Impact of selective posterior rhizotomy on fine motor skills. Long-term results using a validated evaluative measure

Pediatric Neurosurgery
Sandeep MittalThierry E Benaroch

Abstract

Suprasegmental effects following selective posterior rhizotomy have been frequently reported. However, few studies have used validated functional outcome measures to report the surgical results beyond 3 years. The authors analyzed data obtained from the McGill Rhizotomy Database to determine the long-term impact of lumbosacral dorsal rhizotomy on fine motor skills. The study population comprised children with debilitating spasticity who underwent SPR and were evaluated by a multidisciplinary team preoperatively, at 6 months and 1 year postoperatively. Quantitative standardized assessments of upper extremity function were obtained using the fine motor skills section of the Peabody Developmental Motor Scales (PDMS) test. Of 70 patients who met the entry criteria for the study, 45 and 25 completed the 3- and 5-year assessments, respectively. Statistical analysis demonstrated significant improvements in grasping, hand use, eye-hand coordination, and manual dexterity at 1 year after SPR. More importantly, all improvements were maintained at 3 and 5 years following SPR. This study supports that significant improvements in upper extremity fine motor function using the PDMS evaluative measure are present after SPR and that these supras...Continue Reading

Citations

Mar 2, 2006·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Derek G KamperDeborah J Gaebler-Spira
Oct 15, 2013·Journal of Neurosurgery. Pediatrics·Paul GiganteRichard C E Anderson
Jul 27, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Nobuhito Morota
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Jul 24, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jean-Pierre Farmer, Abdulrahman J Sabbagh
Jun 25, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Albert Tu, Paul Steinbok
Apr 27, 2011·Developmental Medicine and Child Neurology·Sebastian GruntR Jeroen Vermeulen
Jan 3, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Patricia MortensonPaul Steinbok
May 18, 2004·Lancet·L Andrew KomanJeffrey S Shilt

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