Objective: We aim to study the prevalence and predictive factors for hip displacement, in order to justify a hip surveillance programme for children with cerebral palsy (CP) in Malaysia. Methods: Children aged 2 to18 years old with CP were recruited from September 2013 till June 2014. The hip joint migration percentage (MP) and acetabular index (AI) were measured on all hip radiographs. The CP subtype was determined and gross motor function was classified according to the gross motor function classification system (GMFCS). Results: Seventy-five children were recruited. Fifty-five percent of them had marked hip displacement with MP > 30% and 15% developed hip dislocation (MP=100%). Marked hip displacement occurred as early as age of 2 years and most hip dislocations were detected by age of 10 years. The risk of marked hip displacement was directly related to the GMFCS level, from none in GMFCS I to 75% in GMFCS V. There was a moderate positive correlation between the initial AI and initial MP. Conclusions: One in every two children with CP was at risk of hip displacement, with GMFCS level and initial AI as significant predictive factors. We recommend a hip surveillance programme for Malaysian children with CP, based on the child’s age and GMFCS level, with both MP and AI as indicators for hip surveillance.
Cerebral Palsy ; Hip Dislocation

PURPOSE: Interventions targeting multiple risk behaviors have the potential to offer greater health benefits on public health. The purpose of this study was to evaluate the effects of a Workplace Multiple Cardiovascular Disease Risks Reduction Program (WMCVDRRP) on male participants at high risk for cardiovascular disease. METHODS: One group pretest-posttest design was applied in this study. No control group was assigned as this study was the first one in Taiwan conducted to promote participants' health using WMCVDRRP and thus with the nature of a pilot study. The program design was based on the collaboration between the health clinic at the corporation and a nursing school targeting six health behaviors. Of the 465 individuals who participated, data from 283 participants were included in the analysis. The change in any of six health behaviors and eight physical indicators were tested as the effect of the WMCVDRRP. RESULTS: Nearly 40% of the participants improved their regular exercise, diet control, stress management, and medication adherence. Although the improvement in drinking behaviors did not show statistical significance, 21% of the participants changed in alcohol consumption and 21% quit smoking. Eight physical indicators including systolic and diastolic blood pressure, total cholesterol, triglyceride, body mass index, waist-hip ratio, body fat, and muscle weight improved significantly. CONCLUSION: Dual collaboration between the industry and nursing schools could establish a cost-effective program to improve health behaviors and health status of participants.
Adipose Tissue ; Alcohol Drinking ; Blood Pressure ; Body Mass Index ; Cardiovascular Diseases ; Cholesterol ; Cooperative Behavior ; Diet ; Drinking Behavior ; Health Behavior ; Health Promotion ; Humans ; Insurance Benefits ; Male ; Medication Adherence ; Muscles ; Pilot Projects ; Public Health ; Risk-Taking ; Schools, Nursing ; Smoke ; Smoking ; Taiwan ; Waist-Hip Ratio