Multidimensional outcome measure of selective dorsal rhizotomy in spastic cerebral palsy

Physics

Research output: Contribution to Journal/Magazine › Journal article › peer-review

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Multidimensional outcome measure of selective dorsal rhizotomy in spastic cerebral palsy. / Carraro, Elena; Zeme, Sergio; Ticcinelli, Valentina et al.
In: European Journal of Paediatric Neurology, Vol. 18, No. 6, 11.2014, p. 704-13.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Carraro, E, Zeme, S, Ticcinelli, V, Massaroni, C, Santin, M, Peretta, P, Martinuzzi, A & Trevisi, E 2014, 'Multidimensional outcome measure of selective dorsal rhizotomy in spastic cerebral palsy', European Journal of Paediatric Neurology, vol. 18, no. 6, pp. 704-13. https://doi.org/10.1016/j.ejpn.2014.06.003

APA

Carraro, E., Zeme, S., Ticcinelli, V., Massaroni, C., Santin, M., Peretta, P., Martinuzzi, A., & Trevisi, E. (2014). Multidimensional outcome measure of selective dorsal rhizotomy in spastic cerebral palsy. European Journal of Paediatric Neurology, 18(6), 704-13. https://doi.org/10.1016/j.ejpn.2014.06.003

Vancouver

Carraro E, Zeme S, Ticcinelli V, Massaroni C, Santin M, Peretta P et al. Multidimensional outcome measure of selective dorsal rhizotomy in spastic cerebral palsy. European Journal of Paediatric Neurology. 2014 Nov;18(6):704-13. doi: 10.1016/j.ejpn.2014.06.003

Author

Carraro, Elena ; Zeme, Sergio ; Ticcinelli, Valentina et al. / Multidimensional outcome measure of selective dorsal rhizotomy in spastic cerebral palsy. In: European Journal of Paediatric Neurology. 2014 ; Vol. 18, No. 6. pp. 704-13.

Bibtex

@article{411f82baa273407ebbfdba5d803948b0,

title = "Multidimensional outcome measure of selective dorsal rhizotomy in spastic cerebral palsy",

abstract = "BACKGROUND: One of the treatment option to reduce spasticity in cerebral palsy children is selective dorsal rhizotomy. Several studies have demonstrated short and long term improvements in gait and other activities after rhizotomy but this surgery still remains a controversial procedure and patient outcome indicators measures are not uniform.AIMS: To describe our assessment and outcome evaluation protocol and to verify by this protocol short term results of rhizotomy.METHODS: We recruited 9 cerebral palsy children (mean age 7.9 years ± 3.2) affected by mild to moderate spastic diplegia and operated by rhizotomy. Patients were studied preoperatively and at 12 months after surgery by the following clinical and instrumental measures correlated to the International Classification of Functioning: modified Ashworth Scale, passive Range of Motion, Medical Research Council Scale, Selective Motor Control Scale, 3D-motion analysis and energy cost of locomotion measurements (indicators of {"}body functions{"}); Gross Motor Functional Measure and Motor Functional Independence Measure (indicators of {"}activities and participation{"}).RESULTS: Our data showed, after rhizotomy, reduction of spasticity specially in plantarflexors muscles (p < 0.01), increase of strength of knee flexors/extensors and foot plantar/dorsiflexion muscles (p < 0.01), improvement of selective motor control (p < 0.05), more similar spatio-temporal parameters of gait analysis to healthy subjects, reduced equinus foot and knees hyperflexion as energy cost.CONCLUSION: The complementary use of multiple indicators may improve the evaluation of the results of dorsal rhizotomy. A beneficial outcome measured by these indicators has been found in our spastic diplegic children one year after rhizotomy.",

keywords = "Biomechanical Phenomena, Cerebral Palsy, Child, Child, Preschool, Female, Humans, Male, Muscle Spasticity, Neurologic Examination, Outcome Assessment (Health Care), Range of Motion, Articular, Rhizotomy, Spinal Nerve Roots, Journal Article",

author = "Elena Carraro and Sergio Zeme and Valentina Ticcinelli and Carlo Massaroni and Michela Santin and Paola Peretta and Andrea Martinuzzi and Enrico Trevisi",

year = "2014",

month = nov,

doi = "10.1016/j.ejpn.2014.06.003",

language = "English",

volume = "18",

pages = "704--13",

journal = "European Journal of Paediatric Neurology",

issn = "1090-3798",

publisher = "W.B. Saunders Ltd",

number = "6",

}

RIS

TY - JOUR

T1 - Multidimensional outcome measure of selective dorsal rhizotomy in spastic cerebral palsy

