Spastic Cerebral Palsy

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Paul Steinbok - One of the best experts on this subject based on the ideXlab platform.

  • long term outcome after selective dorsal rhizotomy in children with Spastic Cerebral Palsy
    Childs Nervous System, 2015
    Co-Authors: Tamir Ailon, Stacey Miller, John M Kerr, Alexander R Hengel, Patricia Mortenson, Richard D. Beauchamp, Paul Steinbok
    Abstract:

    Purpose The purpose of this study is to evaluate long-term outcomes after selective dorsal rhizotomy (SDR) for children with Spastic Cerebral Palsy.

  • selective dorsal rhizotomy for Spastic Cerebral Palsy a review
    Childs Nervous System, 2007
    Co-Authors: Paul Steinbok
    Abstract:

    Objective The purpose of this report is to review the historical development, current operative techniques, selection criteria, outcomes, and complications of selective dorsal rhizotomy (SDR) for treatment of Spastic Cerebral Palsy (CP).

  • predictors of poor outcome after selective dorsal rhizotomy in treatment of Spastic Cerebral Palsy
    Childs Nervous System, 2006
    Co-Authors: Paul Steinbok, Diane Wickenheiser
    Abstract:

    Objectives The purpose of the study was to determine if there are preoperative clinical characteristics that might be predictive of a poor outcome after selective dorsal rhizotomy (SDR) surgery in children with Spastic Cerebral Palsy (CP).

  • outcomes after selective dorsal rhizotomy for Spastic Cerebral Palsy
    Childs Nervous System, 2001
    Co-Authors: Paul Steinbok
    Abstract:

    Object: The purpose of this article was to review the published outcomes after selective dorsal rhizotomy (SDR) for treatment of Spastic Cerebral Palsy. Methods: A literature search identified all articles related to outcomes after SDR. The outcomes were reviewed according to a paradigm developed by the National Center for Medical Rehabilitation Research (NCMRR). The quality of the evidence for each outcome was assessed using Sackett’s criteria and the classification system developed by the Brain Trauma Foundation and the American Association of Neurological Surgeons. Results: There is very strong evidence for benefits of SDR in the impairment domain of the NCMRR classification. SDR has been shown conclusively to decrease lower limb Spasticity and increase lower limb range of motion. There is strong, but not as conclusive evidence that SDR has a positive impact in the functional limitation dimension, with improvements in motor function, and in particular the Gross Motor Function Assessment (GMFM). There is a moderate degree of certainty that SDR results in improvements in the disability dimension, as evidenced particularly by improvements in the Functional Independence Measure for Children (WeeFIM) and Pediatric Evaluation of Disability Inventory (PEDI). There is a moderate degree of certainty that SDR results in positive suprasegmental effects, especially related to upper limb function and cognition. There is weak evidence that SDR may reduce the need for orthopedic procedures in patients with Spastic Cerebral Palsy, and the impact on hip subluxation relative to the natural history of this problem is unclear. Conclusions: This information could help to define the role of SDR in the management of the child with Spastic Cerebral Palsy, in the light of alternative therapies, such as intrathecal baclofen and botulinum toxin, which have been introduced more recently. It also reveals the need for further studies, particularly dealing with quality of life and economic impact.

  • Variation between centers in electrophysiologic techniques used in lumbosacral selective dorsal rhizotomy for Spastic Cerebral Palsy.
    Pediatric Neurosurgery, 1996
    Co-Authors: Paul Steinbok, John R. W. Kestle
    Abstract:

    The extent of variation between centers in the electrophysiologic techniques used in lumbosacral selective dorsal rhizotomy (SDR) for Spastic Cerebral Palsy was studied using a questionnaire survey. N

Ozgen Aras - One of the best experts on this subject based on the ideXlab platform.

Angelia Vrecika - One of the best experts on this subject based on the ideXlab platform.

