Selective dorsal rhizotomy in cerebral palsy: selection criteria and postoperative physical therapy protocols
Author
D’Agostini, Renata
Panissona, Nicolini
Tedesco, Ana Paula
Folle, Maira Rech
Fagundes Donadioa, Márcio Vinicius
Publication date
2018ISSN
0103-0582
Abstract
Objective: To identify selection criteria for selective dorsal rhizotomy (SDR) in cerebral palsy, to analyze the instruments used for evaluation, and to describe the characteristics of physical therapy in postoperative protocols. Data sources: Integrative review performed in the following databases: SciELO, PEDro, Cochrane Library, and PubMed. The terms in both Portuguese and English for “cerebral palsy”, “selective dorsal rhizotomy”, and “physical therapy” were used in the search. Studies whose samples enrolled individuals with cerebral palsy who had attended physical therapy sessions for selective dorsal rhizotomy according to protocols and describing such protocols’ characteristics were included. Literature reviews were excluded and there was no restriction as to period of publication. Data synthesis: Eighteen papers were selected, most of them being prospective cohort studies with eight-month to ten-year follow-ups. In most studies, the instruments of assessment encompassed the domains of functions, body structure, and activity. The percentage of posterior root sections was close to 50%. Primary indications for SDR included ambulatory spastic diplegia, presence of spasticity that interfered with mobility, good strength of lower limbs and trunk muscles, no musculoskeletal deformities, dystonia, ataxia or athetosis, and good cognitive function. Postoperative physical therapy is part of SDR treatment protocols and should be intensive and specific, being given special emphasis in the first year. Conclusions: The studies underline the importance of appropriate patient selection to obatin success in the SDR. Postoperative physical therapy should be intensive and long-term, and must necessarily include strategies to modify the patient’s former motor pattern.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
Keywords
Espasticitat muscular
Rizotomia
Especialitat de fisioteràpia
Atenció postoperatòria
Paràl·lisi cerebral
Espasticidad muscular
Rizotomía
Especialidad de fisioterapia
Cuidado postoperatorio
Parálisis cerebral
Muscle spasticity
Rhizotomy
Physical therapy specialty
Postoperative care
Cerebral palsy
Pages
9
Publisher
SciELO
Collection
36;1
Is part of
Revista Paulista de Pediatria
Citation
D’Agostini, Renata; Panissona, Nicolini; Tedesco, Ana Paula [et al.]. Selective dorsal rhizotomy in cerebral palsy: selection criteria and postoperative physical therapy protocols. Revista Paulista de Pediatria, 2017, 36(1), p. 100-108. Disponible en: <https://www.scielo.br/j/rpp/a/ZFFxq4sXKkdgYZyt3XTn5fd/?lang=pt>. Fecha de acceso: 28 mar. 2022. Disponible en: <https://www.scielo.br/j/rpp/a/ZFFxq4sXKkdgYZyt3XTn5fd/?lang=pt>. Fecha de acceso: 28 mar. 2022. DOI: 10.1590/1984-0462/;2018;36;1;00005
This item appears in the following Collection(s)
- Ciències de la Salut [712]
Rights
© 2017 Sociedade de Pediatria de São Paulo. Published by Zeppelini Publishers. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by/4.0/