The effect of rhizotomy on movement in patients with cerebral palsy.
Selective posterior lumbar rhizotomy has recently become an alternative method for relieving spasticity in patients with spastic cerebral palsy. This procedure involves the selective sectioning of the lumbosacral posterior nerve rootlets. Because the whole nerve root in not cut, tactile and proprioc...
| Publicado en: | American Journal of Occupational Therapy Vol. 44; no. 6; pp. 511 - 517 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Occupational Therapy Association
Jun1990
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107519045&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107519045 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02729490 44I jtl: American Journal of Occupational Therapy issn: 02729490 maglogo: N pubinfo: dt: Jun1990 vid: 44 iid: 6 pid: 6680 pub: American Occupational Therapy Association place: North Bethesda, Maryland artinfo: ui: 107519045 107519045 86054821 1990109450 10.5014/ajot.44.6.511 NLM2191597 107519045 ppf: 511 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The effect of rhizotomy on movement in patients with cerebral palsy. aug: au: Berman B Vaughan CL Peacock WJ sug: subj: Cerebral Palsy Surgery Muscle Spasticity Surgery Lumbosacral Plexus Spinal Nerves Surgery Movement Activities of Daily Living Movement Disorders Evaluation Research Child, Preschool Child Adolescence Adult Male Female Human Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Adult: 19-44 years Male Female ab: Selective posterior lumbar rhizotomy has recently become an alternative method for relieving spasticity in patients with spastic cerebral palsy. This procedure involves the selective sectioning of the lumbosacral posterior nerve rootlets. Because the whole nerve root in not cut, tactile and proprioceptive sensation remain intact. The present study measured the changes that occurred in 29 patients with spastic cerebral palsy 2 days before surgery and from 4 to 14 months after surgery. Each patient was used as his or her own control. In addition to to the clinical evaulation of function, gait was analyzed on appropriate patients with a simple digital camera and microcomputer. The results indicated positive gains after rhizotomy. These gains were, however, dependent on the patients' abilities before surgery. The most significant improvement occurred in thigh and knee ranges of movement. This somewhat controversial new method of treating spasticity shows promise in improving the quality of life of patients with spastic cerebral palsy and in facilitating their treatment. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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