  • pengaruh penggunaan leg gaiter splint terhadap spastisitas knee flexor pada pasien anak Spastic Cerebral Palsy
    Jurnal Kesehatan, 2016
    Co-Authors: Muhammad Syaifuddin, Th S Susilowati, Angelia Vrecika
    Abstract:

    Tujuan: untuk mengetahui adakah pengaruh penggunaan leg-gaiter splint terhadap spastisitas knee flexor pada pasien anak Spastic Cerebral Palsy . Subyek: 20 subyek Spastic Cerebral Palsy . Tempat Penelitian: Pediatric and Neurodevelopmental Treatment Centre , Surakarta. Waktu penelitian: Januari 2016 – Maret 2016. Alat ukur: Modified Ashworth Scale – Bohannon (MAS-B). Desain penelitian: Penelitian ini menggunakan metode pra-eksperimental, dengan menggunakan one group pre-test and post-test design . Hasil: Uji normalitas menggunakan Shapiro-wilk test pada pre-test dan post-test menunjukkan nilai p<0,05, maka data berdistribusi tidak normal. Uji hipotesis menggunakan wilcoxon dengan hasil spastisitas pada tungkai kanan p<0,05 dan hasil spastisitas pada tungkai kiri p<0,05 maka terdapat pengaruh penggunaan leg-gaiter splint pada spastisitas pasien anak Spastic Cerebral Palsy . Kesimpulan: berdasarkan analisis penelitian yang telah dilakukan dapat disimpulkan bahwa penggunaan leg-gaiter splint menurunkan derajat spastisitas knee flexor pada pasien anak Spastic Cerebral Palsy .

  • PENGARUH PENGGUNAAN LEG-GAITER SPLINT TERHADAP SPASTISITAS KNEE FLEXOR PADA PASIEN ANAK Spastic Cerebral Palsy
    Poltekkes Tanjungkarang, 2016
    Co-Authors: Muhammad Syaifuddin, S.th Susilowati, Angelia Vrecika
    Abstract:

    Tujuan: untuk mengetahui adakah pengaruh penggunaan leg-gaiter splint terhadap spastisitas knee flexor pada pasien anak Spastic Cerebral Palsy. Subyek: 20 subyek Spastic Cerebral Palsy. Tempat Penelitian: Pediatric and Neurodevelopmental Treatment Centre, Surakarta. Waktu penelitian: Januari 2016 – Maret 2016. Alat ukur: Modified Ashworth Scale – Bohannon (MAS-B). Desain penelitian: Penelitian ini menggunakan metode pra-eksperimental, dengan menggunakan one group pre-test and post-test design. Hasil: Uji normalitas menggunakan Shapiro-wilk test pada pre-test dan post-test menunjukkan nilai p

Gulce Kallem Seyyar - One of the best experts on this subject based on the ideXlab platform.

Marij E Roebroeck - One of the best experts on this subject based on the ideXlab platform.

  • Focus on fatigue amongst young adults with Spastic Cerebral Palsy
    Journal of neuroengineering and rehabilitation, 2014
    Co-Authors: Heleen A Russchen, Jorrit Slaman, Henk J. Stam, Frederike Van Markus-doornbosch, Rita J Van Den Berg-emons, Marij E Roebroeck
    Abstract:

    Background This study aimed to assess fatigue amongst young adults with Spastic Cerebral Palsy (CP), to determine subgroups at risk for fatigue and to explore the relationship between fatigue and cardiopulmonary fitness and daily physical activity level.

  • motor impairments and activity limitations in children with Spastic Cerebral Palsy a dutch population based study
    Journal of Rehabilitation Medicine, 2009
    Co-Authors: Marc Jan Wichers, Marij E Roebroeck, Sander R Hilberink, Onno Van Nieuwenhuizen, Henk J. Stam
    Abstract:

    Objective To determine the prevalence of motor impairments and activity limitations and their inter-relationships in Dutch children with Spastic Cerebral Palsy. Patients and methods In a population-based survey 119 children, age range 6-19 years, with Spastic Cerebral Palsy were examined. Anthropometry, muscle tone, abnormal posture, joint range of motion, major orthopaedic impairments and gross motor functioning and manual ability were assessed or classified, in addition to limitations in mobility and self-care activities. Spearman's correlation coefficients, bivariate post hoc analyses and univariate and multivariate logistic regression analyses were used. Results Children with Spastic Cerebral Palsy had a lower body height and weight compared with typically developing peers. Forty percent had no range of motion deficits. Hip dislocations were rarely encountered. Motor impairments were associated with gross motor functioning and manual ability levels. Close to sixty-five percent walked independently. Children with diplegia and tetraplegia differed in activity limitations. Motor impairments and limitations in mobility and self-care activities were only modestly related in multivariate analyses. Conclusion Distribution of Cerebral Palsy-related characteristics is consistent with that found in representative studies of other countries. The distinction between diplegia and tetraplegia is relevant from an activity point of view. The child's activity limitations are not a mirror of the motor impairments, which suggests multifactorial influences. An activity-oriented rehabilitation approach goes beyond treating specific impairments.