Oloruntobi Rotimi1, Gu-Yun Paul Jung2, Juling Ong3,4, N U Owase Jeelani3,4, David J Dunaway3,4, Greg James5,6. 1. Department of Surgery, Medway Maritime Hospital, Kent, UK. 2. UCL Medical School, University College London, London, UK. 3. Craniofacial Unit, Great Ormond Street Hospital, London, UK. 4. Great Ormond Street Institute of Child Health, University College London, 30 Guildford Street, London, WC1N 1EH, UK. 5. Craniofacial Unit, Great Ormond Street Hospital, London, UK. greg.james@ucl.ac.uk. 6. Great Ormond Street Institute of Child Health, University College London, 30 Guildford Street, London, WC1N 1EH, UK. greg.james@ucl.ac.uk.
Abstract
PURPOSE: Craniosynostosis correction involves major skull surgery in infancy-a potential source of worry for parents when their treated children begin involvement in sports. METHODS: Electronic multiple choice survey of parents of children who had undergone craniosynostosis surgery in infancy using 5-point Likert scales. RESULTS: Fifty-nine completed surveys were obtained from parents of children who had undergone previous craniosynostosis surgery. Mean age of children was 7.8 years (range 3 months to 22 years), with 36 non-syndromic and 23 syndromic cases. The most common surgery was fronto-orbital remodelling (18). Fifty-two of 59 were involved in athletic activity. The most intense sport type was non-contact in 23, light contact in 20, heavy contact in 4 and combat in 5. Participation level was school mandatory in 12, school club in 17, non-school sport club in 21 and regional representative in 2. One child had been advised to avoid sport by an external physician. Mean anxiety (1-5 Likert) increased with sport intensity: non-contact 1.7, light contact 2.2, heavy contact 3.5 and combat 3.6. Twenty-nine of 59 parents had been given specific advice by the Craniofacial Team regarding athletic activity, 28 of which found useful. Three sport-related head injuries were reported, none of which required hospitalisation. CONCLUSION: Little information exists regarding sports for children after craniosynostosis surgery. This study suggests that parental anxiety remains high, particularly for high impact/combat sports, and that parents would like more information from clinicians about the safety of post-operative sporting activities.
PURPOSE: Craniosynostosis correction involves major skull surgery in infancy-a potential source of worry for parents when their treated children begin involvement in sports. METHODS: Electronic multiple choice survey of parents of children who had undergone craniosynostosis surgery in infancy using 5-point Likert scales. RESULTS: Fifty-nine completed surveys were obtained from parents of children who had undergone previous craniosynostosis surgery. Mean age of children was 7.8 years (range 3 months to 22 years), with 36 non-syndromic and 23 syndromic cases. The most common surgery was fronto-orbital remodelling (18). Fifty-two of 59 were involved in athletic activity. The most intense sport type was non-contact in 23, light contact in 20, heavy contact in 4 and combat in 5. Participation level was school mandatory in 12, school club in 17, non-school sport club in 21 and regional representative in 2. One child had been advised to avoid sport by an external physician. Mean anxiety (1-5 Likert) increased with sport intensity: non-contact 1.7, light contact 2.2, heavy contact 3.5 and combat 3.6. Twenty-nine of 59 parents had been given specific advice by the Craniofacial Team regarding athletic activity, 28 of which found useful. Three sport-related head injuries were reported, none of which required hospitalisation. CONCLUSION: Little information exists regarding sports for children after craniosynostosis surgery. This study suggests that parental anxiety remains high, particularly for high impact/combat sports, and that parents would like more information from clinicians about the safety of post-operative sporting activities.
Entities:
Keywords:
Anxiety; Craniofacial surgery; Craniosynostosis; Quality of life; Sports
Authors: Jaims Lim; Angelia Davis; Alan R Tang; Chevis N Shannon; Christopher M Bonfield Journal: Childs Nerv Syst Date: 2018-08-29 Impact factor: 1.475
Authors: Sanne L Nijhof; Christiaan H Vinkers; Stefan M van Geelen; Sasja N Duijff; E J Marijke Achterberg; Janjaap van der Net; Remco C Veltkamp; Martha A Grootenhuis; Elise M van de Putte; Manon H J Hillegers; Anneke W van der Brug; Corette J Wierenga; Manon J N L Benders; Rutger C M E Engels; C Kors van der Ent; Louk J M J Vanderschuren; Heidi M B Lesscher Journal: Neurosci Biobehav Rev Date: 2018-09-29 Impact factor: 8.989