Article

The aim of this study is to evaluate the long-term effects of selective
dorsal rhizotomy (SDR), 15 to 20 years after surgery in patients with cerebral
palsy. METHOD: Eighteen children (four females, 14 males; mean age at SDR 4y 7mo,
SD 1y 7mo) with bilateral spastic cerebral palsy (CP), were prospectively
assessed after SDR. This study focuses on the outcome 15 to 20 years after the
procedure. The assessments include the Modified Ashworth Scale for spasticity,
the Gross Motor Function Measure (GMFM-88), the Wilson Mobility Scale, The
Health-Related Quality of Life Health Survey, SF-36v2, and the Brief Pain
Inventory. RESULTS: The effect of normalized muscle tone in lower extremities
after SDR was sustained after a median of 17 years. The best gross motor function
capacity, according to the GMFM score, was seen at the 3-year follow-up,
thereafter a gradual decline followed. Half of the individuals reported low
intensity pain and interference. Compared to a norm sample the physical health
component of SF-36v2 was slightly lower and the mental health component slightly
higher. INTERPRETATION: The spasticity-reducing effect of SDR does not improve
long-term functioning, nor prevent contractures, but it can possibly reduce the
pain often experienced by individuals with CP.
CI - (c) 2014 Mac Keith Press.

Langue : ANGLAIS