Since there have been a couple of you (on both lists) who have expressed
interest in Hydro related to CP, or vice versa....
And, for those of you who have wondered whether your kid can play sports
(and those of us who have refrained from sports because of our shunts).
I got a question at work today from a Mom who was concerned about her
kid playing soccer, and my personal knowledge was too old to be much
comfort, so I did a search on PubMed and found this paper. The neat
thing is that one of the authors of the study was the surgeon who placed
Janet's Baclofen pump in March.
BTW, that's working really well for her, and she's getting pretty close
to what will be her "therapeutic dose" for awhile!
Kendall
45 year old trilobite, shunted at 6 months of age in 1961, left
hemiplegia, shunt free, through "the miracles of modern medicine" since
1978. Married to Janet for 9 wonderful years in July.
_Sports and pediatric cerebrospinal fluid shunts: who can play?_
Blount JP, Severson M, Atkins V, Tubbs RS, Smyth MD, Wellons JC, Grabb
PA, Oakes WJ.
Section of Pediatric Neurosurgery, Childrens Hospital of Alabama and the
University of Alabama at Birmingham, Birmingham, Alabama, USA.
[log in to unmask]
OBJECTIVE: The purpose of this study was to collect and review available
data on the incidence of sport-related complications in children with
cerebrospinal fluid (CSF) shunts. METHODS: After review of medical and
legal literature revealed no reports on sports and shunts, an
Internet-based survey was conducted of pediatric neurosurgeons. Observed
complications, recommendations for sport participation, and shunt volume
data were collected. RESULTS: Ninety-two providers (55% sample)
responded. Seventy-seven percent had never observed a sport-related
shunt complication in their practice. The remaining 23% witnessed an
estimated total of 25 to 30 complications. Broken shunt catheters and
shunt dysfunction were the most common complications observed. Only one
acute intracranial hematoma was reported in the entire series. The
incidence of sport-related CSF complications in children seems to be
significantly less than 1%. Ninety percent of pediatric neurosurgeons do
not restrict their patients' participation in noncontact sports. For
contact sports, approximately one-third of neurosurgeons preclude all
participation, whereas another third restrict specific sports. The final
third of neurosurgeons surveyed do not restrict participation in contact
sports for children with CSF shunts. CONCLUSION: Sport-related
complications in children with CSF shunts are very uncommon.
PMID: 15113475 [PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dop
t=Abstract&list_uids=15113475&query_hl=6&itool=pubmed_docsum
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