Outcome of hand surgery in children with spasticity – a 9-year follow-up study

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)....

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Detalles Bibliográficos
Autores principales: Pontén, Eva, von Walden, Ferdinand, Lenke-Ekholm, Catarina, Zethraeus, Britt-Marie, Eliasson, Ann-Christin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2019
Materias:
Cerebral Palsy
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6553991/
https://www.ncbi.nlm.nih.gov/pubmed/30768582
http://dx.doi.org/10.1097/BPB.0000000000000600
Descripción
Sumario: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.

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