title: Factors Contributing to Satisfaction with Changes in Physical Function after Orthopedic Surgery for Musculoskeletal Dysfunction in Patients with Cerebral Palsy.
abstract: 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.
  
  
  
  358 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.
  
  
  
  The 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%).
  
  
  
  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.
authors.affiliation: Department of Physical Therapy, Faculty of Health Sciences, Tokyo University of Technology, Ota-ku, Tokyo, Japan.
authors.forename: Yasuaki
authors.initials: Y
authors.lastname: Kusumoto
authors.affiliation: Department of Physical Therapy, Faculty of Health Sciences, Tokyo Metropolitan University, Arakawa-ku, Tokyo, Japan.
authors.forename: Osamu
authors.initials: O
authors.lastname: Nitta
authors.affiliation: Department of Orthopedic, Minamitama Orthopedic Hospital, Machida, Tokyo, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Matsuo
authors.affiliation: Department of Rehabilitation, Minamitama Orthopedic Hospital, Machida, Tokyo, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Takaki
authors.affiliation: Department of Physical Therapy, Faculty of Health Sciences, Uekusa-Gakuen University, Chiba, Chiba, Japan.
authors.forename: Tadamitsu
authors.initials: T
authors.lastname: Matsuda
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002547:Cerebral Palsy / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D019637:Orthopedic Procedures; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult