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A Comparison of the General Approach of Surgeons toward Cerebral Palsy Patients and the Current Literature

Year 2022, Volume: 11 Issue: 1, 18 - 25, 28.02.2022
https://doi.org/10.53424/balikesirsbd.998737

Abstract

Objective: The purpose of the present study was to conduct a survey concerning the attitudes toward patients with CP among physicians in the fields of orthopedics and traumatology in Turkey. Materials and Methods: A questionnaire containing 20 items was produced to determine the attitudes toward patients with CP of specialist physicians in these fields. Results: One hundred fifteen such physicians performing clinical procedures on CP patients participated in the study - 47 (40.9%) assistant doctors, 43 (37.4%) specialist physicians, 11 (9.6%) assistant professor doctors, 11 (9.6%) associate professor doctors, and three (2.6%) professor doctors. The participants in the study most frequently reported identifying CP in the 1-2 age group (n=47, 40.9%). The CP cases identified in the 1-2 age group were most frequently referred to the physical therapy and rehabilitation department, and those in the 3-12 age group to the pediatric neurology department. The most frequently encountered subtype was spastic CP (n=108, 93.9%). Conclusions: The purpose of this study investigating the clinical knowledge, skills and attitudes concerning CP among orthopedic physicians under clinical conditions was to contribute to the development of a specific treat-ment plan.

