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Long-term impact of childhood selective dorsal rhizotomy on pain, fatigue, and function: a case-control study.


ABSTRACT: AIM:Selective dorsal rhizotomy (SDR) is a surgical treatment for spasticity in children with cerebral palsy (CP). Studies suggest long-lasting effects of SDR on spasticity; long-term effects on symptoms and function are not clear. This study tested whether adults with CP (average 22y after SDR) report less pain, fatigue, and functional decline than a retrospectively assessed non-surgical comparison group. METHOD:This was a case-control study. Eighty-eight adults with CP (mean age 27y; SDR=38 male/female/missing=20/16/2; non-surgical [comparison]=50, male/female=19/31) recruited from a tertiary care center and the community completed a battery of self-reported outcome measures. Regression models were used to test whether SDR status predicted pain, fatigue, functional change, and hours of assistance (controlling for Gross Motor Function Classification System level). RESULTS:SDR status did not significantly predict pain interference (p=0.965), pain intensity (p=0.512), or fatigue (p=0.404). SDR related to lower decline in gross motor functioning (p=0.010) and approximately 6 fewer hours of daily assistance than for those in the comparison group (p=0.001). INTERPRETATION:Adults with CP who had SDR in childhood reported less gross motor decline and fewer daily assistance needs than non-surgically treated peers, suggesting the functional impact of SDR persists long after surgery.

SUBMITTER: Daunter AK 

PROVIDER: S-EPMC5610610 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature

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Long-term impact of childhood selective dorsal rhizotomy on pain, fatigue, and function: a case-control study.

Daunter Alecia K AK   Kratz Anna L AL   Hurvitz Edward A EA  

Developmental medicine and child neurology 20170615 10


<h4>Aim</h4>Selective dorsal rhizotomy (SDR) is a surgical treatment for spasticity in children with cerebral palsy (CP). Studies suggest long-lasting effects of SDR on spasticity; long-term effects on symptoms and function are not clear. This study tested whether adults with CP (average 22y after SDR) report less pain, fatigue, and functional decline than a retrospectively assessed non-surgical comparison group.<h4>Method</h4>This was a case-control study. Eighty-eight adults with CP (mean age  ...[more]

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