Predicting functional change from preintervention measures in selective dorsal rhizotomy

被引:14
作者
Engsberg, Jack R.
Ross, Sandy A.
Collins, David R.
Park, Tae Sung
机构
[1] St Louis Univ, Dept Phys Therapy, St Louis, MO 63104 USA
[2] Maryville Univ, Dept Phys Therapy, St Louis, MO 63141 USA
[3] Washington Univ, Sch Med, Dept Neurol Surg, St Louis, MO USA
[4] Washington Univ, Sch Med, Childrens Hosp, Dept Neurosurg,Ctr Cerebral Palsy Spast, St Louis, MO 63110 USA
关键词
cerebral palsy; gait spasticity; strength; rhizotomy; predictive measure; pediatric neurosurgery;
D O I
10.3171/ped.2007.106.4.282
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Object. In this investigation the authors attempted to predict change in function following selective dorsal rhizotomy (SDR) and intensive physical therapy in patients with spastic diplegic cerebral palsy (CP) based on multidomain preintervention measures. Methods. Data pertaining to 22 children with CP were collected before the SDR and again 20 months afterward. Although equations for predicting change in gait speed and function (such as the Gross Motor Function Measure) were derived, the 95% confidence interval (CI) widths were too broad to make accurate predictions that were clinically useful outside the study group. Conclusions. Future work should be focused on developing additional measures such as lower-extremity motor control and balance in an attempt to reduce the Cls to more clinically relevant values.
引用
收藏
页码:282 / 287
页数:6
相关论文
共 30 条
[1]
[Anonymous], [No title captured]
[2]
Predictors of ability to walk after selective dorsal rhizotomy in children with cerebral palsy [J].
Chicoine, MR ;
Park, TS ;
Vogler, GP ;
Kaufman, BA .
NEUROSURGERY, 1996, 38 (04) :711-714
[3]
Dimitrijevic M. R, 1985, SCI BASIS CLIN NEURO, P108
[4]
DOMHOLDT E, 2004, REHABILITATION RES P, P258
[5]
Effect of selective dorsal rhizotomy in the treatment of children with cerebral palsy [J].
Engsberg, Jack R. ;
Ross, Sandy A. ;
Collins, David R. ;
Park, Tae Sung .
JOURNAL OF NEUROSURGERY, 2006, 105 (01) :8-15
[6]
Spasticity and strength changes as a function of selective dorsal rhizotomy [J].
Engsberg, JR ;
Olree, KS ;
Ross, SA ;
Park, TS .
JOURNAL OF NEUROSURGERY, 1998, 88 (06) :1020-1026
[7]
Changes in ankle spasticity and strength following selective dorsal rhizotomy and physical therapy for spastic cerebral palsy [J].
Engsberg, JR ;
Ross, SA ;
Park, TS .
JOURNAL OF NEUROSURGERY, 1999, 91 (05) :727-732
[8]
Changes in hip spasticity and strength following selective dorsal rhizotomy and physical therapy for spastic cerebral palsy [J].
Engsberg, JR ;
Ross, SA ;
Wagner, JM ;
Park, TS .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2002, 44 (04) :220-226
[9]
A measure of motor control at the knee in cerebral palsy [J].
Engsberg, JR ;
Wagner, JM ;
Reitenbach, AK ;
Hollander, KW ;
Standeven, JW .
JOURNAL OF APPLIED BIOMECHANICS, 2001, 17 (04) :335-343
[10]
Ankle spasticity and strength in children with spastic diplegic cerebral palsy [J].
Engsberg, JR ;
Ross, SA ;
Olree, KS ;
Park, TS .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2000, 42 (01) :42-47