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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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
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author Pontén, Eva
von Walden, Ferdinand
Lenke-Ekholm, Catarina
Zethraeus, Britt-Marie
Eliasson, Ann-Christin
author_facet Pontén, Eva
von Walden, Ferdinand
Lenke-Ekholm, Catarina
Zethraeus, Britt-Marie
Eliasson, Ann-Christin
author_sort Pontén, Eva
collection PubMed
description 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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spelling pubmed-65539912019-07-22 Outcome of hand surgery in children with spasticity – a 9-year follow-up study Pontén, Eva von Walden, Ferdinand Lenke-Ekholm, Catarina Zethraeus, Britt-Marie Eliasson, Ann-Christin J Pediatr Orthop B Cerebral Palsy 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. Lippincott Williams & Wilkins 2019-07 2019-02-12 /pmc/articles/PMC6553991/ /pubmed/30768582 http://dx.doi.org/10.1097/BPB.0000000000000600 Text en Copyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Cerebral Palsy
Pontén, Eva
von Walden, Ferdinand
Lenke-Ekholm, Catarina
Zethraeus, Britt-Marie
Eliasson, Ann-Christin
Outcome of hand surgery in children with spasticity – a 9-year follow-up study
title Outcome of hand surgery in children with spasticity – a 9-year follow-up study
title_full Outcome of hand surgery in children with spasticity – a 9-year follow-up study
title_fullStr Outcome of hand surgery in children with spasticity – a 9-year follow-up study
title_full_unstemmed Outcome of hand surgery in children with spasticity – a 9-year follow-up study
title_short Outcome of hand surgery in children with spasticity – a 9-year follow-up study
title_sort outcome of hand surgery in children with spasticity – a 9-year follow-up study
topic Cerebral Palsy
url 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
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