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Skoutelis VC, Kanellopoulos AD, Vrettos S, Dimitriadis Z, Dinopoulos A, Papagelopoulos PJ, Kontogeorgakos VA. Improving health-related quality of life in middle-age children with cerebral palsy following selective percutaneous myofascial lengthening and functional physiotherapy. Rev Esp Cir Ortop Traumatol (Engl Ed) 2024; 68:57-63. [PMID: 37689354 DOI: 10.1016/j.recot.2023.08.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2023] [Revised: 08/06/2023] [Accepted: 08/16/2023] [Indexed: 09/11/2023] Open
Abstract
INTRODUCTION AND OBJECTIVES Children with cerebral palsy (CP) experience decreased health-related quality of life (HRQOL). This study aimed to assess the HRQOL of children with CP before versus after a combined program of minimally invasive selective percutaneous myofascial lengthening (SPML) and functional physiotherapy. MATERIAL AND METHODS A single-group pre-posttest design was used. Twenty-six middle childhood children with spastic CP, aged 5-7 years, with Gross Motor Function Classification System levels II-IV underwent SPML surgery and 9 months of postoperative functional strength training therapy. The proxy version of the DISABKIDS-Smiley questionnaire was completed by one parent of each child. Dependent t-tests were used to compare mean pre- and post-measurement scores. RESULTS After the 9-month intervention, the children with CP had significantly higher quality of life scores (mean difference, 11.06±9.05; 95% confidence interval [CI], 7.40-14.71; p<0.001). CONCLUSIONS This study demonstrated that children with CP had better HRQOL after a combined program of minimally invasive SPML surgery and functional physiotherapy (ACTRN12618001535268).
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Affiliation(s)
- V C Skoutelis
- Medical School, National and Kapodistrian University of Athens, Athens, Attica, Greece; Department of Physiotherapy, Laboratory of Neuromuscular and Cardiovascular Study of Motion, School of Health and Caring Sciences, University of West Attica, Egaleo, Attica, Greece; Department of Physiotherapy, ATTIKON University General Hospital, Chaidari, Attica, Greece.
| | - A D Kanellopoulos
- Department of Orthopaedics, IASO Children's Hospital, Maroussi, Attica, Greece
| | - S Vrettos
- ENA Pediatric Physiotherapy Centre, Chalandri, Attica, Greece
| | - Z Dimitriadis
- Department of Physiotherapy, Health and Quality of Life Research Laboratory, School of Health Sciences, University of Thessaly, Lamia, Greece
| | - A Dinopoulos
- Medical School, National and Kapodistrian University of Athens, Athens, Attica, Greece; Third Department of Paediatrics, ATTIKON University General Hospital, Chaidari, Attica, Greece
| | - P J Papagelopoulos
- Medical School, National and Kapodistrian University of Athens, Athens, Attica, Greece; First Department of Orthopaedic Surgery, ATTIKON University General Hospital, Chaidari, Attica, Greece
| | - V A Kontogeorgakos
- Medical School, National and Kapodistrian University of Athens, Athens, Attica, Greece; First Department of Orthopaedic Surgery, ATTIKON University General Hospital, Chaidari, Attica, Greece
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Skoutelis VC, Kanellopoulos AD, Vrettos S, Dimitriadis Z, Dinopoulos A, Papagelopoulos PJ, Kontogeorgakos VA. Improving health-related quality of life in middle-age children with cerebral palsy following selective percutaneous myofascial lengthening and functional physiotherapy. Rev Esp Cir Ortop Traumatol (Engl Ed) 2024; 68:T57-T63. [PMID: 37995817 DOI: 10.1016/j.recot.2023.11.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2023] [Accepted: 08/16/2023] [Indexed: 11/25/2023] Open
Abstract
INTRODUCTION AND OBJECTIVES Children with cerebral palsy (CP) experience decreased health-related quality of life (HRQOL). This study aimed to assess the HRQOL of children with CP before versus after a combined program of minimally invasive selective percutaneous myofascial lengthening (SPML) and functional physiotherapy. MATERIAL AND METHODS A single-group pre-posttest design was used. Twenty-six middle childhood children with spastic CP, aged 5-7 years, with Gross Motor Function Classification System levels II-IV underwent SPML surgery and 9 months of postoperative functional strength training therapy. The proxy version of the DISABKIDS-Smiley questionnaire was completed by one parent of each child. Dependent t-tests were used to compare mean pre- and post-measurement scores. RESULTS After the 9-month intervention, the children with CP had significantly higher quality of life scores (mean difference, 11.06 ± 9.05; 95% confidence interval [CI], 7.40-14.71; p < 0.001). CONCLUSIONS This study demonstrated that children with CP had better HRQOL after a combined program of minimally invasive SPML surgery and functional physiotherapy (ACTRN12618001535268).