References

  • Albright A.L., & Andrews, M. (2010). Development of the hypertonia assessment tool (HAT). Developmental medicine and child neurology, 52(5), 411–412. https://doi.org/10.1111/j.1469-8749.2009.03477.x
  • Andersen, G. L., Romundstad, P., De La Cruz, J., Himmelmann, K., Sellier, E., Cans, C., Kurinczuk, J. J., & Vik, T. (2011). Cerebral palsy among children born moderately preterm or at moderately low birthweight between 1980 and 1998: a European register based study. Developmental medicine and child neurology, 53(10), 913–919. https://doi.org/10.1111/j.1469-8749.2011.04079.x
  • Bax, M., Goldstein, M., Rosenbaum, P., Leviton, A., Paneth, N., Dan, B., Jacobsson, B., & Damiano, D. (2005). Executive committee for the definition of cerebral palsy. Proposed definition and classification of cerebral palsy, April 2005. Developmental medicine and child neurology, 47(8), 571–576. https://doi.org/10.1017/s001216220500112x
  • Bovid, K.M., & Patel, D.R., (2010) Orthopaedic considerations. In: Rubin IL, Merrick J, Greydanus D.E., et al. editors. Healthcare for people with intellectual and developmental disabilities across the lifespan. Cham: Springer International Publishing, 2016:1107-22.
  • Boyle, C. A., Yeargin-Allsopp, M., Doernberg, N. S., Holmgreen, P., Murphy, C. C., & Schendel, D. E. (1996). Prevalence of selected developmental disabilities in children 3-10 years of age: the Metropolitan Atlanta Developmental Disabilities Surveillance Program, 1991. MMWR. CDC surveillance summaries: Morbidity and mortality weekly report. CDC surveillance summaries, 45(2), 1–14.
  • Cagliyan, T. A., & Ozel, S. (2018). Demographic and clinical features of patients with cerebral palsy that we fallowed. Journal of Physical Medicine &; Rehabilitation Sciences, 21(2), 71–7.
  • Christine, C., Dolk, H., Platt, M. J., Colver, A., Prasauskiene, A., Krägeloh-Mann, I., & SCPE Collaborative Group (2007). Recommendations from the SCPE collaborative group for defining and classify-ing cerebral palsy. Developmental medicine and child neurology. Supplement, 109, 35–38. https://doi.org/10.1111/j.1469-8749.2007.tb12626.x
  • El, O., Peker. O., Bozan, O., Berk, H., & Kosay, C. (2007). General characteristics of cerebral palsy. Journal of Dokuz Eylul University Medical School, 21, 75-80.
  • Eriman, E.Ö., Icagasioglu, A., Demirhan E., Kolukisa, S., Aras H., & Haliloğlu S. (2009). Demographic data and clinical characteristics of 202 cerebral palsy cases. Turkish Journal of Physical Medicine and Rehabilitation, 55, 94.
  • Galli, M., Cimolin, V., Rigoldi, C., & Albertini, G. (2016). Quantitative evaluation of the effects of ankle foot orthosis on gait in children with cerebral palsy using the gait profile score and gait variable scores. Journal of Developmental and Physical Disabilities, 28, 367–379 1-13. https://doi.org/10.1007/s10882-016-9472-6
  • Gulati, S., & Sondhi, V. (2018). Cerebral palsy: an overview. Indian journal of pediatrics, 85(11), 1006–1016. https://doi.org/10.1007/s12098-017-2475-1
  • Hakami, W. S., Hundallah, K. J., & Tabarki, B. M. (2019). Metabolic and genetic disorders mimicking cerebral palsy. Neurosciences (Riyadh, Saudi Arabia), 24(3), 155–163. https://doi.org/10.17712/nsj.2019.3.20190045
  • Heinen, F., Desloovere, K., Schroeder, et al. (2010). The updated European Consensus 2009 on the use of botulinum toxin for children with cerebral palsy. European journal of paediatric neurology: EJPN: official journal of the European Paediatric Neurology Society, 14(1), 45–66.
  • Hemming, K., Colver, A., Hutton, J. L., Kurinczuk, J. J., & Pharoah, P. O. (2008). The influence of gestational age on severity of impairment in spastic cerebral palsy. The Journal of pediatrics, 153(2), 203–208.e2084. https://doi.org/10.1016/j.jpeds.2008.02.041
  • Horstmann, H.M., & Beck, E.E. (2007). Orthopaedic management in cerebral palsy. 2nd ed. London: Mac Keith Press, 1-46, 120-211
  • Hubermann, L., Boychuck, Z., Shevell, M., & Majnemer, A. (2016). Age at referral of children for initial diagnosis of cerebral palsy and rehabilitation: current practices. Journal of child neurology, 31(3), 364–369. https://doi.org/10.1177/0883073815596610
  • Hüner, B., Özgüzel, M.H.,Telli, H., & Sarı, G. (2011). Demographic and clinical characteristics of cerebral palsy patients who applied to our outpatient clinic. The medical journal of Okmeydanı Training and Research Hospital, 27, 28-3.
  • Leach, E. L., Shevell, M., Bowden, K., Stockler-Ipsiroglu, S., & van Karnebeek, C. D. (2014). Treatable inborn errors of metabolism presenting as cerebral palsy mimics: systematic literature review. Orphanet journal of rare diseases, 9, 197. https://doi.org/10.1186/s13023-014-0197-2
  • Minocha, P., Sitaraman, S., & Sachdeva, P. (2017). Clinical spectrum, comorbidities, and risk factor profile of cerebral palsy children: a prospective study. Journal of pediatric neurosciences, 12(1), 15–18. https://doi.org/10.4103/1817-1745.205622
  • Novak, I., Hines, M., Goldsmith S., et al. (2012). Clinical prognostic messages from a systematic review on cerebral palsy. Pediatrics, 130(5), 1285-1312.
  • Pakula, A. T., Van Naarden Braun, K., & Yeargin-Allsopp, M. (2009). Cerebral palsy: classification and epidemiology. Physical medicine and rehabilitation clinics of North America, 20(3), 425–452. https://doi.org/10.1016/j.pmr.2009.06.001
  • Papavasiliou, A.S. (2009). Management of motor problems in cerebral palsy: a critical update for the clinician. European journal of paediatric neurology: EJPN: official journal of the European Paediatric Neurology Society, 13(5), 387–396. https://doi.org/10.1016/j.ejpn.2008.07.009
  • Patel, D. R., Neelakantan, M., Pandher, K., & Merrick, J. (2020). Cerebral palsy in children: a clinical overview. Translational pediatrics, 9(Suppl 1), S125–S135. https://doi.org/10.21037/tp.2020.01.01
  • Pearson, T. S., Pons, R., Ghaoui, R., & Sue, C. M. (2019). Genetic mimics of cerebral palsy. Movement disorder: official journal of the Movement Disorder Society, 34(5), 625–636. https://doi.org/10.1002/mds.27655
  • Sanger, T. D., Delgado, M. R., Gaebler-Spira, D., Hallett, M., Mink, J. W., & Task Force on Childhood Motor Disorders (2003). Classification and definition of disorders causing hypertonia in childhood. Pediatrics, 111(1), 89–97. https://doi.org/10.1542/peds.111.1.e89
  • Serdaroğlu, A., Cansu, A., Ozkan, S., & Tezcan, S. (2006). Prevalence of cerebral palsy in Turkish children be-tween the ages of 2 and 16 years. Developmental medicine and child neurology, 48(6), 413–416. https://doi.org/10.1017/S0012162206000910
  • Sigurdardóttir, S., Thórkelsson, T., Halldórsdóttir, M., Thorarensen, O., & Vik, T. (2009). Trends in prevalence and characteristics of cerebral palsy among Icelandic children born 1990 to 2003. Developmental medicine and child neurology, 51(5), 356–363. https://doi.org/10.1111/j.1469-8749.2009.03303.x
  • Sucuoglu H. (2018). Demographic and Clinical Characteristics of Patients with Cerebral Palsy. Istanbul Medical Journal, 19, 219-224.
  • Sultanoglu, E.T., Ünlü Akyüz, E., Çevikol, A., & Sultanoglu, H. (2019). Demographic and clinical characteristics of cerebral palsy patients. Ege Journal of Medicine, 58 (3), 265-273.doi: 10.19161/etd.608467
  • Surveillance of Cerebral Palsy in Europe (2000). Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Surveillance of Cerebral Palsy in Europe (SCPE). Developmental medicine and child neurology, 42(12), 816–824. https://doi.org/10.1017/s0012162200001511
  • Taylor, F. (2001). National Institute of Neurological Disorders and Stroke (USA); Office of Science and Health Reports. Cerebral palsy: hope through research. Bethesda: MD Institute.
  • The Definition and Classification of Cerebral Palsy. (2007). Developmental medicine and child neurology, 49(109), 1–44. https://doi.org/10.1111/j.1469-8749.2007.00001.x
  • Van Naarden Braun, K., Doernberg, N., Schieve, L., Christensen, D., Goodman, A., & Yeargin-Allsopp, M. (2016). Birth prevalence of cerebral palsy: a popula-tion-based study. Pediatrics, 137(1), 1–9. https://doi.org/10.1542/peds.2015-2872
  • Yalcinkaya, E.Y., Huner, B., Dincer, U., et al. (2014). Demographic and clinical findings of cerebral study. Turkish Journal of Physical Medicine and Rehabilitation, 60, 134-138.

