Outcome of hand surgery in children with spasticity - a 9-year follow-up study.
prospective_cohort · Level II
Where this comes from
- Record sourced from PubMed, PMID 30768582.
- Also identified by DOI 10.1097/BPB.0000000000000600 and PMC identifier 6553991.
- Licence recorded as CC BY-NC-ND.
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Abstract
The aim of this study was to evaluate whether short-term positive effects on bimanual function after surgery of the paretic arm in cerebral palsy are maintained long term. Assisting Hand Assessment (AHA) and active range of motion was tested before surgery and at 7 month and 9-year follow-up (n=18). AHA improved significantly from 50 to 52 U at 7 months, but was not different from before surgery at the 9-year follow-up, 49 U. Surgery of wrist and elbow flexors significantly improved active extension. Improvement in wrist and elbow extension was maintained at the 9-year follow-up, but usefulness of the hand measured with AHA had returned to the same level as before surgery.
Medical subject headings
- Cerebral Palsy
- Hand
- Muscle Spasticity
Anatomy
- hand
- elbow
- wrist