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Affiliation(s)
- V C Skoutelis
- Facultad de Medicina, Universidad Nacional y Kapodistríaca de Atenas, Atenas, Grecia; Departamento de Fisioterapia, Laboratorio de Estudio Neuromuscular y Cardiovascular del Movimiento, Facultad de Ciencias de la Salud y el Cuidado, Universidad de West Attica, Egaleo, Grecia; Departamento de Fisioterapia, Hospital General Universitario Attikon, Chaidari, Grecia.
| | | | - S Vrettos
- Centro de Fisioterapia Pediátrica ENA, Chalandri, Grecia
| | - Z Dimitriadis
- Departamento de Fisioterapia, Laboratorio de Investigación sobre Salud y Calidad de Vida, Facultad de Ciencias de la Salud, Universidad de Tesalia, Lamia, Grecia
| | - A Dinopoulos
- Facultad de Medicina, Universidad Nacional y Kapodistríaca de Atenas, Atenas, Grecia; Tercer Departamento de Pediatría, Hospital General Universitario Attikon, Chaidari, Greece
| | - P J Papagelopoulos
- Facultad de Medicina, Universidad Nacional y Kapodistríaca de Atenas, Atenas, Grecia; Primer Departamento de Cirugía Ortopédica, Hospital General Universitario Attikon, Chaidari, Grecia
| | - V A Kontogeorgakos
- Facultad de Medicina, Universidad Nacional y Kapodistríaca de Atenas, Atenas, Grecia; Primer Departamento de Cirugía Ortopédica, Hospital General Universitario Attikon, Chaidari, Grecia
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Redondo-Tebar A, Ruiz-Hermosa A, Martinez-Vizcaino V, Bermejo-Cantarero A, Cavero-Redondo I, Martín-Espinosa NM, Sanchez-Lopez M. Effectiveness of MOVI-KIDS programme on health-related quality of life in children: Cluster-randomized controlled trial. Scand J Med Sci Sports 2022; 33:660-669. [PMID: 36564974 DOI: 10.1111/sms.14291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Revised: 12/07/2022] [Accepted: 12/12/2022] [Indexed: 12/25/2022]
Abstract
OBJECTIVE To test the effectiveness of an 8-month school-based multicomponent intervention (MOVI-KIDS) in improving health-related quality of life (HRQoL) in schoolchildren. STUDY DESIGN A randomized cluster trial was conducted including 1168 children aged 4-6 years who attended 21 schools in two Spanish provinces (Cuenca and Ciudad Real). MOVI-KIDS study is a multicomponent physical activity intervention, which consisted of (i) 3 × 60-min sessions/week, (ii) educational materials for parents and teachers, and (iii) school playground modifications. The parent's proxy report of the KINDL-R Spanish version (6 subdimensions and a total score), and the KINDL-R self-reported by children (total score) was used to measure HRQoL. Mixed linear regression models were conducted to test differences in each HRQoL dimension between intervention and control groups, controlling for baseline values, cardiorespiratory fitness, and socioeconomic status, by gender. RESULTS The boys in the intervention group presented better scores on total HRQoL than the control group in both the parent (ß = 1.46; 95% CI: 0.23-2.70) and self-reported (ß = 2.13; 95% CI: 0.53-3.74) versions, as well as on the emotional well-being dimension (ß = 2.43; 95% CI: 0.48-4.36). There was no significant effect of the intervention on physical well-being, self-esteem, family, and friends. In girls, no statistically significant differences were found between those who participated in MOVI-KIDS and those who did not. CONCLUSION Our data support gender differences in the effect of MOVI-KIDS, such that while in boys the intervention was successful in increasing total scores of HRQoL, as well as emotional well-being scores, the intervention was not effective in improving girls' HRQoL.
