%0 Journal Article %1 Schie2005 %A van Schie, Petra E M %A Vermeulen, R. Jeroen %A van Ouwerkerk, Willem J R %A Kwakkel, Gert %A Becher, Jules G %D 2005 %J Childs Nerv Syst %K Activities of Daily Living; Cerebral Palsy; Child; Child, Preschool; Disability Evaluation; Evaluation Studies; Female; Follow-Up Functional Laterality; Gait; Humans; Male; Motor Activity; Neurologic Examination; Outcome and Process Assessment (Health Care); Physical Therapy Modalities; Prospective Recovery Function; Rhizotomy; Self Care; Spinal Nerve Roots; Time Factors; Treatment %N 6 %P 451--457 %R 10.1007/s00381-004-1105-1 %T Selective dorsal rhizotomy in cerebral palsy to improve functional abilities: evaluation of criteria for selection. %U http://dx.doi.org/10.1007/s00381-004-1105-1 %V 21 %X OBJECTIVES: The aim of this study is to evaluate the effect of selective dorsal rhizotomy (SDR) on functional abilities in a well-defined group of ambulatory children with spastic diplegia. METHODS: Nine children were selected for SDR (mean age 65 months, range 43-82 months). Gross motor function was measured with the Gross Motor Function Measure (GMFM-88). Self-care was assessed with the Pediatric Evaluation of Disability Inventory (PEDI) and gait pattern was measured with the Edinburgh Visual Gait Score (EGS). There were nine single-case research designs with a 12-month follow-up after surgery. RESULTS: After 12 months the mean improvement in the total GMFM-88 scores was 8.8\%. On an individual level, all patients improved significantly in comparison with baseline. Functional skills and care-giver assistance measured with the PEDI showed significant improvement. Improvement in gait was also found; in particular, better initial contact and heel-lift resulted in an increased EGS. CONCLUSION: In this well-defined group of ambulatory children SDR had a small but significant positive effect on gross motor function, self-care and gait pattern.

@article{Schie2005, abstract = {OBJECTIVES: The aim of this study is to evaluate the effect of selective dorsal rhizotomy (SDR) on functional abilities in a well-defined group of ambulatory children with spastic diplegia. METHODS: Nine children were selected for SDR (mean age 65 months, range 43-82 months). Gross motor function was measured with the Gross Motor Function Measure (GMFM-88). Self-care was assessed with the Pediatric Evaluation of Disability Inventory (PEDI) and gait pattern was measured with the Edinburgh Visual Gait Score (EGS). There were nine single-case research designs with a 12-month follow-up after surgery. RESULTS: After 12 months the mean improvement in the total GMFM-88 scores was 8.8\%. On an individual level, all patients improved significantly in comparison with baseline. Functional skills and care-giver assistance measured with the PEDI showed significant improvement. Improvement in gait was also found; in particular, better initial contact and heel-lift resulted in an increased EGS. CONCLUSION: In this well-defined group of ambulatory children SDR had a small but significant positive effect on gross motor function, self-care and gait pattern.}, added-at = {2014-07-19T21:15:05.000+0200}, author = {van Schie, Petra E M and Vermeulen, R. Jeroen and van Ouwerkerk, Willem J R and Kwakkel, Gert and Becher, Jules G}, biburl = {https://www.bibsonomy.org/bibtex/265fc4e8a6a5d620eefe2d9c66d7d03c1/ar0berts}, doi = {10.1007/s00381-004-1105-1}, groups = {public}, interhash = {e5183a0ea00e8eb80bc74d5d4f3d2a58}, intrahash = {65fc4e8a6a5d620eefe2d9c66d7d03c1}, journal = {Childs Nerv Syst}, keywords = {Activities of Daily Living; Cerebral Palsy; Child; Child, Preschool; Disability Evaluation; Evaluation Studies; Female; Follow-Up Functional Laterality; Gait; Humans; Male; Motor Activity; Neurologic Examination; Outcome and Process Assessment (Health Care); Physical Therapy Modalities; Prospective Recovery Function; Rhizotomy; Self Care; Spinal Nerve Roots; Time Factors; Treatment}, month = Jun, number = 6, pages = {451--457}, pmid = {15703968}, timestamp = {2014-07-19T21:15:05.000+0200}, title = {Selective dorsal rhizotomy in cerebral palsy to improve functional abilities: evaluation of criteria for selection.}, url = {http://dx.doi.org/10.1007/s00381-004-1105-1}, username = {ar0berts}, volume = 21, year = 2005 }