Abstract:
:This study retrospectively evaluated the safety and efficacy of selective dorsal rhizotomy (SDR) in participants who underwent a rigorous selection process, uniform surgical procedure, and a standardized postoperative rehabilitation process. Outcome measures assessed were the Ashworth scale for spasticity, the Gillette Gait Index (GGI) for overall gait pathology, oxygen cost for gait efficiency, and the Gillette Functional Assessment Questionnaire (functional walking ability scale; [FAQ]) for functional mobility. Outcomes were evaluated for 136 children (81 males, 55 females; mean age 7y 3mo [SD 2y 1mo], range 3y 5mo-18y 9mo) for an average of 18.3 months (SD 4.4mo) postoperatively. All participants had a diagnosis of cerebral palsy (CP): 10 quadriplegia, 19 triplegia, and 107 diplegia. Preoperative Gross Motor Function Classification System levels were: Level I n=6; Level II n=64; Level III n=59, and Level IV n=7. All outcome measures improved for the group as a whole. Spasticity improved with 66 to 92% of possible gain in Ashworth scores; GGI was 7.5 times more likely to have a good as opposed to a poor outcome; energy efficiency improved in over half of the participants, and the FAQ demonstrated a statistically significant improvement of 0.9 levels (p<0.001). The rate of complications was low, with peri- and postoperative complications resolved by time of discharge.
journal_name
Dev Med Child Neuroljournal_title
Developmental medicine and child neurologyauthors
Trost JP,Schwartz MH,Krach LE,Dunn ME,Novacheck TFdoi
10.1111/j.1469-8749.2008.03031.xsubject
Has Abstractpub_date
2008-10-01 00:00:00pages
765-71issue
10eissn
0012-1622issn
1469-8749pii
DMCN3031journal_volume
50pub_type
临床试验,杂志文章abstract::This paper considers whether pathological influences affect hand-preference among children with epilepsy or mental retardation, for whom there is no evidence of gross motor defect. Data on two tasks of manual skill were analysed for a group of over 12,000 children. The predicted association between poor skill with the...
journal_title:Developmental medicine and child neurology
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doi:10.1111/j.1469-8749.1984.tb04434.x
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journal_title:Developmental medicine and child neurology
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doi:10.1111/j.1469-8749.2008.03227.x
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journal_title:Developmental medicine and child neurology
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doi:10.1111/j.1469-8749.1986.tb14285.x
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journal_title:Developmental medicine and child neurology
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journal_title:Developmental medicine and child neurology
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doi:10.1111/j.1469-8749.1982.tb13701.x
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journal_title:Developmental medicine and child neurology
pub_type: 杂志文章
doi:10.1111/j.1469-8749.1976.tb03685.x
更新日期:1976-08-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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journal_title:Developmental medicine and child neurology
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journal_title:Developmental medicine and child neurology
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doi:10.1017/s0012162203000860
更新日期:2003-07-01 00:00:00
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journal_title:Developmental medicine and child neurology
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doi:10.1111/j.1469-8749.1993.tb11632.x
更新日期:1993-03-01 00:00:00
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journal_title:Developmental medicine and child neurology
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更新日期:2021-01-01 00:00:00
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journal_title:Developmental medicine and child neurology
pub_type: 杂志文章
doi:10.1111/j.1469-8749.1992.tb11423.x
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更新日期:2010-12-01 00:00:00
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