The Effects of Selective Dorsal Rhizotomy on Balance and Symmetry of Gait in Children with Cerebral Palsy
| Autor: | Ilya Sharankou, Franziska Rumberg, Akosua Sarpong, William R. Taylor, Julia F. Funk, Susanne Lebek, Hannes Haberl, Mustafa Sinan Bakir |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
030506 rehabilitation Physiology medicine.medical_treatment lcsh:Medicine Walking 600 Technik Medizin angewandte Wissenschaften::610 Medizin und Gesundheit Families Pediatric Surgery 0302 clinical medicine Medicine and Health Sciences Postural Balance Child lcsh:Science Gait Children Musculoskeletal System Multidisciplinary Upper motor neuron Treatment Outcome medicine.anatomical_structure Neurology Child Preschool Female Anatomy medicine.symptom Spinal Nerve Roots Gait Analysis 0305 other medical science Research Article medicine.medical_specialty Cognitive Neuroscience Surgical and Invasive Medical Procedures Rhizotomy Cerebral palsy Motor Reactions 03 medical and health sciences Physical medicine and rehabilitation medicine Humans Balance (ability) Electromyography Biological Locomotion business.industry Cerebral Palsy lcsh:R Correction Biology and Life Sciences medicine.disease Postural Control Age Groups Gait analysis People and Places Cognitive Science Population Groupings lcsh:Q business 030217 neurology & neurosurgery Neuroscience Balance problems |
| Zdroj: | PLoS ONE, Vol 11, Iss 4, p e0152930 (2016) PLoS ONE PLoS ONE, 11 (4) |
| ISSN: | 1932-6203 |
| Popis: | Aim Cerebral palsy (CP) is associated with dysfunction of the upper motor neuron and results in balance problems and asymmetry during locomotion. Selective dorsal rhizotomy (SDR) is a surgical procedure that results in reduced afferent neuromotor signals from the lower extremities with the aim of improving gait. Its influence on balance and symmetry has not been assessed. The aim of this prospective cohort study was to evaluate the impact of SDR on balance and symmetry during walking. Methods 18 children (10 girls, 8 boys; age 6 years (y) 3 months (m), SD 1y 8m) with bilateral spastic CP and Gross Motor Function Classification System levels I to II underwent gait analysis before and 6 to 12 months after SDR. Results were compared to 11 typically developing children (TDC; 6 girls, 5 boys; age 6y 6m, SD 1y 11m). To analyse balance, sway velocity, radial displacement and frequency were calculated. Symmetry ratios were calculated for balance measures and spatio-temporal parameters during walking. Results Most spatio-temporal parameters of gait, as well as all parameters of balance, improved significantly after SDR. Preoperative values of symmetry did not vary considerably between CP and TDC group and significant postoperative improvement did not occur. Interpretation The reduction of afferent signalling through SDR improves gait by reducing balance problems rather than enhancing movement symmetry. PLoS ONE, 11 (4) ISSN:1932-6203 |
| Databáze: | OpenAIRE |
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