|
KMID : 0361419970210020399
|
|
Journal of Korean Academy of Rehabilitation Medicine
1997 Volume.21 No. 2 p.399 ~ p.405
|
|
|
The Effectiveness of Selective Posterior Rhizotomy for the Rehabilitation in Children with Cerebral Palsy
|
|
|
|
|
Abstract
|
|
|
Selective posterior rhizotomy(SPR) is a neurosurgical procedure designed to alleviate spasticity and has been successfully used for children with spastic cerebral palsy. We evaluated eleven children who had follow up over 6 months after SPR among
sixteen children who underwent SPR from August 1995 to July 1996. The authors have analyzed the status of the children with spastic cerebral palsy before and after operation to determine the effects of this therapy on muscle tone, functional
grade,
gross motor function and gait pattern. Gross motor function was measured by gross motor function measure(GMFM) scale.
Postoperative tests showed reduction in muscle tone in all compared with preoperative assessment. Functional grade was increase din 90% of the cases more than one grade. The total gross motor mean score change between the preoperative and 6
months
postoperative score was 16. Gross motor scores were analysed in each of 5 dimensions(88 conditions), i. E. lying and rolling, sitting, crawling and kneeling, standing, and walking. Running. Jumping . Gross motor score for each dimension improved
in
all
cases. The greatest improvement was seen in sitting scores. The results of gait analysis of 2 ambulatory patients showed increased range of motion of hip and knee joints throughout the gait cycle and increased ankle dorsiflexion during swing
phase.
These results showed that SPR combined with intensive postoperative rehabilitation for children with spastic cerebral palsy had a significant positive effect on gross motor function.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|