Selective dorsal rhizotomy in cerebral palsy: selection criteria and postoperative physical therapy protocols
Autor/a
D’Agostini, Renata
Panissona, Nicolini
Tedesco, Ana Paula
Folle, Maira Rech
Fagundes Donadioa, Márcio Vinicius
Fecha de publicación
2018ISSN
0103-0582
Resumen
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.
Tipo de documento
Artículo
Versión del documento
Versión publicada
Lengua
Inglés
Materias (CDU)
61 - Medicina
Palabras clave
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
Páginas
9
Publicado por
SciELO
Colección
36;1
Publicado en
Revista Paulista de Pediatria
Citación
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
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Derechos
© 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/).
Excepto si se señala otra cosa, la licencia del ítem se describe como https://creativecommons.org/licenses/by/4.0/