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Affiliation(s)
- Andres Redondo-Tebar
- Universidad de Granada, PROFITH "PROmoting FITness and Health through Physical Activity" Research Group, Sport and Health University Research Institute (iMUDS), Granada, Spain.,Universidad de Castilla-La Mancha, Social and Health Research Center, Cuenca, Spain
| | - Abel Ruiz-Hermosa
- Universidad de Castilla-La Mancha, Social and Health Research Center, Cuenca, Spain.,Universidad de Extremadura, ACAFYDE research group, Cáceres, Spain
| | - Vicente Martinez-Vizcaino
- Universidad de Castilla-La Mancha, Social and Health Research Center, Cuenca, Spain.,Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca, Chile
| | - Alberto Bermejo-Cantarero
- Universidad de Castilla-La Mancha, Social and Health Research Center, Cuenca, Spain.,Facultad de Enfermería, Universidad de Castilla-La Mancha, Ciudad Real, Spain
| | - Iván Cavero-Redondo
- Universidad de Castilla-La Mancha, Social and Health Research Center, Cuenca, Spain.,Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca, Chile.,Facultad de Enfermería, Universidad de Castilla-La Mancha, Cuenca, Spain
| | | | - Mairena Sanchez-Lopez
- Universidad de Castilla-La Mancha, Social and Health Research Center, Cuenca, Spain.,Facultad de Educación, Universidad de Castilla-La Mancha, Ciudad Real, Spain
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Nikitina IL, Kelmanson IA. Health-related quality of life in 4-to-6-year-old children with type 1 diabetes mellitus estimated by children and their mothers. Eur J Pediatr 2022; 181:549-560. [PMID: 34424400 PMCID: PMC8380516 DOI: 10.1007/s00431-021-04239-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 07/29/2021] [Accepted: 08/10/2021] [Indexed: 02/07/2023]
Abstract
Administration of pediatric Health Related Quality of Life (HRQoL) inventories frequently assesses both the child and parent perspectives in young children with type 1 diabetes mellitus (T1DM), but parent-proxy and child self-reports may differ, and little is known on these discrepancies. The aim is to evaluate HRQoL estimated by young children with T1DM and by their mothers, potential discrepancies in the children-maternal estimates and the factors influencing these discrepancies. Thirty-five 4-to-6-year-old children (19 boys) with T1DM admitted to the Pediatric Endocrinology Department were approached with the self-report KINDL questionnaire for children aged 4-6 years (Kiddy-KINDL for children). Their mothers were approached with the parental version (Kiddy-KINDL for parents). Both versions enable measuring child HRQoL in physical, emotional wellbeing, self-esteem, family, friends, everyday functioning, and the disease dimensions, as well as KINDL total on a 0-100 scale. Statistically significant differences were found between children's and maternal estimates on the KINDL total and "Disease" scales, in that the maternal proxy-reports produced lower values. A statistically significant difference between self- and proxy-reports was found for the KINDL "Emotional wellbeing" scale values, and the maternal proxy-reports yielded higher estimates compared with children's self-reports. These associations remained significant after adjustment for major potential confounders. Maternal education, maternal marital status, insulin regimen, and achievement of glycemic control modified the effect of child-maternal discrepancies.Conclusion: Attempts should be made to improve parental understanding of child problems related to his/her disease with due account to individual family social and demographic characteristics. What is Known: • HRQoL in children with T1DM has been advocated as an important complementary outcome to clinical and laboratory markers. • Self-and parental proxy-reports on HRQoL may differ, but little is known on these discrepancies and on the factors influencing them in young children with T1DM. What is New: • Mothers tend to underestimate general and disease-related components of HRQoL but likely to overestimate psychological wellbeing of their ill young children with T1DM. • Maternal education, marital status, insulin regimen, and achievement of glycemic control modify estimations of HRQoL and child-maternal discrepancies.
