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

References 

  1. Odding E, Roebroeck ME, Stam HJ. The epidemiology of cerebral palsy: Incidence, impairments and risk factors. Disabil Rehabil. 2006;28:183–191
  2. Stanley F, Blair E, Alberman E. How common are the cerebral palsies?. In:  Stanley F,  Blair E,  Alberman E editor. Cerebral palsies: epidemiology and causal pathways. London: Mac Keith Press; 2000;p. 22–39
  3. Gage JR. An overview of treatment. In:  Gage JR editors. The treatment of gait problems in cerebral palsy. 1st ed.. London: Mac Keith Press; 2004;p. 238–244
  4. Liptak GS. Health and well being of adults with cerebral palsy. Curr Opin Neurol. 2008;21:136–142
  5. Andersson C, Mattsson E. Adults with cerebral palsy: a survey describing problems, needs, and resources, with special emphasis on locomotion. Dev Med Child Neurol. 2001;43:76–82
  6. Hilberink SR, Roebroeck ME, Nieuwstraten W, Jalink L, Verheijden JM, Stam HJ. Health issues in young adults with cerebral palsy: towards a life-span perspective. J Rehabil Med. 2007;39:605–611
  7. Peacock WJ, Eastman RW. The neurosurgical management of spasticity. S Afr Med J. 1981;60:849–850
  8. World Health Organization. International Classification of Functioning, Disability and Health (ICF). Geneva: WHO; 2001;
  9. Burridge JH, Wood DE, Hermens HJ, et al. Theoretical and methodological considerations in the measurement of spasticity. Disabil Rehabil. 2005;27:69–80
  10. Rosenbaum P, Stewart D. The World Health Organization International Classification of Functioning, Disability, and Health: a model to guide clinical thinking, practice and research in the field of cerebral palsy. Semin Pediatr Neurol. 2004;11:5–10
  11. Majnemer A, Mazer B. New directions in the outcome evaluation of children with cerebral palsy. Semin Pediatr Neurol. 2004;11:11–17
  12. Steinbok P. Outcomes after selective dorsal rhizotomy for spastic cerebral palsy. Childs Nerv Syst. 2001;17:1–18
  13. Steinbok P. Selective dorsal rhizotomy for spastic cerebral palsy: a review. Childs Nerv Syst. 2007;23:981–990
  14. Langerak NG, Lamberts RP, Fieggen AG, Peter JC, Peacock WJ, Vaughan CL. Selective dorsal rhizotomy: long-term experience from Cape Town. Childs Nerv Syst. 2007;23:1003–1006
  15. Langerak NG, Lamberts RP, Fieggen AG, et al. A prospective gait analysis study in patients with diplegic cerebral palsy 20 years after selective dorsal rhizotomy. J Neurosurg Pediatrics. 2008;1:180–186
  16. Berman B. Selective posterior rhizotomy: does it do any good?. Neurosurgery: State of the Art Reviews. 1989;4:431–444
  17. Berman B, Vaughan CL, Peacock WJ. The effect of rhizotomy on movement in patients with cerebral palsy. Am J Occup Ther. 1990;44:511–516
  18. Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997;39:214–223
  19. Jahnsen R, Aamodt G, Rosenbaum P. Gross Motor Function Classification System used in adults with cerebral palsy: agreement of self-reported versus professional rating. Dev Med Child Neurol. 2006;48:734–738
  20. Rosenbaum PL, Palisano RJ, Bartlett DJ, Galuppi BE, Russell DJ. Development of the Gross Motor Function Classification System for cerebral palsy. Dev Med Child Neurol. 2008;50:249–253
  21. Cole GF, Farmer SE, Roberts A, Stewart C, Patrick JH. Selective dorsal rhizotomy for children with cerebral palsy: the Oswestry experience. Arch Dis Child. 2007;92:781–785
  22. Bland JM, Altman DG. Multiple significance tests: the Bonferroni method. BMJ. 1995;310:170
  23. Gul SM, Steinbok P, McLeod K. Long-term outcome after selective posterior rhizotomy in children with spastic cerebral palsy. Pediatr Neurosurg. 1999;31:84–95
  24. Mittal S, Farmer JP, Al Atassi B, et al. Long-term functional outcome after selective posterior rhizotomy. J Neurosurg. 2002;97:315–325
  25. Vaughan CL, Berman B, Staudt LA, Peacock WJ. Gait analysis of cerebral palsy children before and after rhizotomy. Pediatr Neurosci. 1988;14:297–300
  26. Vaughan CL, Berman B, Peacock WJ. Cerebral palsy and rhizotomy (A 3-year follow-up evaluation with gait analysis). J Neurosurg. 1991;74:178–184
  27. Subramanian N, Vaughan CL, Peter JC, Arens LJ. Gait before and 10 years after rhizotomy in children with cerebral palsy spasticity. J Neurosurg. 1998;88:1014–1019
  28. Mittal S, Farmer JP, Al Atassi B, et al. Functional performance following selective posterior rhizotomy: long-term results determined using a validated evaluative measure. J Neurosurg. 2002;97:510–518
  29. Palisano RJ, Cameron D, Rosenbaum PL, Walter SD, Russell D. Stability of the gross motor function classification system. Dev Med Child Neurol. 2006;48:424–428
  30. McCormick A, Brien M, Plourde J, Wood E, Rosenbaum P, McLean J. Stability of the Gross Motor Function Classification System in adults with cerebral palsy. Dev Med Child Neurol. 2007;49:265–269
  31. Buckon CE, Thomas SS, Piatt JH, Aiona MD, Sussman MD. Selective dorsal rhizotomy versus orthopedic surgery: a multidimensional assessment of outcome efficacy. Arch Phys Med Rehabil. 2004;85:457–465
  32. Kan P, Gooch J, Amini A, et al. Surgical treatment of spasticity in children: comparison of selective dorsal rhizotomy and intrathecal baclofen pump implantation. Childs Nerv Syst. 2008;24:239–243

 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