| Long-term physical therapy management following a single-event multiple level surgery. | |
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MedLine Citation:
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PMID: 21068643 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: This case report provides an overview of surgical procedures, including single-event multiple level surgery (SEMLS) used in the management of secondary conditions in cerebral palsy (CP). Physical therapy (PT) management over 35 months following SEMLS is described for an adolescent (Gross Motor Function Classification System level II) with CP. SUMMARY OF KEY POINTS: When conservative management is not sufficient to manage secondary complications, SEMLS, combined with PT and family support, may provide the foundation for greater functional improvement than surgical correction of a single impairment. The outcome measures used following SEMLS included the Gross Motor Function Measure-66, Activity Scale for Kidsperformance38, goniometry, manual muscle testing, and Numerical Pain Rating Scale. STATEMENT OF CONCLUSIONS: Preoperative functional level can be exceeded and sustained beyond 24 months following surgery. RECOMMENDATIONS FOR CLINICAL PRACTICE: Rehabilitation following a SEMLS requires teamwork and a long-term commitment to maximize outcomes. |
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Authors:
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Melodie Kondratek; Holly McCollum; Angela Garland |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association Volume: 22 ISSN: 1538-005X ISO Abbreviation: Pediatr Phys Ther Publication Date: 2010 |
Date Detail:
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Created Date: 2010-11-11 Completed Date: 2011-03-07 Revised Date: 2011-08-25 |
Medline Journal Info:
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Nlm Unique ID: 8912748 Medline TA: Pediatr Phys Ther Country: United States |
Other Details:
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Languages: eng Pagination: 427-38 Citation Subset: IM |
Affiliation:
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Oakland University Rochester, Michigan 48309, USA. mdkondra@oakland.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Arthralgia Arthrometry, Articular Cerebral Palsy / complications*, rehabilitation, surgery Disability Evaluation Disease Progression Gait Gait Disorders, Neurologic / rehabilitation Health Status Indicators Hip Joint Humans Knee Joint Length of Stay Male Motor Skills Muscle Strength Physical Therapy Modalities* Postoperative Period Range of Motion, Articular Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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