AU - Carraro, Elena

AU - Zeme, Sergio

AU - Ticcinelli, Valentina

AU - Massaroni, Carlo

AU - Santin, Michela

AU - Peretta, Paola

AU - Martinuzzi, Andrea

AU - Trevisi, Enrico

PY - 2014/11

Y1 - 2014/11

N2 - BACKGROUND: One of the treatment option to reduce spasticity in cerebral palsy children is selective dorsal rhizotomy. Several studies have demonstrated short and long term improvements in gait and other activities after rhizotomy but this surgery still remains a controversial procedure and patient outcome indicators measures are not uniform.AIMS: To describe our assessment and outcome evaluation protocol and to verify by this protocol short term results of rhizotomy.METHODS: We recruited 9 cerebral palsy children (mean age 7.9 years ± 3.2) affected by mild to moderate spastic diplegia and operated by rhizotomy. Patients were studied preoperatively and at 12 months after surgery by the following clinical and instrumental measures correlated to the International Classification of Functioning: modified Ashworth Scale, passive Range of Motion, Medical Research Council Scale, Selective Motor Control Scale, 3D-motion analysis and energy cost of locomotion measurements (indicators of "body functions"); Gross Motor Functional Measure and Motor Functional Independence Measure (indicators of "activities and participation").RESULTS: Our data showed, after rhizotomy, reduction of spasticity specially in plantarflexors muscles (p < 0.01), increase of strength of knee flexors/extensors and foot plantar/dorsiflexion muscles (p < 0.01), improvement of selective motor control (p < 0.05), more similar spatio-temporal parameters of gait analysis to healthy subjects, reduced equinus foot and knees hyperflexion as energy cost.CONCLUSION: The complementary use of multiple indicators may improve the evaluation of the results of dorsal rhizotomy. A beneficial outcome measured by these indicators has been found in our spastic diplegic children one year after rhizotomy.

AB - BACKGROUND: One of the treatment option to reduce spasticity in cerebral palsy children is selective dorsal rhizotomy. Several studies have demonstrated short and long term improvements in gait and other activities after rhizotomy but this surgery still remains a controversial procedure and patient outcome indicators measures are not uniform.AIMS: To describe our assessment and outcome evaluation protocol and to verify by this protocol short term results of rhizotomy.METHODS: We recruited 9 cerebral palsy children (mean age 7.9 years ± 3.2) affected by mild to moderate spastic diplegia and operated by rhizotomy. Patients were studied preoperatively and at 12 months after surgery by the following clinical and instrumental measures correlated to the International Classification of Functioning: modified Ashworth Scale, passive Range of Motion, Medical Research Council Scale, Selective Motor Control Scale, 3D-motion analysis and energy cost of locomotion measurements (indicators of "body functions"); Gross Motor Functional Measure and Motor Functional Independence Measure (indicators of "activities and participation").RESULTS: Our data showed, after rhizotomy, reduction of spasticity specially in plantarflexors muscles (p < 0.01), increase of strength of knee flexors/extensors and foot plantar/dorsiflexion muscles (p < 0.01), improvement of selective motor control (p < 0.05), more similar spatio-temporal parameters of gait analysis to healthy subjects, reduced equinus foot and knees hyperflexion as energy cost.CONCLUSION: The complementary use of multiple indicators may improve the evaluation of the results of dorsal rhizotomy. A beneficial outcome measured by these indicators has been found in our spastic diplegic children one year after rhizotomy.

KW - Biomechanical Phenomena

KW - Cerebral Palsy

KW - Child

KW - Child, Preschool

KW - Female

KW - Humans

KW - Male

KW - Muscle Spasticity

KW - Neurologic Examination

KW - Outcome Assessment (Health Care)

KW - Range of Motion, Articular

KW - Rhizotomy

KW - Spinal Nerve Roots

KW - Journal Article

U2 - 10.1016/j.ejpn.2014.06.003

DO - 10.1016/j.ejpn.2014.06.003

M3 - Journal article

C2 - 24954890

VL - 18

SP - 704

EP - 713

JO - European Journal of Paediatric Neurology

JF - European Journal of Paediatric Neurology

SN - 1090-3798

IS - 6

ER -

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