Servicios Personalizados
Revista
Articulo
Indicadores
- Citado por SciELO
- Accesos
Links relacionados
- Citado por Google
- Similares en SciELO
- Similares en Google
Compartir
Revista de Salud Pública
versión impresa ISSN 0124-0064
Resumen
TURRIAGO, Camilo; ORTIZ-CORREDOR, Fernando; BAQUERO, Magda y ARBELAEZ-HUERTAS, Fernanda. Physician and family perception of the results of multiple orthopedic surgeries in children with cerebral palsy. Rev. salud pública [online]. 2017, vol.19, n.2, pp.177-181. ISSN 0124-0064. https://doi.org/10.15446/rsap.v19n2.35596.
Objective
To compare the perception of physicians and families regarding the results of multilevel orthopedic surgery of the lower limbs to improve gait in children with cerebral palsy.
Methods
An evaluation of medical records and pre- and postoperative videos of children attended in the walking laboratory was carried out. The outcome of the surgical treatment was evaluated by applying not only the physician rating scale, but also the Gillette functional assessment questionnaire (FAQ), as well as perception questionnaires to assess the relatives’ perspective.
Results
243 patients were evaluated. According to the functional evaluation questionnaire, 45 cases worsened, 103 improved and 95 remained stable (p<0.001). The physician rating scale showed that gait got worse in 13 cases, improved in 210 and was the same in 20. The overall perception of the treatment outcome was favorable among relatives. A weak but significant correlation between the change in the physician's average score and family satisfaction (r=0.15; p=0.016) was found, as well as between the physician's overall perception and the family's perception (r=1, 5; p=0.015).
Conclusions
The results of the surgical treatment were favorable for both the physician and the family. Although most cases retained functional status according to the gross motor function classification system (GMFCS), a significant proportion of patients improved according to the Gillette functional assessment questionnaire (FAQ).
Palabras clave : Cerebral palsy; gait; orthopedics; (source: MeSH, NLM)..