Serebral Palsi Hastasına Cerrahların Genel Yaklaşımı ile Güncel Literatürün Karşılaştırılması

Year 2022, Volume: 11 Issue: 1, 18 - 25, 28.02.2022
https://doi.org/10.53424/balikesirsbd.998737

Abstract

Amaç: Bu çalışmanın amacı ülkemizde Ortopedi ve Travmatoloji alanındaki hekimlerin serebral palsili (SP) hastalara yaklaşımları konusunda bir anket araştırması yapmak ve çıkan verileri güncel literatur eşliğinde tartışmaktır. Gereç ve Yöntem: Ortopedi ve travmatoloji alanında uzman hekimlerin serebral palsili hastalar ile ilgili yaklaşımlarının belirlenmesi amacıyla 20 soruluk bir anket oluşturuldu. Bulgular: Çalışmamıza SP hastaları üzerinde klinik uygulamalar yapan 115 tane ortopedi ve travmatoloji alanında asistan, uzman, doktor öğretim üyesi, doçent doktor, profesör doktor katılmış olup; 47 (%40.9) katılımcı asistan doktor, 43 (%37.4) katılımcı uzman hekim, 11 (%9.6) katılımcı doktor öğretim üyesi, 11 (%9.6) katılımcı doçent doktor ve 3 (%2.6) katılımcı profesör doktor idi. Çalışmada katılımcılar, poliklinik koşullarında SP tanısı konulan hastaların en fazla 1-2 yaş grubunda (n=47, %40.9) idi. 1-2 yaş grubunda saptanan SP’li olgular; en sık fizik tedavi ve rehabilitasyon bölümüne yönlendirilirken, 3-12 yaş grubunda saptanan SP’li hastaların en sık çocuk nöroloji bölümüne yönlendirildikleri belirtilmiştir. Sonuç: Bu çalışmada poliklinik koşullarında ortopedi hekimlerinin SP hastalığı ile ilgili klinik bilgi, becerileri ve tutumları irde-lenmekle birlikte bu konuda belirli bir tedavi şeması oluşturulmasına katkı yapılmak istenmiştir.

