Longitudinal Changes in Mobility Following Single-event Multilevel Surgery in Ambulatory Children with Cerebral Palsy

Author： Harvey Adrienne   Rosenbaum Peter   Hanna Steven   Yousefi-Nooraie Reza   Graham H. Kerr  

Publisher： Medical Journals Limited

ISSN： 1650-1977

Source： Journal of Rehabilitation Medicine, Vol.44, Iss.2, 2012-02, pp. : 137-143

Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.

Previous Menu Next

Abstract

Objective: To examine changes in mobility longitudinally following single-event multilevel surgery in ambulant children with cerebral palsy, focusing on those using assistive devices for functional mobility because they are most at risk of declining gross motor function.Participants: A consecutive sample of 156 ambulant children with cerebral palsy (99 males), 96 without devices (Gross Motor Function Classification System (GMFCS) I/II), 60 with devices (GMFCS III) who had single-event multilevel surgery at mean age 11 years 1 month.Methods: GMFCS and Functional Mobility Scale (FMS) ratings were recorded pre-operatively and at 2 and 5 years post-operatively. A proportional odds logistic regression model was used for the GMFCS III group to predict the probability of assistive device requirements post-operatively conditional on baseline FMS.Results: Children in GMFCS III showed more change than those in I/II at home and school. Those in GMFCS III using crutches pre-operatively at home and school were more likely to continue using them at 5 years, whereas those using walkers were more likely to change to crutches or wheelchairs. Wheelchairs were most commonly used in the community before and after single-event multilevel surgery.Conclusion: Mobility was generally stable or improved at 5 years after single-event multilevel surgery; however, a small number of children used more assistance to facilitate mobility.

Related content

Evaluation of single event multilevel surgery and rehabilitation in children and youth with cerebral palsy – A 2-year follow-up study

By Åkerstedt Anita   Risto Olof   Ödman Pia   Öberg Birgitta  

Disability and Rehabilitation, Vol. 32, Iss. 7, 2010-07 ,pp. : 530-539 (10)

Informa Healthcare

Access to resources Recommend Favorite

Single event multilevel surgery in children with bilateral spastic cerebral palsy: a multicentre, long‐term, follow‐up study

By  

DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Vol. 58, Iss. S5, 2016-09 ,pp. : 33-33 (1)

John Wiley & Sons Inc

Access to resources Recommend Favorite

Botulinum toxin versus single event multi‐level surgery (SEMLS) in children with lower limb deformities in spastic cerebral palsy – a randomized comparative trial

By  

DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Vol. 57, Iss. S5, 2015-10 ,pp. : 9-10 (2)

John Wiley & Sons Inc

Access to resources Recommend Favorite

Persistence and recurrence following femoral derotational osteotomy in ambulatory children with cerebral palsy

By  

DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Vol. 57, Iss. S5, 2015-10 ,pp. : 48-48 (1)

John Wiley & Sons Inc

Access to resources Recommend Favorite

Ambulatory children with cerebral palsy do not exhibit unhealthy weight gain following selective dorsal rhizotomy

By  

DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Vol. 12-1622, Iss. 11, 2015-11 ,pp. : 1070-1075 (6)

John Wiley & Sons Inc

Access to resources Recommend Favorite