Long‐term effects of selective dorsal rhizotomy in children with cerebral palsy: a systematic review

Tedroff, Kristina; Hägglund, Gunnar; Miller, Freeman

doi:10.1111/dmcn.14320

Cited by 64 publications

(53 citation statements)

References 75 publications

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“…Gait asymmetry may arise from impairments in motor control, asymmetric orthopedic deformity, and asymmetric pain, and can be used to inform clinical decisions 34 . Longitudinal changes can inform clinicians about progression of symptoms and long-term benefits of treatment, since the lack of longitudinal data makes analysis of long-term effects of treatment difficult 35 . We used predicted values from the models described earlier to estimate asymmetry and longitudinal changes, and thus did not train new models for this task.…”

Section: Resultsmentioning

confidence: 99%

Deep neural networks enable quantitative movement analysis using single-camera videos

et al. 2020

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Many neurological and musculoskeletal diseases impair movement, which limits people’s function and social participation. Quantitative assessment of motion is critical to medical decision-making but is currently possible only with expensive motion capture systems and highly trained personnel. Here, we present a method for predicting clinically relevant motion parameters from an ordinary video of a patient. Our machine learning models predict parameters include walking speed ( r = 0.73), cadence ( r = 0.79), knee flexion angle at maximum extension ( r = 0.83), and Gait Deviation Index (GDI), a comprehensive metric of gait impairment ( r = 0.75). These correlation values approach the theoretical limits for accuracy imposed by natural variability in these metrics within our patient population. Our methods for quantifying gait pathology with commodity cameras increase access to quantitative motion analysis in clinics and at home and enable researchers to conduct large-scale studies of neurological and musculoskeletal disorders.

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Section: Resultsmentioning

confidence: 99%

Deep neural networks enable quantitative movement analysis using single-camera videos

et al. 2020

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“…It is possible that the rates of SDR would have been substantially higher if children on private insurances had been included. SDR is, to some extent, a controversial surgery and healthcare providers have varying opinions in terms of its usefulness [35]. That does not explain why more boys than girls have undergone the procedure.…”

Section: Discussionmentioning

confidence: 99%

Gender differences in treatments and interventions received by children and adolescents with cerebral palsy

2020

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Background: In the Swedish population-based follow-up program and national quality registry for individuals with cerebral palsy (CPUP), physiotherapy (PT) and occupational therapy (OT) treatments are regularly recorded along with functional status. By Swedish law, all citizens irrespective of personal characteristics or socioeconomic status, have the right to receive healthcare and medical treatments as applicable. Previous research has shown gender differences in treatments and interventions received by children with cerebral palsy (CP). The purpose of this study was to examine differences in treatments and interventions by gender and place of birth in children and adolescents participating in CPUP. Methods: This was a cross-sectional registry study. Data from the latest PT (n = 2635) and OT assessment forms (n = 3480) in CPUP were extracted for individuals aged 0-17 years. Logistic regressions were used to assess the relationships between the outcome variables and gender and place of birth (including an interaction term gender X place of birth), adjusted for age, Gross Motor Function Classification System (GMFCS) levels and spasticity scores for PT interventions and Manual Ability Classification System (MACS) for OT interventions. Results: Results are presented as odds ratios [95% confidence intervals] and p-values. Girls were significantly more likely to have spinal braces than boys; 1.54 [1.07, 2.22] p < 0.05, a significant interaction with place of birth indicated fewer spinal braces prescribed to children born outside of the Nordic countries; 0.20 [0.079, 0.53] p < 0.001. Girls were less likely to have undergone selective dorsal rhizotomy (SDR); 0.49 [0.25, 0.94] p < 0.05. Individuals born outside of the Nordic countries, were significantly less likely to have received intrathecal baclofen (ITB) 0.27 [0.074, 0.98] p < 0.05. Conclusions: Of the treatments prescribed, gender differences were observed for spinal braces and having undergone SDR. A statistically significant difference based on place of birth was noted for spinal bracing and having received ITB treatment. Other PT and OT treatments were associated with age, level of spasticity, and functional severity as classified using the GMFCS and the MACS. Increased awareness of differences based on gender, and where a child is born, could be obtained by inter-and intraprofessional discussions.

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“…In this study, the aim was to assess if the likelihood of receiving certain treatments and interventions were associated with the gender of the child. We also assessed if the gender of the child interacted (35). That does not explain why more boys than girls have undergone the procedure.…”

Section: Discussionmentioning

confidence: 99%

Gender Differences in Treatments and Interventions Received for Children and Adolescents with Cerebral Palsy

Josenby

Czuba

Schmidt

2020

Preprint

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Background: In the Swedish population-based follow-up program and national quality registry for individuals with cerebral palsy (CPUP), physiotherapy (PT) and occupational therapy (OT) treatments are regularly recorded along with functional status. By Swedish law, all citizens irrespective of personal characteristics or socioeconomic status have the right to receive healthcare and medical treatments as applicable. Previous research has shown gender differences in treatments and interventions received by children with cerebral palsy (CP). The purpose of this study was to examine differences in treatments and interventions by gender and place of birth in children and adolescents participating in CPUP. Methods: This was a cross-sectional registry study. Data from the latest PT (n = 2635) and OT assessment forms (n = 3480) in CPUP were extracted for individuals aged 0-17 years. Logistic regressions were used to assess the relationships between the outcome variables and gender and place of birth (including an interaction term gender X place of birth), adjusted for age, Gross Motor Function Classification System (GMFCS) levels and spasticity scores for PT interventions and Manual Ability Classification System (MACS) for OT interventions. Results: Results are presented as odds ratios [95% confidence intervals] and p-values. Girls were significantly more likely to have spinal braces than boys; 1.54 [1.07, 2.22] p<0.05, a significant interaction with place of birth indicated fewer spinal braces prescribed to children born outside of the Nordic countries; 0.20 [0.079, 0.53] p<0.001. Girls were less likely to have undergone selective dorsal rhizotomy (SDR); 0.49 [0.25, 0.94] p<0.05. Individuals born outside of the Nordic countries, were significantly less likely to have received intrathecal baclofen (ITB) 0.27 [0.074, 0.98] p<0.05. Conclusions: Of the treatments prescribed, gender differences were observed for spinal braces and having undergone SDR. A statistically significant difference based on place of birth was noted for spinal bracing and having received ITB treatment. Other PT and OT treatments were associated with age, levels of spasticity, and functional severity as classified with the GMFCS and the MACS. Increased awareness of differences based on gender, and where a child is born, could be obtained by inter- and intraprofessional discussions.

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Long‐term effects of selective dorsal rhizotomy in children with cerebral palsy: a systematic review

Cited by 64 publications

References 75 publications

Deep neural networks enable quantitative movement analysis using single-camera videos

Deep neural networks enable quantitative movement analysis using single-camera videos

Gender differences in treatments and interventions received by children and adolescents with cerebral palsy

Gender Differences in Treatments and Interventions Received for Children and Adolescents with Cerebral Palsy

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