Daily activities, participation, satisfaction, and functional mobility of adults with cerebral palsy more than 25 years after selective dorsal rhizotomy: a long-term follow-up during adulthood

2019 ◽  
pp. 1-9 ◽  
Author(s):  
Berendina E. Veerbeek ◽  
Robert P. Lamberts ◽  
A. Graham Fieggen ◽  
Peter P. J. L. Verkoeijen ◽  
Nelleke G. Langerak
Keyword(s):  
Cerebral Palsy ◽  
Functional Mobility ◽  
Daily Activities ◽  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy ◽  
Long Term Follow Up

A long-term follow-up study of spinal abnormalities and pain in adults with cerebral palsy and spastic diplegia more than 25 years after selective dorsal rhizotomy

2020 ◽  
pp. 1-8
Author(s):  
Berendina E. Veerbeek ◽  
Robert P. Lamberts ◽  
A. Graham Fieggen ◽  
Ncedile Mankahla ◽  
Richard V. P. de Villiers ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Spastic Diplegia ◽  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy ◽  
Follow Up Study ◽  
Long Term Follow Up ◽  
Lumbar Hyperlordosis ◽  
Thoracic Hyperkyphosis

OBJECTIVEThe main purpose of selective dorsal rhizotomy (SDR) is to reduce spasticity in the lower extremities of children diagnosed with cerebral palsy (CP) and spastic diplegia. The potential for developing spinal abnormalities and pain is a concern, especially in the aging CP population. Therefore, the aim of this study was to evaluate spinal abnormalities, level of pain, and disability (due to back or leg pain) in adults with CP, and associations with participant characteristics, more than 25 years after SDR.METHODSThis is a 9-year follow-up study with data collection conducted in 2008 and 2017. Radiographs were assessed for the degree of scoliosis, thoracic kyphosis and lumbar lordosis curvatures, and prevalence of spondylolysis and spondylolisthesis, while level of pain and disability was determined with a self-developed questionnaire and the Oswestry Disability Index (ODI) questionnaire, respectively.RESULTSTwenty-five participants were included (15 males; median age 35.9 years, IQR 34.3–41.5 years), with a follow-up time after SDR ranging from 25 to 35 years. No clinically relevant changes were found for spinal curvatures, spondylolysis and spondylolisthesis, perceived pain frequency, and ODI scores between 2008 and 2017. While the prevalence of spondylolysis was 44%, spondylolisthesis was found in 20% (of whom 15% were grade I and 5% grade II), lumbar hyperlordosis was found in 32%, thoracic hyperkyphosis in 4%, and scoliosis in 20%. The Cobb angle was < 25°, and no patient required surgery for scoliosis. In addition, the low back was reported as the most common site of pain, with 28% of the adults with CP having daily pain. This resulted in 80% of the cohort indicating none or minimal disability due to pain based on the ODI. The only correlation found was between hyperkyphosis and female gender.CONCLUSIONSAt follow-up more than 25 years after SDR, no progression in spinal abnormalities, level of pain, and disability was found when compared with findings 15 years after SDR. The prevalence of scoliosis, thoracic hyperkyphosis, and lumbar hyperlordosis was within the range reported for adults with CP, while spondylolysis and spondylolisthesis occurred more often than would be expected. It is difficult, however, to establish the role of SDR in this finding, given the limited data on the natural history of CP. Despite the encouraging outcome of this long-term follow-up study after SDR, it is important to continue monitoring adults with CP during the aging process.

scholarly journals Selective dorsal rhizotomy for spasticity not associated with cerebral palsy: reconsideration of surgical inclusion criteria

2013 ◽  
Vol 35 (5) ◽  
pp. E6 ◽  
Author(s):  
William C. Gump ◽  
Ian S. Mutchnick ◽  
Thomas M. Moriarty
Keyword(s):  
Cerebral Palsy ◽  
Spinal Cord Injuries ◽  
Spastic Diplegia ◽  
Inclusion Criteria ◽  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy ◽  
Common Diagnosis

Children with spastic diplegia from cerebral palsy (CP) experience measurable improvement in their spasticity and motor function following selective dorsal rhizotomy (SDR). The role of this operation in the treatment of other spasticity causes is less well defined. A literature review was undertaken to survey outcomes from SDRs performed outside the CP population. Multiple sclerosis was the most common diagnosis found, accounting for 74 of 145 patients described. Selective dorsal rhizotomies have also been reported in patients with traumatic brain and spinal cord injuries, ischemic and hemorrhagic stroke, neurodegenerative disease, hypoxic encephalopathy, and other causes of spasticity. Outcomes from surgery are generally described as favorable, although postoperative assessments and follow-up times are not standardized across reports. Long-term outcomes are sparsely reported. Larger numbers of patients and more detailed outcomes data have the potential to form a basis for expanding the inclusion criteria for SDR.