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Affiliation(s)
- Irina L. Nikitina
- Department of Children’s Diseases, Institute for Medical Education of the V.A.Almazov National Medical Research Centre, Akkuratova Str., 2, 197341 St. Petersburg, Russia
| | - Igor A. Kelmanson
- Department of Children’s Diseases, Institute for Medical Education of the V.A.Almazov National Medical Research Centre, Akkuratova Str., 2, 197341 St. Petersburg, Russia
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Alamolhoda M, Farjami M, Bagheri Z, Ghanizadeh A, Jafari P. Assessing whether child and parent reports of the KINDL questionnaire measure the same constructs of quality of life in children with attention-deficit hyperactivity disorder. Health Qual Life Outcomes 2021; 19:19. [PMID: 33446186 PMCID: PMC7809741 DOI: 10.1186/s12955-020-01649-w] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2019] [Accepted: 12/14/2020] [Indexed: 12/03/2022] Open
Abstract
Background Discrepancy between child self-report and parent proxy-report has long been documented in the health-related quality of life (HRQoL) measurement of children with chronic health conditions. This study aims to assess whether child and parent reports of the Kinder Lebensqualität fragebogen (KINDL) questionnaire measure the same construct of HRQoL in children with attention-deficit hyperactivity disorders (ADHD). Methods Participants were 122 Iranian children with ADHD and 127 of their parents, who completed the child and parent reports of the KINDL, respectively. Internal consistency of the child and parent reports were assessed by Cronbach's alpha. The intra-class correlation (ICC) coefficient and factor analysis were applied to assess whether the child self-report and the parent proxy-report measured the same construct of HRQoL. Additionally, convergent and discriminant validity were assessed using the Spearman correlation. Results The results of factor analysis revealed that the child self-report and parent proxy-report measure two different aspects of HRQoL. Moreover, both versions of the KINDL instrument showed excellent convergent and discriminant validity. The internal consistency was close to or greater than 0.7 for all domains of both child and parent reports. Conclusions Although the child self-report and the parent proxy-report of the Persian version of the KINDL have good psychometric properties, they are not interchangeable. This finding indicates that Iranian children with ADHD and their parents evaluate children's HRQoL from their own viewpoints.
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Affiliation(s)
- Marzieh Alamolhoda
- Department of Biostatistics, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Farjami
- Department of Biostatistics, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Bagheri
- Department of Biostatistics, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Ahmad Ghanizadeh
- Research Center for Psychiatry and Behavioral Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Peyman Jafari
- Department of Biostatistics, Shiraz University of Medical Sciences, Shiraz, Iran.
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Quality of life in early age Spanish children treated for cleft lip and/or palate: a case-control study approach. Clin Oral Investig 2020; 25:477-485. [PMID: 32556577 DOI: 10.1007/s00784-020-03394-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2020] [Accepted: 06/04/2020] [Indexed: 12/14/2022]
Abstract
OBJECTIVE The objectives of this study were to evaluate health-related quality of life (HRQoL) in 4-7-year-old children treated for cleft lip and/or palate (CL/P) compared to healthy controls and to estimate a possible association with cleft type, gender, age, and surgical re-interventions. MATERIALS AND METHODS A total of 171 children with CL/P (mean age 5.7 years) and 186 healthy controls (mean age 5.5 years) were included in the study. Sixty-four (37.4%) children experienced both cleft lip and palate, 56 (32.8%) cleft lip only, and 51 (29.8%) cleft palate only. HRQoL in children was assessed by Kiddy-KINDL and COHIP-14 questionnaires and in parents by KINDL-p. Total score and dimensions of each questionnaire were compared between cleft children, their parents, and controls. RESULTS The total scores and dimension scores of Kiddy-KINDL showed similar values between CL/P and control groups, except for "self-esteem" dimension (p = 0.036). The comparison of Kiddy-KINDL and KINDL-p showed a statistically significant total score (82.11 vs. 80.44, p = 0.047). The CL/P group presented significantly worse values with respect to controls in total score of COHIP-14 (10.53 vs 5.01, p < 0.001) and in all its dimensions. CONCLUSIONS Children treated for CL/P had a negative impact on HRQoL at early age compared to controls. Significant differences were found in the psychological and functional dimensions related to lip and palatal affectation, respectively. Parents reported significantly worse scores than their children. HRQoL measurement provided valuable complementary information to better inform to parents and make clinical decisions in children with CL/P at early age. CLINICAL RELEVANCE Our findings suggested that Spanish children between 4 and 7 years of age with a history of surgically treated CL/P experienced a poorer HRQoL when compared with their non-cleft peers.
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Rajmil L, Herdman M. Advances and challenges in the measurement of health related quality of life in the child and adolescent population. ANALES DE PEDIATRÍA (ENGLISH EDITION) 2019. [DOI: 10.1016/j.anpede.2019.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Rajmil L, Herdman M. [Advances and challenges in the measurement of health related quality of life in the child and adolescent population]. An Pediatr (Barc) 2019; 90:261-262. [PMID: 30765283 DOI: 10.1016/j.anpedi.2019.01.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Accepted: 01/14/2019] [Indexed: 11/16/2022] Open
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