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Evaluation of single event multilevel surgery and rehabilitation in children and youth with cerebral palsy - A 2-year follow-up study
Child and Youth Habilitat, Eksjo, Sweden .
Linköping University, Department of Clinical and Experimental Medicine, Orthopaedics and Sports Medicine . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Orthopaedic Centre, Department of Orthopaedics Linköping.
Linköping University, Department of Medicine and Health Sciences, Physiotherapy. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medicine and Health Sciences, Physiotherapy. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre for Public Health Sciences.
2010 (English)In: DISABILITY AND REHABILITATION, ISSN 0963-8288, Vol. 32, no 7, 530-539 p.Article in journal (Refereed) Published
Abstract [en]

Method. A prospective single-subject study with AB design and 2-year follow-up, included 11 children between 8 and 18 years old with CP, Gross Motor Function Classification System I-III. Visual analyses were used to present physical function with Physical Cost Index (PCI). Descriptive statistics were used to present number of children with a clinically important change in Gross Motor Function Measure (GMFM), self-reported walking ability, and HRQOL with child health questionnaire (CHQ). Results. PCI showed a trend of lower energy cost during gait in six children and GMFM was unchanged for 10 children and improved for one child. Walking ability was improved in 10 children. Gait distance increased in all 11. Both physical and psychosocial dimensions of CHQ improved in six of nine (two missing data). Expectations of outcomes were fulfilled in seven and partly fulfilled in four. Satisfaction with care was fulfilled in 10 of 11. Conclusion. Self-reported walking ability improved after multilevel surgery and intensive rehabilitation. This result was partly supported by lower energy cost and improved HRQOL. Expectations and satisfaction were fulfilled for the majority of children.

Place, publisher, year, edition, pages
2010. Vol. 32, no 7, 530-539 p.
Keyword [en]
Cerebral palsy, children, multilevel surgery, outcome, life quality, care
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-54403DOI: 10.3109/09638280903180171ISI: 000274856200002OAI: oai:DiVA.org:liu-54403DiVA: diva2:303524
Available from: 2010-03-12 Created: 2010-03-12 Last updated: 2010-03-12

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Risto, OlofÖdman, PiaÖberg, Birgitta

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Orthopaedics and Sports Medicine Faculty of Health SciencesDepartment of Orthopaedics LinköpingPhysiotherapyCentre for Public Health Sciences
Medical and Health Sciences

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