The short-term effects of selective dorsal rhizotomy on gait compared to matched cerebral palsy control groups

PloS One
Rory O'SullivanDamien Kiernan

Abstract

To examine the short-term effects of selective dorsal rhizotomy (SDR) ± soft-tissue surgery on gait in cerebral palsy (CP) compared to matched controls with no surgical intervention. Participants had gait analysis before and one year after SDR. Non SDR participants were retrospectively matched for age and all significant gait parameters. The SDR group was further subdivided into those who had concomitant orthopaedic surgery and those who had SDR only. The SDR group consisted of 29 participants (mean age 5.8 years at baseline, 7.7 years at follow-up). Of these, 13 had concomitant orthopaedic surgery. The non SDR group consisted of 18 participants (mean age at baseline 6.1 years, 8.1 years at follow-up). SDR ± soft-tissue surgery significantly improved step-lengths, knee flexion at initial contact and mid-stance, ankle dorsiflexion, foot progression and timing of peak knee flexion. None of these improvements in gait were seen without surgical intervention. While more improvements were seen in those who had SDR and orthopaedic surgery, SDR only resulted in improved step-lengths, knee extension, foot progression and timing of peak knee flexion. SDR ± soft-tissue surgery results in short-term improvements in gait which are not seen ...Continue Reading

References

Jun 3, 1998·Journal of Neurosurgery·N SubramanianL J Arens
Feb 24, 2001·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·P Steinbok
Jan 29, 2002·Developmental Medicine and Child Neurology·John McLaughlinAnne Ferrel
May 4, 2007·Archives of Disease in Childhood·G F ColeJ H Patrick
Mar 21, 2008·Journal of Neurosurgery. Pediatrics·Nelleke G LangerakChristopher L Vaughan
Apr 27, 2011·Developmental Medicine and Child Neurology·Sebastian GruntR Jeroen Vermeulen
May 19, 2011·Developmental Medicine and Child Neurology·Kristina TedroffEva Åström
Aug 22, 2013·Developmental Medicine and Child Neurology·Iona NovakShona Goldsmith
May 17, 2015·Gait & Posture·Andrew RobertsRobert Freeman
Jul 25, 2017·Journal of Biomechanics·Katherine M SteeleMichael H Schwartz
Aug 9, 2017·Developmental Medicine and Child Neurology·Meghan E MungerMichael H Schwartz
Feb 8, 2018·Revista paulista de pediatria : orgão oficial da Sociedade de Pediatria de São Paulo·Renata D'Agostini Nicolini-PanissonMárcio Vinicius Fagundes Donadio
Oct 9, 2018·Journal of Children's Orthopaedics·K K WangT F Novacheck
Mar 6, 2019·Developmental Medicine and Child Neurology·Anja Van CampenhoutKaat Desloovere

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Citations

Apr 20, 2020·Developmental Medicine and Child Neurology·Nicole L ZainoMichael H Schwartz
Jul 3, 2021·Journal of Children's Orthopaedics·Robert M KayThomas Dreher

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Software Mentioned

MATLAB
Stata
Statistical non - Parametric Mapping ( SnPM ) (
SPM

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