The dystonic child treated with deep brain stimulation: ICF reading of a high-tech approach

Petacchi, Elisa; Armellin, Maria Teresa; Facchin, Dina; Gubernale, Marco; Moret, Ornella; Buffoni, Mara; Salghetti, Anna Maria; Martinuzzi, Andrea

doi:10.3109/09638280903317849

Cited by 3 publications

(4 citation statements)

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“…In 64 of the 68 patients, the target of DBS was the GPi. Sixty patients underwent bilateral GPi surgery, 3 patients unilateral GPi surgery, and 1 patient received unilateral GPi surgery with additional stimulation of the contralateral subthalamic nucleus (STN) . One patient received unilateral stimulation of the nucleus ventralis oralis anterior (VOA/VLa) .…”

Section: Resultsmentioning

confidence: 99%

“…In total, 64 patients were rated by the absolute BFMDRS‐M score, whereas in 4 patients the change in BFMDRS was only given as percentage change from baseline . The mean age at operation was 25.3 ± 11.3 years (range, 5–46 years).…”

Section: Resultsmentioning

confidence: 99%

“…In patients with primary generalized dystonia, deep brain stimulation (DBS) of the globus pallidus internus (GPi) has been shown to be an effective and safe treatment . During the last decade, several case reports and case series have been published about the therapeutic outcome of DBS in patients with dyskinetic CP reporting varying results . The French SPIDY group led by Vidailhet performed the only prospective multicenter study, which included 13 patients with dystonia‐choreathetosis CP .…”

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confidence: 99%

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Effects of deep brain stimulation in dyskinetic cerebral palsy: A meta‐analysis

et al. 2013

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Secondary dystonia encompasses a heterogeneous group with different etiologies. Cerebral palsy is the most common cause. Pharmacological treatment is often unsatisfactory. There are only limited data on the therapeutic outcomes of deep brain stimulation in dyskinetic cerebral palsy. The published literature regarding deep brain stimulation and secondary dystonia was reviewed in a meta-analysis to reevaluate the effect on cerebral palsy. The Burke-Fahn-Marsden Dystonia Rating Scale movement score was chosen as the primary outcome measure. Outcome over time was evaluated and summarized by mixed-model repeated-measures analysis, paired Student t test, and Pearson's correlation coefficient. Twenty articles comprising 68 patients with cerebral palsy undergoing deep brain stimulation assessed by the Burke-Fahn-Marsden Dystonia Rating Scale were identified. Most articles were case reports reflecting great variability in the score and duration of follow-up. The mean Burke-Fahn-Marsden Dystonia Rating Scale movement score was 64.94 ± 25.40 preoperatively and dropped to 50.5 ± 26.77 postoperatively, with a mean improvement of 23.6% (P < .001) at a median follow-up of 12 months. The mean Burke-Fahn-Marsden Dystonia Rating Scale disability score was 18.54 ± 6.15 preoperatively and 16.83 ± 6.42 postoperatively, with a mean improvement of 9.2% (P < .001). There was a significant negative correlation between severity of dystonia and clinical outcome (P < .05). Deep brain stimulation can be an effective treatment option for dyskinetic cerebral palsy. In view of the heterogeneous data, a prospective study with a large cohort of patients in a standardized setting with a multidisciplinary approach would be helpful in further evaluating the role of deep brain stimulation in cerebral palsy. © 2013 Movement Disorder Society.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Effects of deep brain stimulation in dyskinetic cerebral palsy: A meta‐analysis

et al. 2013

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“…Once data have been organized and different assessments have been matched to the ICF checklist, the resulting information reflected the clinical judgment of professionals (with their specific expertise) on the one hand, and the person's judgment (regarding the presence and extent of barriers and facilitators) on the other hand. The innovative approach to look at the consequences of diseases not concentrating exclusively on impairments, but with a sort of 3608 fish-eye perspective, may help overcome some problems that traditional specific assessment tool present when dealing with very severe conditions, as it is shown by Petacchi et al [10] using ICF to read an high tech approach in the dystonic child treated with deep brain stimulation. In this case ICF captures the multifaceted experience of functioning and disability better then established assessment tool, especially in those physiologically small but functionally relevant changes induced by the treatment in very severe cases.…”

Section: Clinical Applications Of the Icf And Icf-cy In Italymentioning

confidence: 98%

ICF and ICF-CY for an innovative holistic approach to persons with chronic conditions

Leonardi

Martinuzzi

2009

Disability and Rehabilitation

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This introduction presents a brief review of projects carried out in Italy applying ICF model. ICF allows to capture and appropriately describe human functioning and disability in terms of body functions and body structures, life activities, participation in society, modulating contextual factors. ICF framework allows to have a complex profile of persons with different medical conditions. Several clinical studies have been performed using ICF and ICF-CY, in Italy from the publication of ICF in 2001 and ICF-CY in 2007. Most of them highlight the utility and feasibility of using ICF to describe the functional profiles of patients with different health conditions. The clinical applications of ICF clearly show that ICF-based functional profiles are useful in designing better interventions - directed not only to patients' health condition and symptoms but also to the most important activities of their daily living and environmental factors that may act as barriers or facilitators to the patients' recovery, well-being and participation in society.

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Gross motor function outcomes following deep brain stimulation for childhood-onset dystonia: A descriptive report

Tustin

Elze

Lumsden

et al. 2019

European Journal of Paediatric Neurology

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The dystonic child treated with deep brain stimulation: ICF reading of a high-tech approach

Abstract: The ICF-CY format provides a complete and balanced profile of functioning in secondary dystonia treated with DBS and it could offer a novel perspective for outcome evaluation.

Cited by 3 publications

References 14 publications

Effects of deep brain stimulation in dyskinetic cerebral palsy: A meta‐analysis

Effects of deep brain stimulation in dyskinetic cerebral palsy: A meta‐analysis

ICF and ICF-CY for an innovative holistic approach to persons with chronic conditions

Gross motor function outcomes following deep brain stimulation for childhood-onset dystonia: A descriptive report

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