Effects of surgical adductor releases for hip subluxation in cerebral palsy: an AACPDM evidence report*

Stott, N. Susan; Piedrahita, Luis

doi:10.1111/j.1469-8749.2004.tb01029.x

Cited by 37 publications

(15 citation statements)

References 51 publications

(155 reference statements)

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“…Figure describes the GRADE system and the Evidence Alert System and their relationship to each other. Table shows the included studies, best evidence levels grades and traffic light classification …”

Section: Methodsmentioning

confidence: 99%

A systematic review of interventions for children with cerebral palsy: state of the evidence

Novak

McIntyre

Morgan

et al. 2013

Develop Med Child Neuro

1,095

1,060

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Aim The aim of this study was to describe systematically the best available intervention evidence for children with cerebral palsy (CP). Method This study was a systematic review of systematic reviews. The following databases were searched: CINAHL, Cochrane Library, DARE, EMBASE, Google Scholar MEDLINE, OTSeeker, PEDro, PsycBITE, PsycINFO, and speechBITE. Two independent reviewers determined whether studies met the inclusion criteria. These were that (1) the study was a systematic review or the next best available; (2) it was a medical/allied health intervention; and (3) that more than 25% of participants were children with CP. Interventions were coded using the Oxford Levels of Evidence; GRADE; Evidence Alert Traffic Light; and the International Classification of Function, Disability and Health. Results Overall, 166 articles met the inclusion criteria (74% systematic reviews) across 64 discrete interventions seeking 131 outcomes. Of the outcomes assessed, 16% (21 out of 131) were graded ‘do it’ (green go); 58% (76 out of 131) ‘probably do it’ (yellow measure); 20% (26 out of 131) ‘probably do not do it’ (yellow measure); and 6% (8 out of 131) ‘do not do it’ (red stop). Green interventions included anticonvulsants, bimanual training, botulinum toxin, bisphosphonates, casting, constraint‐induced movement therapy, context‐focused therapy, diazepam, fitness training, goal‐directed training, hip surveillance, home programmes, occupational therapy after botulinum toxin, pressure care, and selective dorsal rhizotomy. Most (70%) evidence for intervention was lower level (yellow) while 6% was ineffective (red). Interpretation Evidence supports 15 green light interventions. All yellow light interventions should be accompanied by a sensitive outcome measure to monitor progress and red light interventions should be discontinued since alternatives exist.

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Section: Methodsmentioning

confidence: 99%

A systematic review of interventions for children with cerebral palsy: state of the evidence

Novak

McIntyre

Morgan

et al. 2013

Develop Med Child Neuro

1,095

1,060

View full text Add to dashboard Cite

show abstract

“…Specifically, preoperative migration percentages of less than 30% to 40% were associated with successful outcomes in 75% to 90% of hips. Reported complications were few, although unilateral hip adductor release was often noted to have an adverse effect on the contralateral hip [144].…”

Section: Operative Treatmentmentioning

confidence: 94%

Musculoskeletal Complications of Neuromuscular Disease in Children

Driscoll

Skinner

2008

Physical Medicine and Rehabilitation Clinics of North America

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“…Adduction deformity of the hip, the earliest sign of hip subluxation, is a common type of hip deformity in spastic CP. This is usually rectified by soft-tissue surgeries, which mainly include adductor tenotomy, adductor transfer, resection of the anterior branch of the obturator nerve, and iliopsoas tendon release [98][99][100]. The indications 7 are mild hip dislocation (MP > 30%) without skeletal deformity or high risk of dislocation of the hip (passive abduction < 20°-45°, MP > 25%) [94,98].…”

Section: Hip Surgerymentioning

confidence: 99%

Orthopedic treatment of the lower limbs in spastic paralysis

Deng

Zeng

et al. 2020

Brain Science Advances

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Spastic paralysis of the limb mainly results from the central lesion, in which spastic cerebral palsy is the common cause. Due to durative muscle spasm in spastic cerebral palsy, it is often accompanied by the formation of secondary musculoskeletal deformities, resulting in limb motor disability. Based on its pathogenesis, surgical treatment is currently applied: selective posterior rhizotomy (SPR) or orthopedic surgery. The primary purpose of early orthopedic surgery was simply to correct limb deformities, which usually led to the recurrence of deformity as a result of the presence of spasticity. With the application of SPR, high muscle tone was successfully relieved, but limb deformity was still present postoperatively. Therefore, this study aimed to elaborate on the management of orthopedic surgery, common deformities of the lower limb, and orthopedic operative methods; discuss the relationship between SPR and orthopedic procedure for limb deformity; and focus on the indications, timing of intervention, and postoperative outcome of different surgical methods.

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Effects of surgical adductor releases for hip subluxation in cerebral palsy: an AACPDM evidence report*

Cited by 37 publications

References 51 publications

A systematic review of interventions for children with cerebral palsy: state of the evidence

A systematic review of interventions for children with cerebral palsy: state of the evidence

Musculoskeletal Complications of Neuromuscular Disease in Children

Orthopedic treatment of the lower limbs in spastic paralysis

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