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Child's Nervous System
Published in: Child's Nervous System 6/2005

01-06-2005 | Original Paper

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

Authors: Petra E. M. van Schie, R. Jeroen Vermeulen, Willem J. R. van Ouwerkerk, Gert Kwakkel, Jules G. Becher

Published in: Child's Nervous System | Issue 6/2005

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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.
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Metadata
Title
Selective dorsal rhizotomy in cerebral palsy to improve functional abilities: evaluation of criteria for selection
Authors
Petra E. M. van Schie
R. Jeroen Vermeulen
Willem J. R. van Ouwerkerk
Gert Kwakkel
Jules G. Becher
Publication date
01-06-2005
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 6/2005
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-004-1105-1

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