Document Detail


Spasticity and strength changes as a function of selective dorsal rhizotomy.
MedLine Citation:
PMID:  9609297     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECT: The goal of this investigation was to quantify changes in hamstring muscle spasticity and strength in children with cerebral palsy (CP) as a function of their having undergone a selective dorsal rhizotomy. METHODS: Nineteen children with CP (CP group) and six children with able bodies (AB group) underwent testing with a dynamometer. For the spasticity measure, the dynamometer measured the resistive torque of the hamstring muscles during passive knee extension at four different speeds. Torque-angle data were processed to calculate the work done by the machine to extend the knee for each speed. Linear regression was used to calculate the slope of the line of best fit for the work-velocity data. The slope simultaneously encompassed three key elements associated with spasticity (velocity, resistance, and stretch) and was considered the measure of spasticity. For the strength test, the dynamometer moved the leg from full knee extension to flexion while a maximum concentric contraction of the hamstring muscles was performed. Torque-angle data were processed to calculate the work done on the machine by the child. Hamstring spasticity values for the CP group were significantly greater than similar values for the AB group prior to surgery; however, they were not significantly different after surgery. Hamstring strength values for the CP group remained significantly less than those for the AB group after surgery, but were significantly increased relative to their presurgery values. CONCLUSIONS: The results of spasticity testing in the present investigation agreed with those of previous studies, indicating a reduction in spasticity for the CP group. The results of strength testing did not agree with those in the previous literature; a significant increase in strength was observed for the CP group.
Authors:
J R Engsberg; K S Olree; S A Ross; T S Park
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  88     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-06-19     Completed Date:  1998-06-19     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1020-6     Citation Subset:  AIM; IM    
Affiliation:
Human Performance Laboratory, Barnes-Jewish and St. Louis Children's Hospitals, Missouri 63108, USA. jre6264@bjcmail.carenet.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Cerebral Palsy / physiopathology,  rehabilitation,  surgery*
Chi-Square Distribution
Child
Child, Preschool
Electromyography
Female
Hemiplegia / physiopathology,  rehabilitation,  surgery
Humans
Knee Joint / physiopathology
Linear Models
Male
Monitoring, Intraoperative
Muscle Contraction / physiology*
Muscle Spasticity / physiopathology*,  rehabilitation,  surgery
Muscle, Skeletal / physiopathology*
Physical Therapy Modalities
Prospective Studies
Reproducibility of Results
Rhizotomy / methods*
Torque

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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