References

  • Albright A.L., & Andrews, M. (2010). Development of the hypertonia assessment tool (HAT). Developmental medicine and child neurology, 52(5), 411–412. https://doi.org/10.1111/j.1469-8749.2009.03477.x
  • Andersen, G. L., Romundstad, P., De La Cruz, J., Himmelmann, K., Sellier, E., Cans, C., Kurinczuk, J. J., & Vik, T. (2011). Cerebral palsy among children born moderately preterm or at moderately low birthweight between 1980 and 1998: a European register based study. Developmental medicine and child neurology, 53(10), 913–919. https://doi.org/10.1111/j.1469-8749.2011.04079.x
  • Bax, M., Goldstein, M., Rosenbaum, P., Leviton, A., Paneth, N., Dan, B., Jacobsson, B., & Damiano, D. (2005). Executive committee for the definition of cerebral palsy. Proposed definition and classification of cerebral palsy, April 2005. Developmental medicine and child neurology, 47(8), 571–576. https://doi.org/10.1017/s001216220500112x
  • Bovid, K.M., & Patel, D.R., (2010) Orthopaedic considerations. In: Rubin IL, Merrick J, Greydanus D.E., et al. editors. Healthcare for people with intellectual and developmental disabilities across the lifespan. Cham: Springer International Publishing, 2016:1107-22.
  • Boyle, C. A., Yeargin-Allsopp, M., Doernberg, N. S., Holmgreen, P., Murphy, C. C., & Schendel, D. E. (1996). Prevalence of selected developmental disabilities in children 3-10 years of age: the Metropolitan Atlanta Developmental Disabilities Surveillance Program, 1991. MMWR. CDC surveillance summaries: Morbidity and mortality weekly report. CDC surveillance summaries, 45(2), 1–14.
  • Cagliyan, T. A., & Ozel, S. (2018). Demographic and clinical features of patients with cerebral palsy that we fallowed. Journal of Physical Medicine &; Rehabilitation Sciences, 21(2), 71–7.
  • Christine, C., Dolk, H., Platt, M. J., Colver, A., Prasauskiene, A., Krägeloh-Mann, I., & SCPE Collaborative Group (2007). Recommendations from the SCPE collaborative group for defining and classify-ing cerebral palsy. Developmental medicine and child neurology. Supplement, 109, 35–38. https://doi.org/10.1111/j.1469-8749.2007.tb12626.x
  • El, O., Peker. O., Bozan, O., Berk, H., & Kosay, C. (2007). General characteristics of cerebral palsy. Journal of Dokuz Eylul University Medical School, 21, 75-80.
  • Eriman, E.Ö., Icagasioglu, A., Demirhan E., Kolukisa, S., Aras H., & Haliloğlu S. (2009). Demographic data and clinical characteristics of 202 cerebral palsy cases. Turkish Journal of Physical Medicine and Rehabilitation, 55, 94.
  • Galli, M., Cimolin, V., Rigoldi, C., & Albertini, G. (2016). Quantitative evaluation of the effects of ankle foot orthosis on gait in children with cerebral palsy using the gait profile score and gait variable scores. Journal of Developmental and Physical Disabilities, 28, 367–379 1-13. https://doi.org/10.1007/s10882-016-9472-6
  • Gulati, S., & Sondhi, V. (2018). Cerebral palsy: an overview. Indian journal of pediatrics, 85(11), 1006–1016. https://doi.org/10.1007/s12098-017-2475-1
  • Hakami, W. S., Hundallah, K. J., & Tabarki, B. M. (2019). Metabolic and genetic disorders mimicking cerebral palsy. Neurosciences (Riyadh, Saudi Arabia), 24(3), 155–163. https://doi.org/10.17712/nsj.2019.3.20190045
  • Heinen, F., Desloovere, K., Schroeder, et al. (2010). The updated European Consensus 2009 on the use of botulinum toxin for children with cerebral palsy. European journal of paediatric neurology: EJPN: official journal of the European Paediatric Neurology Society, 14(1), 45–66.
  • Hemming, K., Colver, A., Hutton, J. L., Kurinczuk, J. J., & Pharoah, P. O. (2008). The influence of gestational age on severity of impairment in spastic cerebral palsy. The Journal of pediatrics, 153(2), 203–208.e2084. https://doi.org/10.1016/j.jpeds.2008.02.041
  • Horstmann, H.M., & Beck, E.E. (2007). Orthopaedic management in cerebral palsy. 2nd ed. London: Mac Keith Press, 1-46, 120-211
  • Hubermann, L., Boychuck, Z., Shevell, M., & Majnemer, A. (2016). Age at referral of children for initial diagnosis of cerebral palsy and rehabilitation: current practices. Journal of child neurology, 31(3), 364–369. https://doi.org/10.1177/0883073815596610
  • Hüner, B., Özgüzel, M.H.,Telli, H., & Sarı, G. (2011). Demographic and clinical characteristics of cerebral palsy patients who applied to our outpatient clinic. The medical journal of Okmeydanı Training and Research Hospital, 27, 28-3.
