Evaluating gross motor function of cerebral palsy patients using the GMFM pre and post lower extremity orthopedic surgery
DOI:
https://doi.org/10.5935/0104-7795.20140004Keywords:
Cerebral Palsy, Lower Extremity, Evaluation, ScalesAbstract
Orthopedic surgery is often used to improve the gait of ambulatory patients with cerebral palsy. The objectives may change, given the motor severity, however, an improve in the patient’s mobility can be achieved through surgical procedures of the lower extremity. The Gross Motor Function Measure (GMFM) is a measure of gross motor function, used to evaluate therapeutic choices, rehabilitation progress and in our institution, to evaluate, orthopedic surgeries. Objective: The main goal of this study was to evaluate orthopedic surgeries performed in children with cerebral palsy, through comparison of the GMFM’s score pre and post procedure. Method: We included in this study, patients with great limitation in mobility function but potential to improve (Levels III and IV of the Gross Motor Function Classification System), that underwent surgical procedures between January 2010 and December 2012, achieving a total of 36 subjects. Results: There was no statistically significant change between the measures, except for the C domain (crawling and kneeling), that presented a lower post-surgical procedure score. Age, time of follow up, the surgery’s characteristic, and, most of all, the instrument used, which in our case was the GMFM, were pointed as possible difficulties in measuring objectively the results of lower extremity surgery in children with cerebral palsy. Conclusion: A larger sample of subjects evaluated through a more appropriate instrument is still necessary to acknowledge the real effects of orthopedic surgery of lower extremity in patients with cerebral palsy.
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