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.
%0 Journal Article
%1 Schie2005
%A van Schie, Petra E M
%A Vermeulen, R. Jeroen
%A van Ouwerkerk, Willem J R
%A Kwakkel, Gert
%A Becher, Jules G
%D 2005
%J Childs Nerv Syst
%K Activities of Daily Living; Cerebral Palsy; Child; Child, Preschool; Disability Evaluation; Evaluation Studies; Female; Follow-Up Functional Laterality; Gait; Humans; Male; Motor Activity; Neurologic Examination; Outcome and Process Assessment (Health Care); Physical Therapy Modalities; Prospective Recovery Function; Rhizotomy; Self Care; Spinal Nerve Roots; Time Factors; Treatment
%N 6
%P 451--457
%R 10.1007/s00381-004-1105-1
%T Selective dorsal rhizotomy in cerebral palsy to improve functional abilities: evaluation of criteria for selection.
%U http://dx.doi.org/10.1007/s00381-004-1105-1
%V 21
%X 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.
@article{Schie2005,
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.},
added-at = {2014-07-19T21:15:05.000+0200},
author = {van Schie, Petra E M and Vermeulen, R. Jeroen and van Ouwerkerk, Willem J R and Kwakkel, Gert and Becher, Jules G},
biburl = {https://www.bibsonomy.org/bibtex/265fc4e8a6a5d620eefe2d9c66d7d03c1/ar0berts},
doi = {10.1007/s00381-004-1105-1},
groups = {public},
interhash = {e5183a0ea00e8eb80bc74d5d4f3d2a58},
intrahash = {65fc4e8a6a5d620eefe2d9c66d7d03c1},
journal = {Childs Nerv Syst},
keywords = {Activities of Daily Living; Cerebral Palsy; Child; Child, Preschool; Disability Evaluation; Evaluation Studies; Female; Follow-Up Functional Laterality; Gait; Humans; Male; Motor Activity; Neurologic Examination; Outcome and Process Assessment (Health Care); Physical Therapy Modalities; Prospective Recovery Function; Rhizotomy; Self Care; Spinal Nerve Roots; Time Factors; Treatment},
month = Jun,
number = 6,
pages = {451--457},
pmid = {15703968},
timestamp = {2014-07-19T21:15:05.000+0200},
title = {Selective dorsal rhizotomy in cerebral palsy to improve functional abilities: evaluation of criteria for selection.},
url = {http://dx.doi.org/10.1007/s00381-004-1105-1},
username = {ar0berts},
volume = 21,
year = 2005
}