Patient advice regarding participation in sport in children with disorders of cerebrospinal fluid (CSF) circulation: a n
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ORIGINAL ARTICLE
Patient advice regarding participation in sport in children with disorders of cerebrospinal fluid (CSF) circulation: a national survey of British paediatric neurosurgeons M. Zaben 1,2 & S. Manivannan 1 & C. Petralia 1 & I. Bhatti 1 & C. Patel 1 & P. Leach 1 Received: 5 January 2020 / Accepted: 8 February 2020 # The Author(s) 2020
Abstract Background Management of children with disorders of cerebrospinal fluid (CSF) circulation is a common aspect of paediatric neurosurgical practice. Sport and physical activity play an integral role in the lives of patients in this age group. However, there is little evidence to support the dissemination of appropriate advice to children regarding such activities. The aim of this study was to evaluate the perspectives of clinicians across the UK regarding the participation of children with disorders of CSF circulation in sports. Methods Questionnaires were distributed to Consultant Paediatric Neurosurgeons practising across the UK via the Society of British Neurological Surgeons (SBNS). Five different patient scenarios were supplied, and participants were asked to choose whether they would advise participation in the following sports: Taekwondo, rugby, skiing, and football. Results An overall response rate of 66.7% (36 out of 54 paediatric neurosurgeons) was achieved. The following percentages of clinicians advocated football, rugby, Taekwondo, and skiing across all scenarios: 96%, 75%, 77%, and 97%, respectively. The majority of responders (91.2%) relied on personal experience when providing advice, whilst 50% used available literature and 19.4% used available guidelines. Conclusions There is a paucity of evidence in the literature to support the dissemination of appropriate advice to children with disorders of CSF circulation regarding participation in sports. Our findings demonstrate that the majority of clinicians rely on personal experience to make such decisions, emphasizing the necessity of larger scale studies to inform evidence-based guidelines. Keywords Paediatric neurosurgery . Sports . Disorders of CSF circulation . Ventriculoperitoneal shunt . Chiari malformation . Arachnoid cyst
Introduction Managing children with disorders of cerebrospinal fluid (CSF) circulation is common in paediatric neurosurgical practice. The importance of physical activity and sport for maintaining both physical and mental health are widely acknowledged [1, 2]. Its relevance to paediatric cohorts is highlighted by increasing rates
* M. Zaben [email protected] 1
Department of Paediatric Neurosurgery, University Hospital of Wales, Cardiff, UK
2
Neuroscience and Mental Health Research Institute (NMHRI), School of Medicine, Cardiff University, Room 4FT 80E, 4th Floor, University Hospital Wales, Heath Park, Cardiff CF14 4XN, UK
of childhood obesity and its potential to reduce the incidence of depression and anxiety in children [1, 2]. Given the issues that children with disorders of CSF circulation must live with, it is vital that normality of life is achieved in every dom
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