Abstract
BackgroundThe recognition of required treatments for cerebral palsy (CP) patients, including orthopedic surgery, differs according to region. This study was performed to identify factors associated with satisfactory changes in physical function after orthopedic surgery.Methods358 patients were selected for the questionnaire survey. The following information was collected: gender, primary disease, age of initial surgery, total procedural count, operated sites, satisfaction of postoperative rehabilitation frequency, ideal amount of postoperative rehabilitation sessions per week, frequency of voluntary home training per week, satisfaction of the timing of surgery and the current satisfaction with the changes in physical function after the orthopedic surgery. We classified the patients into the satisfied and dissatisfied group according to satisfactory changes in physical function after the surgery. We performed unpaired t-tests and chi-square tests to determine the variables that differed significantly between the groups. Variables with a p value of <0.2 were included in the multivariate logistic regression analysis.ResultsThe logistic model was revised and summed up to two potential predictors of postsurgical satisfaction with physical function: satisfaction with the frequency of postoperative rehabilitation sessions and the orthopedic surgery of the hip (distinction hit ratio, 75.4%).ConclusionsThis study demonstrated that the frequency of postoperative rehabilitation and history of hip surgery seemed to be related to the satisfaction with the changes in physical function after orthopedic surgery.
Highlights
We classified the patients into the satisfied and dissatisfied group according to satisfactory changes in physical function after the surgery
This study demonstrated that the frequency of postoperative rehabilitation and history of hip surgery seemed to be related to the satisfaction with the changes in physical function after orthopedic surgery
The orthopedic surgery for cerebral palsy (CP) has progressed over the years, conducted with various techniques to lower the rate of patient morbidity [1,2,3,4]
Summary
The orthopedic surgery for cerebral palsy (CP) has progressed over the years, conducted with various techniques to lower the rate of patient morbidity [1,2,3,4]. Families of CP patients whom underwent orthopedic surgery experienced lack of given information and effective interconnection between related facilities. The recognition of required medical treatment for CP patients, including orthopedic surgery, differs according to region in Japan. These multiple recognition differences can influence orthopedic surgeries, which sometimes lead to unfavorable surgery outcomes and differences in regional protocols. There is a severe lack of interconnection between the hospitals and facilities regarding postoperative rehabilitation in Japan. This comes as a huge disadvantage for patients receiving treatments. The recognition of required treatments for cerebral palsy (CP) patients, including orthopedic surgery, differs according to region. This study was performed to identify factors associated with satisfactory changes in physical function after orthopedic surgery
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