Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 6 , Pages 994-1003 , June 2009

Functional Status of Patients With Cerebral Palsy According to the International Classification of Functioning, Disability and Health Model: A 20-Year Follow-Up Study After Selective Dorsal Rhizotomy

Presented in part at the European Academy of Childhood and Disability, June 14–16, 2007, Groningen, The Netherlands.

  • Nelleke G. Langerak, MSc

      Affiliations

    • Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Observatory, Western Cape, South Africa
    • ,
  • Robert P. Lamberts, MSc

      Affiliations

    • Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Observatory, Western Cape, South Africa
    • ,
  • A. Graham Fieggen, FCS

      Affiliations

    • Division of Pediatric Neurosurgery, Red Cross Children's War Memorial Hospital, Rondebosch, Western Cape, South Africa
    • ,
  • Jonathan C. Peter, FRCS

      Affiliations

    • Division of Pediatric Neurosurgery, Red Cross Children's War Memorial Hospital, Rondebosch, Western Cape, South Africa
    • ,
  • Warwick J. Peacock, FRCS

      Affiliations

    • Department of Neurological Surgery, University of California, San Francisco, CA
    • ,
  • Christopher L. Vaughan, PhD

      Affiliations

    • Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Observatory, Western Cape, South Africa
    • Corresponding Author InformationCorrespondence to Christopher L. Vaughan, PhD, MRC/UCT Medical Imaging Research Unit, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Observatory, Western Cape 7925, South Africa

  • Image Result

    Outcome measures for the ICF dimension body structure and function before and at 1 and 20 years after surgery. Box plots show (A) muscle tone, (B) joint stiffness, and (C) voluntary movement, whereas

    Outcome measures for the ICF dimension body structure and function before and at 1 and 20 years after surgery. Box plots show (A) muscle tone, (B) joint stiffness, and (C) voluntary movement, whereas whiskers represent the minimum and maximum values, excluding outliers. Outliers are values more than 1.5 box lengths from the upper or lower edge of the box and shown as circles. Note: the median of muscle tone scores at 1 and 20 years postoperatively are 2.1 and 2.0, respectively.

  • Image Result
    Outcome measures for the ICF dimension activity before and at 1 and 20 years after surgery. (A) Box plots show 1st, 2nd (median), and 3rd quartiles, whereas whiskers represent the minimum and maximum

    Outcome measures for the ICF dimension activity before and at 1 and 20 years after surgery. (A) Box plots show 1st, 2nd (median), and 3rd quartiles, whereas whiskers represent the minimum and maximum values, excluding outliers. Outliers are values more than 1.5 box lengths from the upper or lower edge of the box and are shown as circles. (B) Line plots of median scores of 9 functional movements before and at 1 and 20 years after surgery.

  • Image Result
    Patient with CP showing 1 of the functional movement outcome measures: long sitting before surgery (A), at 1 year (B), 20 years (C) after surgery.17

    Patient with CP showing 1 of the functional movement outcome measures: long sitting before surgery (A), at 1 year (B), 20 years (C) after surgery.17

  • Image Result
    Distribution of GMFCS levels per patient (n=14) before and at 1 and 20 years after surgery.

    Distribution of GMFCS levels per patient (n=14) before and at 1 and 20 years after surgery.

 Supported by the Science Foundation Ireland, the South African Medical Research Council, and the University of Cape Town. The study protocol was approved by the University of Cape Town's Human Ethics Committee (REC REF 139/2005). We also acknowledge the financial support of the South African Medical Research Council.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which authors are associated.

 Reprints are not available from the author.

PII: S0003-9993(09)00183-X

doi: 10.1016/j.apmr.2008.11.019

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 6 , Pages 994-1003 , June 2009

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