Temporal dynamics of quality of life and functional recovery In paediatric supracondylar humerus fractures: a prospective study

Taib, Mai Nurul Ashikin and Kamalanathan, Colin Komahen and Sharifudin, Mohd Ariff and A. Rahman, Laila Maisarah and Abu Bakar, Mohamad Zakwan Helmi and Awang, Mohd Shukrimi (2024) Temporal dynamics of quality of life and functional recovery In paediatric supracondylar humerus fractures: a prospective study. Malaysian Journal of Medicine and Health Sciences, 20 (Supp10). pp. 157-168. ISSN 16758544 E-ISSN 2636-9346

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Abstract

Introduction: The trajectory of recovery following paediatric supracondylar humerus fractures (SCHF) remains uncertain, necessitating a comprehensive assessment of the quality of life (QOL) and functional status over time. Understanding the temporal dynamics of QOL and functional recovery is essential for optimizing rehabilitation strategies and support systems for affected children. This prospective study aims to investigate the temporal dynamics of QOL and functional recovery to optimize rehabilitation strategies. Methods: Forty children aged 6-12 years with SCHF were enrolled. Demographic data, including parental occupation, education levels, and household income, were collected. QOL was measured using the PedsQL 4.0™ Generic Core Scales, while functional outcomes were assessed using the Mayo Elbow Performance Index (MEPI) at 6-, 12-, and 24-week intervals post-injury. Results: QOL improved rapidly post-injury, correlating with functional outcomes. A significant recovery window occurred between 6 and 12 weeks, with marginal improvements thereafter. Children of average weight demonstrated better and quicker QOL recovery compared to overweight peers. Children with higher-educated parents experienced greater emotional struggles post-injury, while those from lower-income households exhibited better emotional coping mechanisms. MEPI results indicated significant improvements in functional recovery over the study period. Conclusion: Our study reveals a rapid recovery period between 6- and 12-weeks post-injury, with marginal improvements, thereafter, suggesting a potential recovery plateau. Identifying recovery plateaus and understanding the impact of various factors on outcomes will significantly influence resource allocation and family support systems in rehabilitation efforts.

Item Type:	Article (Journal)
Subjects:	R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User:	Assoc. Pro Mohd Shukrimi Awang
Date Deposited:	10 Jan 2025 10:38
Last Modified:	10 Jan 2025 10:38
URI:	http://irep.iium.edu.my/id/eprint/118095

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