ability anual A bility MACS ). Trends by birth year analysed using Poisson regression modelling....

Slipped capital femoral epiphysis (SCFE) is the most common hip disorder in children 9-15 years old. This a population-based study Sweden presenting epidemiology for SCFE.In prospective cohort study, we analysed pre- and postoperative radiographs, medical records all treated SCFE 2007-2013, demographic data, severity of slip surgical procedures performed.We identified 379 Swedish with primary 2007-2013; 162 girls, median age 11.7 (7.2-15.4) years, 217 boys, 13 (3.8-17.7) years. The average...

Abstract Background Pain is a common problem for individuals with cerebral palsy (CP). In Sweden, 95% of children and adolescents CP are followed in national follow-up programme (CPUP), which includes data on pain. The purpose this study was to investigate the prevalence pain based age, sex, gross motor function source report (self or proxy). intensity, site, how much disturbed sleep daily activities were also studied. Methods This cross-sectional register all participants CPUP, 4–18-years...

The Gross Motor Function Measure (GMFM), an instrument comprising five dimensions devised by Russell and co-workers (7) to measure gross motor function in children with cerebral palsy (CP) or brain damage, enables changes performance status be evaluated after therapy when monitored over time. We analysed its inter-rater intra-rater reliability on the three most difficult dimensions. A video-recording of CP performing test tasks was assessed two occasions at interval six months each 15...

Five hundred thirty-two cases of slipped capital femoral epiphysis (physiolysis colli femoris--PCF) treated at three orthopedic departments in southern Sweden between 1910 and 1982 were used for epidemiologic studies. Three twenty-five came from a well-defined area incidence analyses. During the whole period investigation, disease was more common men than women. The difference pronounced earlier years investigation among patients living country compared with city. mean age onset slipping has...