scholarly journals Single event multilevel surgery in children with bilateral spastic cerebral palsy: a multicentre, long-term, follow-up study

2016 ◽  
Vol 58 ◽  
pp. 33-33
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


2017 ◽  
Vol 52 ◽  
pp. 135-139 ◽  
Author(s):  
Christian Schranz ◽  
Annika Kruse ◽  
Tanja Kraus ◽  
Gerhardt Steinwender ◽  
Martin Svehlik

1997 ◽  
Vol 34 (5) ◽  
pp. 337-341
Author(s):  
Hitoshi YOKOZEKI ◽  
Masanosuke NAKASHIMA ◽  
Sumito NAKAMURA ◽  
Teruyoko FUJIMOTO

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