[Clinical observation of selective posterior rhizotomy for improving spasticity and gross movement in patients with cerebral palsy]

Autor: Jie, Xu, Lin, Xu, Jie, Zeng, Xing-Kui, Yang, Zhao-Hui, Li, Gao-Kai, Shao, Xiao-Ye, Li, Bo-Wen, Deng, Xiao-Hong, Mu
Rok vydání: 2019
Předmět:
Zdroj: Zhongguo gu shang = China journal of orthopaedics and traumatology. 32(9)
ISSN: 1003-0034
Popis: To explore the effect of selective lumbosacral posterior rhizotomy(SPR) on lower limb spasticity and gross motor function in patients with cerebral palsy.From January 2018 to October 2018, 47 patients with cerebral palsy were treated with rehabilitation alone and SPR combined with rehabilitation. According to whether SPR was performed, the patients were divided into group A and group B. Group A was treated with rehabilitation combined with SPR at lumbosacral level, and group B was treated with rehabilitation alone. There were 23 cases in group A, including 15 males and 8 females, with an average age of (7.30±3.25) years old; 24 cases in group B, 13 males and 11 females, with an average age of (7.00±3.09) years old. Forty-seven patients were assessed with modified Ashworth(MAS) and Gross Motor Function Scale(GMFM-88 items) before and after treatment. The changes of MAS and GMFM-88 scores before and after treatment were compared to evaluate the degree of spasm and the improvement of gross motor function in the two groups.All 47 patients were followed up. At 6 months after treatment, the MAS classification of the two groups was significantly improved(Selective posterior rhizotomy combined with rehabilitation can significantly improve the spastic state and gross motor function of lower limbs in children with cerebral palsy, and can effectively promote the reconstruction and recovery of motor function of lower limbs in children with cerebral palsy.
Databáze: OpenAIRE