•  
  •  
 

Rehabilitation Practice and Science

Translated Title

選擇性背神經根切除術對腦性麻痺患者運動控制及步態之影響

Abstract

This study evaluates how selective posterior rhizotomy (SPR) affects the motor control pattern of children diagnosed with cerebral palsy (CP) by using polyelectromyography and gait performance. Twenty-four spastic children diagnosed with CP aged 3 to 16 years old were included in this study. Another twenty children diagnosed with CP who had only undergone rehabilitation were selected as the control group. The children diagnosed with CP received polyelectromyography and gait analysis within one month before treatment (SPR or only rehabilitation) and 9 months to 1 year after treatment. Gait analysis included gait patterns and kinematic parameters. The gait pattems were scored by the shapes of their gaitline and cyclogram. The motor control patterma were scored by their temporal and spatial features using polyelectromyography. The cerebral palsy patients were divided into independent, dependent, and non-ambulators groups. Motor control and gait patterns significantly improved after SPR than when only rehabilitation was performed; positive changes were also observed in kinematic parameters before and after SPR. In addition, although motor control after surgery significantly improved in the independent and dependent ambulator groups (P＜0.01), the non-ambulator group did not. Closely examining the changes in their gaitlines and cyclograms revealed that the independent and dependent ambulators significantly improved as well. Results in this study suggested that motor control and gait patterns improved after SPR at around 1 year among the independent and dependent ambulators groups. However, these progressions were insignificant in the non-ambulators group.

Language

English

First Page

103

Last Page

115

Download

Share

COinS