%0 Journal Article %1 Buckon1997 %A Buckon, C. E. %A Thomas, S. %A Pierce, R. %A Piatt, J. H. %A Aiona, M. D. %D 1997 %J Arch Phys Med Rehabil %K Activities of Daily Living; Cerebral Palsy; Child; Child Development; Child, Preschool; Female; Gait; Humans; Male; Motor Skills; Orthotic Devices; Posture; Prospective Studies; Range Motion, Articular; Rhizotomy; Spinal Nerve Roots; Treatment Outcome %N 9 %P 946--951 %T Developmental skills of children with spastic diplegia: functional and qualitative changes after selective dorsal rhizotomy. %V 78 %X OBJECTIVE: This study examined changes in muscle tone, passive range of motion, stability, and mobility in developmental skills at 6 months and 1 year after selective dorsal rhizotomy (SDR). DESIGN: Prospective outcome study of a consecutive sample. SETTING: Private children's hospital. PATIENTS: Twenty-six children with spastic diplegia: 13 independent and 13 dependent ambulators (assistive devices). RESULTS: A decrease in spasticity was seen at 6 months after SDR, with no further decrease at 1 year. Increases in passive range of motion of the hip and ankle were seen at 6 months after SDR. The ability to assume and maintain developmental positions with improved alignment and stability was seen more frequently at 6 months after SDR, whereas an improvement in the ability to perform transitional movements was seen more frequently at 1 year after SDR. CONCLUSION: SDR decreases spasticity and increases lower extremity range of motion in children with spastic diplegia and appears to be associated with the ability to assume a greater variety of developmental positions with improved alignment, thus greater stability. Improvements in the ability to perform difficult transitional movements at 1 year after SDR are most likely the result of the combined effect of maturation, SDR, and intensive therapeutic intervention.

@article{Buckon1997, abstract = {OBJECTIVE: This study examined changes in muscle tone, passive range of motion, stability, and mobility in developmental skills at 6 months and 1 year after selective dorsal rhizotomy (SDR). DESIGN: Prospective outcome study of a consecutive sample. SETTING: Private children's hospital. PATIENTS: Twenty-six children with spastic diplegia: 13 independent and 13 dependent ambulators (assistive devices). RESULTS: A decrease in spasticity was seen at 6 months after SDR, with no further decrease at 1 year. Increases in passive range of motion of the hip and ankle were seen at 6 months after SDR. The ability to assume and maintain developmental positions with improved alignment and stability was seen more frequently at 6 months after SDR, whereas an improvement in the ability to perform transitional movements was seen more frequently at 1 year after SDR. CONCLUSION: SDR decreases spasticity and increases lower extremity range of motion in children with spastic diplegia and appears to be associated with the ability to assume a greater variety of developmental positions with improved alignment, thus greater stability. Improvements in the ability to perform difficult transitional movements at 1 year after SDR are most likely the result of the combined effect of maturation, SDR, and intensive therapeutic intervention.}, added-at = {2014-07-19T19:12:47.000+0200}, author = {Buckon, C. E. and Thomas, S. and Pierce, R. and Piatt, J. H. and Aiona, M. D.}, biburl = {https://www.bibsonomy.org/bibtex/24086340490401cf958869aa35c319e85/ar0berts}, groups = {public}, interhash = {7e6608faf4146534dbaa12e16112d814}, intrahash = {4086340490401cf958869aa35c319e85}, journal = {Arch Phys Med Rehabil}, keywords = {Activities of Daily Living; Cerebral Palsy; Child; Child Development; Child, Preschool; Female; Gait; Humans; Male; Motor Skills; Orthotic Devices; Posture; Prospective Studies; Range Motion, Articular; Rhizotomy; Spinal Nerve Roots; Treatment Outcome}, month = Sep, number = 9, pages = {946--951}, pii = {S0003999397002281}, pmid = {9305266}, timestamp = {2014-07-19T19:12:47.000+0200}, title = {Developmental skills of children with spastic diplegia: functional and qualitative changes after selective dorsal rhizotomy.}, username = {ar0berts}, volume = 78, year = 1997 }