AI Article Synopsis
- The study aimed to evaluate a modified Care and Comfort Hypertonicity Questionnaire (mCCHQ) for assessing children with cerebral palsy (CP) undergoing hip surgery.
- Reliability of the mCCHQ was confirmed through a test-retest with caregivers showing a good consistency score, and responsiveness was measured before and after surgery in a sample of children.
- Results showed a significant improvement in mCCHQ scores post-surgery, suggesting it is a reliable and effective tool for monitoring outcomes in children with CP.
Article Abstract
Aims: The purpose of this study was to assess the reliability and responsiveness to hip surgery of a four-point modified Care and Comfort Hypertonicity Questionnaire (mCCHQ) scoring tool in children with cerebral palsy (CP) in Gross Motor Function Classification System (GMFCS) levels IV and V.
Methods: This was a population-based cohort study in children with CP from a national surveillance programme. Reliability was assessed from 20 caregivers who completed the mCCHQ questionnaire on two occasions three weeks apart. Test-retest reliability of the mCCHQ was calculated, and responsiveness before and after surgery for a displaced hip was evaluated in a cohort of children.
Results: Test-retest reliability for the overall mCCHQ score was good (intraclass correlation coefficient 0.78), and no dimension demonstrated poor reliability. The surgical intervention cohort comprised ten children who had preoperative and postoperative mCCHQ scores at a minimum of six months postoperatively. The mCCHQ tool demonstrated a significant improvement in overall score from preoperative assessment to six-month postoperative follow-up assessment (p < 0.001).
Conclusion: The mCCHQ demonstrated responsiveness to intervention and good test-retest reliability. The mCCHQ is proposed as an outcome tool for use within a national surveillance programme for children with CP.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412107 | PMC |
| http://dx.doi.org/10.1302/2633-1462.48.BJO-2023-0051.R1 | DOI Listing |
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