PMID- 37775480
OWN - NLM
STAT- Publisher
LR  - 20230929
IS  - 0300-5283 (Print)
IS  - 0300-5283 (Linking)
VI  - 78
IP  - 5
DP  - 2023 Sep
TI  - Walking further. How surgery can help the cerebral palsy child.
PG  - 566-569
AB  - INTRODUCTION: The prevalence of cerebral palsy (CP) in Malaysia is estimated at 
      2.6 per 1000 live births which is comparable to that of Australian and European 
      data with ranges of 2.3- 4.2(1,2). Surgical intervention for the improvement of 
      gait function and mobility in CP is a common practice, however scarce literature 
      of its outcomes is available in Southeast Asia. This paper aims to address and 
      compare outcomes of surgical interventions in our centre with other countries. 
      MATERIAL AND METHODS: Patients with Spastic CP with Gross Motor Function 
      Classification System (GMFCS) I-III that underwent lower limb surgical 
      intervention in our centre from 2008-2018 were retrospectively reviewed for The 
      Spinal Alignment and Range of Motion Measure ROM subscale (SAROMM) scores and 
      Functional Mobility Scale (FMS) 18 months after surgery. Changes in SAROMM, FMS 
      scores and minimal clinically important difference (MCID) were determined. 
      RESULTS: 19 patients were included in the study with mean age of 12.58. All 
      patients underwent muscle tendon procedures. Box plot analysis of SAROMM showed 
      reduction of median scores at 6(26.3%) and 12(47.4%) months which plateaus at 18 
      months post-surgery. Repeated measure ANOVA analysis showed there was a 
      statistically significant effect of time on SAROMM scores (p <0.001) with MCID of 
      13.4. Improvement of FMS scores was the most at 50m with 13 children (p < 0.05), 
      one at 5m and five at 500m. None reported worsening of FMS scores at 18 months. 
      There were no changes of GMFCS levels by the end of 18 months. CONCLUSION: 
      Surgeries performed on GMFCS I-III patients with the aim of gait improvement 
      translates into improved mobility with results comparable to other countries.
FAU - Syed, A
AU  - Syed A
AD  - Hospital Tuanku Ampuan Najihah, Department of Orthopaedics & Traumatology, Kuala 
      Pilah Negeri Sembilan, Malaysia. syedazhariff@gmail.com.
FAU - Htwe, O
AU  - Htwe O
AD  - Pusat Perubatan Universiti Kebangsaan Malaysia, Department of Orthopaedics & 
      Traumatology, Rehabilitation Medicine Unit, Kuala Lumpur Malaysia.
FAU - Naicker, M S
AU  - Naicker MS
AD  - University of Malaya, Faculty of Medicine, Department of Pathology, Kuala Lumpur 
      Malaysia.
FAU - Rashid, A H A
AU  - Rashid AHA
AD  - Pusat Perubatan Universiti Kebangsaan Malaysia, Department of Orthopaedics & 
      Traumatology, Kuala Lumpur Malaysia.
FAU - Yuliawiratman, B S
AU  - Yuliawiratman BS
AD  - IHT Rehabilitation Centre, Persiaran SILC, Kawasan Perindustrian SILC, lskandar 
      Puteri, Johor, Malaysia.
FAU - Naicker, A S
AU  - Naicker AS
AD  - Pusat Perubatan Universiti Kebangsaan Malaysia, Department of Orthopaedics & 
      Traumatology, Rehabilitation Medicine Unit, Kuala Lumpur Malaysia.
LA  - eng
PT  - Journal Article
PL  - Malaysia
TA  - Med J Malaysia
JT  - The Medical journal of Malaysia
JID - 0361547
SB  - IM
EDAT- 2023/09/30 09:42
MHDA- 2023/09/30 09:42
CRDT- 2023/09/29 23:02
PHST- 2023/09/30 09:42 [medline]
PHST- 2023/09/30 09:42 [pubmed]
PHST- 2023/09/29 23:02 [entrez]
PST - ppublish
SO  - Med J Malaysia. 2023 Sep;78(5):566-569.