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Childs Nerv Syst. 2005 Jun;21(6):451-7. Epub 2005 Feb 10.

Selective dorsal rhizotomy in cerebral palsy to improve functional abilities: evaluation of criteria for selection.

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1
Department of Rehabilitation Medicine, VU University Medical Center, De Boelelaan 1117, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands. pem.vanschie@vumc.nl

Abstract

OBJECTIVES:

The aim of this study is to evaluate the effect of selective dorsal rhizotomy (SDR) on functional abilities in a well-defined group of ambulatory children with spastic diplegia.

METHODS:

Nine children were selected for SDR (mean age 65 months, range 43-82 months). Gross motor function was measured with the Gross Motor Function Measure (GMFM-88). Self-care was assessed with the Pediatric Evaluation of Disability Inventory (PEDI) and gait pattern was measured with the Edinburgh Visual Gait Score (EGS). There were nine single-case research designs with a 12-month follow-up after surgery.

RESULTS:

After 12 months the mean improvement in the total GMFM-88 scores was 8.8%. On an individual level, all patients improved significantly in comparison with baseline. Functional skills and care-giver assistance measured with the PEDI showed significant improvement. Improvement in gait was also found; in particular, better initial contact and heel-lift resulted in an increased EGS.

CONCLUSION:

In this well-defined group of ambulatory children SDR had a small but significant positive effect on gross motor function, self-care and gait pattern.

PMID:
15703968
DOI:
10.1007/s00381-004-1105-1
[Indexed for MEDLINE]
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