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.
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.
Authors: John McLaughlin; Kristie Bjornson; Nancy Temkin; Paul Steinbok; Virginia Wright; Ann Reiner; Theodore Roberts; James Drake; Maureen O'Donnell; Peter Rosenbaum; Jason Barber; Anne Ferrel Journal: Dev Med Child Neurol Date: 2002-01 Impact factor: 5.449
Authors: Diane L Damiano; Jeffrey M Quinlivan; Bryan F Owen; Patricia Payne; Karen C Nelson; Mark F Abel Journal: Dev Med Child Neurol Date: 2002-02 Impact factor: 5.449
Authors: J F McLaughlin; K F Bjornson; S J Astley; C Graubert; R M Hays; T S Roberts; R Price; N Temkin Journal: Dev Med Child Neurol Date: 1998-04 Impact factor: 5.449
Authors: Sebastian Grunt; Jules G Becher; Petra van Schie; Willem J R van Ouwerkerk; Mazarin Ahmadi; R Jeroen Vermeulen Journal: Childs Nerv Syst Date: 2009-10-13 Impact factor: 1.475
Authors: Mustafa Sinan Bakir; Franziska Gruschke; William R Taylor; Ernst Johannes Haberl; Ilya Sharankou; Carsten Perka; Julia F Funk Journal: PLoS One Date: 2013-07-26 Impact factor: 3.240