Compartmental pressure after percutaneous tenotomy of the Achilles tendon in children with infantile cerebral palsy

Carbonell, Pilar

doi:10.1007/s00381-014-2574-5

Cited by 3 publications

(3 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There was also a reduction in economic costs as the procedure needs a few operatory devices and the hospital stay was about 2.2 days. In the literature, the risk of compartmental syndrome after percutaneous tendon lengthening was fully described [42]; however, this complication was not reported in our patients. The ROM recovery after fibrotomy was significant, and no loss of ROM was noticed during the follow-up (Figure 2).…”

Section: Discussionmentioning

confidence: 62%

Multi-Level Fibrotomy for Pediatric Patients with Cerebral Palsy: A Cohort Study

et al. 2021

View full text Add to dashboard Cite

Muscle retraction in Cerebral Palsy (CP) often requires surgical treatment. Multilevel procedures (using open or percutaneous techniques) are commonly performed in the ambulant patient with CP. The necessity to find new surgical techniques, reduce postoperative discomfort, and accelerate the healing process and rehabilitation is mandatory for these patients. A retrospective cohort study with 189 pediatric patients with CP was performed. The multilevel gradual fibrotomy of Ulzibat was modified using an ophthalmic knife. No significant complications were reported using our technique. Opioid drugs were not necessary, and casting time was reduced at the first 24 h. A significant Range of Motion recovery was assessed post-operatory and maintained at the last follow-up. Mean days of hospitalization were 2.2. The mean follow-up was 39 months (6–64 months). The modified multilevel fibrotomy reduces postoperative pain with easier patient management, resulting in a faster discharge from the hospital. However, the retrospective nature and the lack of a control group of the present study did not allow the authors to report significant results. Further studies with longer follow-up are in progress to obtain more certain data that confirm our preliminary results.

show abstract

Section: Discussionmentioning

confidence: 62%

Multi-Level Fibrotomy for Pediatric Patients with Cerebral Palsy: A Cohort Study

et al. 2021

View full text Add to dashboard Cite

show abstract

“…As CP is a lifelong condition, habilitation/rehabilitation must start as early as possible and be delivered continuously – at least in the child’s first years of life – and intensively – according to individual needs – and be aimed at promoting skills that will support social participation and integration in adult life. 24 Some published studies 41 – 44 have pointed out how the term “infantile”, which is often associated to CP, had an impact on habilitation/rehabilitation plans in the past. Outcome studies confirm the influence that several variables have on social participation, such as severity of motor deficits, and presence of epilepsy or mental retardation.…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary rehabilitation for patients with cerebral palsy: improving long-term care

Trabacca¹,

Vespino²,

Liddo³

et al. 2016

JMDH

View full text Add to dashboard Cite

Cerebral palsy (CP) is one of the most frequent causes of child disability in developed countries. Children with CP need lifelong assistance and care. The current prevalence of CP in industrialized countries ranges from 1.5 to 2.5 per 1,000 live births, with one new case every 500 live births. Children with CP have an almost normal life expectancy and mortality is very low. Despite the low mortality rate, 5%–10% of them die during childhood, especially when the severe motor disability is comorbid with epilepsy and severe intellectual disability. Given this life expectancy, children with CP present with a lifelong disability of varying severity and complexity, which requires individualized pathways of care. There are no specific treatments that can remediate the brain damage responsible for the complex clinical–functional dysfunctions typical of CP. There are, however, a number of interventions (eg, neurorehabilitation, functional orthopedic surgery, medication, etc) aimed at limiting the damage secondary to the brain insult and improving these patients’ activity level and participation and, therefore, their quality of life. The extreme variability of clinical aspects and the complexity of affected functions determine a multifaceted skill development in children with CP. There is a need to provide them with long-term care, taking into account medical and social aspects as well as rehabilitation, education, and assistance. This long-term care must be suited according to children’s developmental stage and their physical, psychological, and social development within their life contexts. This impacts heavily on the national health systems which must set up a network of services for children with CP, and it also impacts heavily on the family as a whole, due to the resulting distress, adjustment efforts, and changes in quality of life. This contribution is a narrative review of the current literature on long-term care for children with CP, aiming at suggesting reflections to improve these children’s care.

show abstract

“…Surgery also causes trauma, and a high recurrence rate is observed during follow-up; therefore, the choice of surgical treatment should be carefully considered. [ 9 ] Rehabilitation training is the most widely used treatment for cerebral palsy. The common rehabilitation methods include physical therapy, occupational therapy, exercise therapy, speech training, sensory training, and guided education.…”

Section: Introductionmentioning

confidence: 99%

A multicenter, randomized controlled trial of massage in children with pediatric cerebral palsy

et al. 2021

View full text Add to dashboard Cite

Background: Cerebral palsy is 1 of the diseases critically affecting the health of children. The spasmodic type is the most common, characterized by the increased muscular tension. It often leads to lifelong disability, bringing a heavy economic burden to families and society. As a key treatment in traditional Chinese medicine, pediatric massage has a significant clinical effect on cerebral palsy in children; however, high-quality randomized controlled studies are lacking. The main objective of this study was to evaluate the efficacy of pediatric massage for children with spastic cerebral palsy. Methods/Design: The study will be a multicenter, single-blinded, randomized-controlled pilot trial. During the period from June 2019 to December 2020, 182 children with spastic cerebral palsy will be randomly divided into experimental and control groups in a 1:1 ratio. The experimental group will undergo the modified selective spinal massage method combined with the basic rehabilitation treatment, while only the basic rehabilitation treatment would be performed for the control group. The intervention period of the study will last 12 weeks, 5 days weekly on weekdays. The primary outcomes include a modified Ashworth scale assessment and gross motor function test. The secondary outcomes include the 4-diagnostic scale of Chinese medicine and children's intelligence. The observation index will be measured during the complete 12 weeks duration after the treatment of the child, that is, before treatment, after 4 weeks of treatment, after 8 weeks, and after 12 weeks of treatment. Discussion: This study aims to evaluate the efficacy of pediatric massage on children with spastic cerebral palsy; if the outcome is positive, it can provide a reference for the further promotion and application of pediatric massage in the treatment of spastic cerebral palsy. Trial registration: Chinese ClinicalTrials.gov, ID: ChiCTR1900021666. Acupuncture-Moxibustion Clinical Trial Registry, AMCTR: (AMCTR-IPR-19000260) Registered on 04 March 2019.

show abstract

Compartmental pressure after percutaneous tenotomy of the Achilles tendon in children with infantile cerebral palsy

Abstract: Compartmental pressure decreased significantly in spastic boys after percutaneous tenotomy of the Achilles tendon. Compartmental pressure was higher in tetraplegic than in hemiplegic boys.

Cited by 3 publications

References 23 publications

Multi-Level Fibrotomy for Pediatric Patients with Cerebral Palsy: A Cohort Study

Multi-Level Fibrotomy for Pediatric Patients with Cerebral Palsy: A Cohort Study

Multidisciplinary rehabilitation for patients with cerebral palsy: improving long-term care

A multicenter, randomized controlled trial of massage in children with pediatric cerebral palsy

Contact Info

Product

Resources

About