PMID- 21602584
OWN - NLM
STAT- MEDLINE
DCOM- 20111010
LR  - 20121018
IS  - 2084-4336 (Electronic)
IS  - 1509-3492 (Linking)
VI  - 13
IP  - 2
DP  - 2011 Mar-Apr
TI  - Changes in the hip migration percentage and motor function in patients with 
      cerebral palsy treated surgically by multilevel soft tissue release--preliminary 
      report.
PG  - 173-83
AB  - BACKGROUND: Disturbed muscle balance secondary to upper motor neuron damage in 
      the course of infantile cerebral palsy (ICP) leads to the development of 
      progressive morphological changes in joints, especially the hip. We analysed 
      changes in Reimers' index (hip migration percentage - MP), and functional ability 
      in CP children after multilevel soft tissue release. MATERIAL AND METHODS: We 
      studied 22 patients with cerebral palsy following one-stage multilevel soft 
      tissue release. The children were examined twice: one day before the surgery and 
      at least 6 months (a mean of 9 months) after the procedure. Hip stability was 
      evaluated radiographically using Reimers' index. Post-operative functional 
      changes were analysed with the Gross Motor Function Measure-88 scale (GMFM-88). 
      RESULTS: Reimers' index decreased post-operatively in 20 right and 18 left hips 
      and increased in 2 right and 4 left hips. Functional ability according to the 
      GMFM scale increased in 17 children (by a mean of 7.1%), did not change in 3 
      patients with near-maximum pre-operative scores, and worsened in 2 patients. 
      CONCLUSIONS: Our study showed that, when performed for appropriate indications, 
      multilevel soft tissue release surgery can improve hip stability and functional 
      ability in CP children.
FAU - Szczepanik, Magdalena
AU  - Szczepanik M
AD  - Institute of Physiotherapy, University of Rzeszow, Poland. 
      mszczep@univ.rzeszow.pl
FAU - Dudek, Joanna
AU  - Dudek J
FAU - Snela, Slawomir
AU  - Snela S
FAU - Piasek, Rafal
AU  - Piasek R
LA  - eng
LA  - pol
PT  - Journal Article
PL  - Poland
TA  - Ortop Traumatol Rehabil
JT  - Ortopedia, traumatologia, rehabilitacja
JID - 101240146
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Cerebral Palsy/*complications
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Hip Dislocation/*etiology/physiopathology/*surgery
MH  - Humans
MH  - Male
MH  - *Motor Neurons
MH  - Treatment Outcome
EDAT- 2011/05/24 06:00
MHDA- 2011/10/11 06:00
CRDT- 2011/05/24 06:00
PHST- 2011/05/24 06:00 [entrez]
PHST- 2011/05/24 06:00 [pubmed]
PHST- 2011/10/11 06:00 [medline]
AID - 939206 [pii]
PST - ppublish
SO  - Ortop Traumatol Rehabil. 2011 Mar-Apr;13(2):173-83.