Predicting functional change from preintervention measures in selective dorsal rhizotomy

• Published in: Journal of neurosurgery Vol. 106; no. 4 Suppl; p. 282
• Main Authors: Engsberg, Jack R, Ross, Sandy A, Collins, David R, Park, Tae Sung
• Format: Journal Article
• Language: English
• Published: United States 01.04.2007
• Subjects: Cerebral Palsy - physiopathology; Cerebral Palsy - surgery; Child; Child, Preschool; Female; Gait - physiology; Humans; Male; Motor Activity - physiology; Muscle Strength - physiology; Predictive Value of Tests; Range of Motion, Articular - physiology; Rhizotomy; Spinal Nerve Roots - surgery; Treatment Outcome
• ISSN: 0022-3085
• DOI: 10.3171/ped.2007.106.4.282

In this investigation the authors attempted to predict change in function following selective dorsal rhizotomy (SDR) and intensive physical therapy in patients with spastic diplegic cerebral palsy (CP) based on multidomain preintervention measures. Data pertaining to 22 children with CP were collected before the SDR and again 20 months afterward. Although equations for predicting change in gait speed and function (such as the Gross Motor Function Measure) were derived, the 95% confidence interval (CI) widths were too broad to make accurate predictions that were clinically useful outside the study group. Future work should be focused on developing additional measures such as lower-extremity motor control and balance in an attempt to reduce the CIs to more clinically relevant values.