scholarly journals Evolution of self-care and functional mobility after single-event multilevel surgery in children and adolescents with spastic diplegic cerebral palsy

2018 ◽  
Vol 60 (5) ◽  
pp. 505-512 ◽  
Author(s):  
Griet Dequeker ◽  
Anja Van Campenhout ◽  
Hilde Feys ◽  
Guy Molenaers
2018 ◽  
Vol 2 (4) ◽  
pp. 148 ◽  
Author(s):  
John Amen ◽  
TamerA El-Sobky ◽  
Mohamed ElGebeily ◽  
DaliaM. E. El.Mikkawy ◽  
AhmedH Yousry

2020 ◽  
Vol 14 (2) ◽  
pp. 139-144 ◽  
Author(s):  
Tomos Aled Edwards ◽  
Robin John Prescott ◽  
Julie Stebbins ◽  
James Wright ◽  
Tim Theologis

Purpose To report functional mobility in patients with diplegic cerebral palsy (CP) at long-term follow-up after single-event multilevel surgery (SEMLS). The secondary aim was to assess the relationship between functional mobility and quality of life (QoL) in patients previously treated with SEMLS. Methods A total of 61 patients with diplegic CP, mean age at surgery 11 years, eight months (sd 2 years, 5 months), were included. A mean of eight years (sd 3 years, 10 months) after SEMLS, patients were contacted and asked to complete the Functional Mobility Scale (FMS) questionnaire over the telephone and given a weblink to complete an online version of the CP QOL Teen. FMS was recorded for all patients and CP QOL Teen for 23 patients (38%). Results Of patients graded Gross Motor Function Classification System (GMFCS) I and II preoperatively, at long-term follow-up the proportion walking independently at home, school/work and in the community was 71% (20/28), 57% (16/28) and 57% (16/28), respectively. Of patients graded GMFCS III preoperatively, at long-term follow-up 82% (27/33) and 76% (25/33) were walking either independently or with an assistive device at home and school/work, respectively, while over community distances 61% (20/33) required a wheelchair. The only significant association between QoL and functional mobility was better ‘feelings about function’ in patients with better home FMS scores (r = 0.55; 95% confidence interval 0.15 to 0.79; p = 0.01). Conclusion The majority of children maintained their preoperative level of functional mobility at long-term follow-up after SEMLS. Level of Evidence IV


2018 ◽  
Vol 33 (7) ◽  
pp. 453-462 ◽  
Author(s):  
Ramona Steppacher ◽  
David North ◽  
Christoph Künzle ◽  
Harald Lengnick ◽  
Harry Klima ◽  
...  

The purpose of this study was to retrospectively investigate changes in gait patterns after single-event multilevel surgery in children and adolescents with bilateral cerebral palsy. Three-dimensional instrumented pre- and postoperative gait data of 12 patients were compared to data of 12 healthy control subjects using principal component analysis to reduce the dimensionality of kinematic and kinetic gait data and detect gait differences. The differences between pre- and postoperative data and between postoperative data and data of control subjects were calculated using a linear mixed model. The results revealed 14 significant effects for pre- and postoperative waveforms and 11 significant effects for postoperative and control waveforms. Patients after single-event multilevel surgery walked with smaller internal foot progression angle throughout the gait cycle, lower knee flexion at initial swing, and earlier knee extension during terminal swing. Retained gait deviations included excessive pelvic tilt and internally rotated and flexed hips over the entire gait cycle. Contrary to our hypothesis, postoperative waveforms in the sagittal plane differed more from control waveforms than from preoperative waveforms. These results emphasize the importance of carefully planning further conservative therapy 2 years after single-event multilevel surgery.


AORN Journal ◽  
2018 ◽  
Vol 108 (5) ◽  
pp. 516-531
Author(s):  
Jane M. Wick ◽  
Jing Feng ◽  
Ellen Raney ◽  
Michael Aiona

2017 ◽  
Vol 55 ◽  
pp. 145-155 ◽  
Author(s):  
Andrea Ancillao ◽  
Marjolein M. van der Krogt ◽  
Annemieke I. Buizer ◽  
Melinda M. Witbreuk ◽  
Paolo Cappa ◽  
...  

2006 ◽  
Vol 24 ◽  
pp. S87-S89
Author(s):  
Jill Rodda ◽  
Richard Baker ◽  
Mary Galea ◽  
Gary Nattrass ◽  
H. Kerr Graham

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