  • Leach, E. L., Shevell, M., Bowden, K., Stockler-Ipsiroglu, S., & van Karnebeek, C. D. (2014). Treatable inborn errors of metabolism presenting as cerebral palsy mimics: systematic literature review. Orphanet journal of rare diseases, 9, 197. https://doi.org/10.1186/s13023-014-0197-2
  • Minocha, P., Sitaraman, S., & Sachdeva, P. (2017). Clinical spectrum, comorbidities, and risk factor profile of cerebral palsy children: a prospective study. Journal of pediatric neurosciences, 12(1), 15–18. https://doi.org/10.4103/1817-1745.205622
  • Novak, I., Hines, M., Goldsmith S., et al. (2012). Clinical prognostic messages from a systematic review on cerebral palsy. Pediatrics, 130(5), 1285-1312.
  • Pakula, A. T., Van Naarden Braun, K., & Yeargin-Allsopp, M. (2009). Cerebral palsy: classification and epidemiology. Physical medicine and rehabilitation clinics of North America, 20(3), 425–452. https://doi.org/10.1016/j.pmr.2009.06.001
  • Papavasiliou, A.S. (2009). Management of motor problems in cerebral palsy: a critical update for the clinician. European journal of paediatric neurology: EJPN: official journal of the European Paediatric Neurology Society, 13(5), 387–396. https://doi.org/10.1016/j.ejpn.2008.07.009
  • Patel, D. R., Neelakantan, M., Pandher, K., & Merrick, J. (2020). Cerebral palsy in children: a clinical overview. Translational pediatrics, 9(Suppl 1), S125–S135. https://doi.org/10.21037/tp.2020.01.01
  • Pearson, T. S., Pons, R., Ghaoui, R., & Sue, C. M. (2019). Genetic mimics of cerebral palsy. Movement disorder: official journal of the Movement Disorder Society, 34(5), 625–636. https://doi.org/10.1002/mds.27655
  • Sanger, T. D., Delgado, M. R., Gaebler-Spira, D., Hallett, M., Mink, J. W., & Task Force on Childhood Motor Disorders (2003). Classification and definition of disorders causing hypertonia in childhood. Pediatrics, 111(1), 89–97. https://doi.org/10.1542/peds.111.1.e89
  • Serdaroğlu, A., Cansu, A., Ozkan, S., & Tezcan, S. (2006). Prevalence of cerebral palsy in Turkish children be-tween the ages of 2 and 16 years. Developmental medicine and child neurology, 48(6), 413–416. https://doi.org/10.1017/S0012162206000910
  • Sigurdardóttir, S., Thórkelsson, T., Halldórsdóttir, M., Thorarensen, O., & Vik, T. (2009). Trends in prevalence and characteristics of cerebral palsy among Icelandic children born 1990 to 2003. Developmental medicine and child neurology, 51(5), 356–363. https://doi.org/10.1111/j.1469-8749.2009.03303.x
  • Sucuoglu H. (2018). Demographic and Clinical Characteristics of Patients with Cerebral Palsy. Istanbul Medical Journal, 19, 219-224.
  • Sultanoglu, E.T., Ünlü Akyüz, E., Çevikol, A., & Sultanoglu, H. (2019). Demographic and clinical characteristics of cerebral palsy patients. Ege Journal of Medicine, 58 (3), 265-273.doi: 10.19161/etd.608467
  • Surveillance of Cerebral Palsy in Europe (2000). Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Surveillance of Cerebral Palsy in Europe (SCPE). Developmental medicine and child neurology, 42(12), 816–824. https://doi.org/10.1017/s0012162200001511
  • Taylor, F. (2001). National Institute of Neurological Disorders and Stroke (USA); Office of Science and Health Reports. Cerebral palsy: hope through research. Bethesda: MD Institute.
  • The Definition and Classification of Cerebral Palsy. (2007). Developmental medicine and child neurology, 49(109), 1–44. https://doi.org/10.1111/j.1469-8749.2007.00001.x
  • Van Naarden Braun, K., Doernberg, N., Schieve, L., Christensen, D., Goodman, A., & Yeargin-Allsopp, M. (2016). Birth prevalence of cerebral palsy: a popula-tion-based study. Pediatrics, 137(1), 1–9. https://doi.org/10.1542/peds.2015-2872
  • Yalcinkaya, E.Y., Huner, B., Dincer, U., et al. (2014). Demographic and clinical findings of cerebral study. Turkish Journal of Physical Medicine and Rehabilitation, 60, 134-138.
There are 34 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Hilal Aydın 0000-0002-2448-1270

Ali Engin Ulusal 0000-0002-2365-8820

Publication Date February 28, 2022
Submission Date September 21, 2021
Published in Issue Year 2022 Volume: 11 Issue: 1

Cite

APA Aydın, H., & Ulusal, A. E. (2022). A Comparison of the General Approach of Surgeons toward Cerebral Palsy Patients and the Current Literature. Balıkesir Sağlık Bilimleri Dergisi, 11(1), 18-25. https://doi.org/10.53424/balikesirsbd.998737

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