LONG TERM FOLLOW-UP OF CHILDREN AFTER SELECTIVE DORSAL RHIZOTOMY (SDR)

1998 ◽  
Vol 10 (4) ◽  
pp. 179
Author(s):  
F Won ◽  
J F Mclaughlin ◽  
K. Bjornson
Keyword(s):  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy ◽  
Long Term Follow Up

Long term follow up of children post selective dorsal rhizotomy (SDR) – the effect of the adolescent growth spurt on gait

2015 ◽  
Vol 42 ◽  
pp. S30
Author(s):  
J. McFall ◽  
C. Stewart ◽  
V. Kidgell ◽  
N. Postans ◽  
S. Jarvis ◽  
...  
Keyword(s):  
Growth Spurt ◽  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy ◽  
Adolescent Growth Spurt ◽  
Long Term Follow Up

scholarly journals What is the functional mobility and quality of life in patients with cerebral palsy following single-event multilevel surgery?

2020 ◽  
Vol 14 (2) ◽  
pp. 139-144 ◽  
Author(s):  
Tomos Aled Edwards ◽  
Robin John Prescott ◽  
Julie Stebbins ◽  
James Wright ◽  
Tim Theologis
Keyword(s):  
Quality Of Life ◽  
Cerebral Palsy ◽  
Functional Mobility ◽  
Single Event ◽  
School Work ◽  
Multilevel Surgery ◽  
Long Term Follow Up

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

scholarly journals Short-term Gait Parameters Change in Mild Spastic Cerebral Palsy after Selective Dorsal Rhizotomy Guided by Our Newly-Modified Protocol

2021 ◽  
Author(s):  
wenbin jiang ◽  
Shuyun Jiang ◽  
Yan Yu ◽  
Qijia Zhan ◽  
Min Wei ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Lower Limbs ◽  
Spastic Cerebral Palsy ◽  
Selective Dorsal Rhizotomy ◽  
Short Term ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Dorsal Rhizotomy ◽  
Gait Parameters

Abstract Background Selective Dorsal Rhizotomy (SDR) guided by our modified protocol can decrease spasticity in certain muscles. This study aimed to investigate gait parameters changes in cerebral palsy (CP) with focal spasticity after SDR in short-term follow-up. Methods CP classified as Gross Motor Function Classification System (GMFCS) level Ⅰ and Ⅱ who underwent SDR were included. Changes of spasticity, gait parameters and gait deviation index (GDI) were retrospectively reviewed. Results This study contained 26 individuals with 44 affected and 8 intact lower limbs (4 monoplegia, 4 hemiplegia and 18 diplegia). Mean age was 5.7 ± 1.9 years-old and follow-up duration was 9.9 ± 6.6 months. After SDR, average spasticity of 108 target muscles decreased from 2.9 ± 0.8 to 1.8 ± 0.6 in Modified Ashworth Scale (MAS). Kinematic curves changed after the surgery in sagittal and transverse plane in affected sides, further investigation showed improvements in ankle and knee. No changes were found in temporal-spatial parameters except decrease in cadence in affected sides. GDI improved significantly in affected limbs. Conclusion In short-term follow up, the new-protocol-guiding SDR can lower focal spasticity, GA showed improvements in kinematic parameters and GDI. Longer follow-up duration is needed to clarify the long-term outcome.

scholarly journals Long‐term effects of selective dorsal rhizotomy in children with cerebral palsy: a systematic review

2019 ◽  
Vol 62 (5) ◽  
pp. 554-562 ◽  
Author(s):  
Kristina Tedroff ◽  
Gunnar Hägglund ◽  
Freeman Miller
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Long Term Effects ◽  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy ◽  
Children With Cerebral Palsy

Long-term follow-up study of cerebral palsy children and coping behaviour of parents

1990 ◽  
Vol 15 (7) ◽  
pp. 762-770 ◽  
Author(s):  
Taiko Hirose ◽  
Reiko Ueda MLtt
Keyword(s):  
Cerebral Palsy ◽  
Coping Behaviour ◽  
Follow Up Study ◽  
Long Term Follow Up ◽  
And Coping
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