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Skoutelis VC, Kanellopoulos AD, Vrettos SG, et al. Effects of minimally invasive surgery and functional physiotherapy on motor function of children with cerebral palsy: A non-randomised controlled trial. J Orthop. 2021;27:122-129doi: 10.1016/j.jor.2021.09.004.
Skoutelis, V. C., Kanellopoulos, A. D., Vrettos, S. G., Dimitriadis, Z., Kalamvoki, E., Dinopoulos, A., Papagelopoulos, P. J., Vrettos, S. S., & Kontogeorgakos, V. A. (2021). Effects of minimally invasive surgery and functional physiotherapy on motor function of children with cerebral palsy: A non-randomised controlled trial. Journal of orthopaedics, 27122-129. https://doi.org/10.1016/j.jor.2021.09.004
Skoutelis, Vasileios C, et al. "Effects of minimally invasive surgery and functional physiotherapy on motor function of children with cerebral palsy: A non-randomised controlled trial." Journal of orthopaedics vol. 27 (2021): 122-129. doi: https://doi.org/10.1016/j.jor.2021.09.004
Skoutelis VC, Kanellopoulos AD, Vrettos SG, Dimitriadis Z, Kalamvoki E, Dinopoulos A, Papagelopoulos PJ, Vrettos SS, Kontogeorgakos VA. Effects of minimally invasive surgery and functional physiotherapy on motor function of children with cerebral palsy: A non-randomised controlled trial. J Orthop. 2021 Sep 14;27:122-129. doi: 10.1016/j.jor.2021.09.004. eCollection 2021. PMID: 34616116; PMCID: PMC8476894.
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J Orthop. 2021 Sep 14;27:122-129. doi: 10.1016/j.jor.2021.09.004. eCollection 2021.

Effects of minimally invasive surgery and functional physiotherapy on motor function of children with cerebral palsy: A non-randomised controlled trial.

Journal of orthopaedics

Vasileios C Skoutelis, Anastasios D Kanellopoulos, Stamatis G Vrettos, Zacharias Dimitriadis, Efstratia Kalamvoki, Argirios Dinopoulos, Panayiotis J Papagelopoulos, Stefanos S Vrettos, Vasileios A Kontogeorgakos

Affiliations

  1. Medical School, National and Kapodistrian University of Athens, Athens, Attica, Greece.
  2. Laboratory of Neuromuscular & Cardiovascular Study of Motion, Department of Physiotherapy, School of Health and Caring Sciences, University of West Attica, Egaleo, Attica, Greece.
  3. Department of Physiotherapy, 'Attikon' University General Hospital, Chaidari, Attica, Greece.
  4. Department of Orthopaedics, 'Iaso' Children's Hospital, Maroussi, Attica, Greece.
  5. 'ENA' Pediatric Physiotherapy Practice, Chalandri, Attica, Greece.
  6. Health and Quality of Life Research Laboratory, Department of Physiotherapy, School of Health Sciences, University of Thessaly, Lamia, Greece.
  7. 'Paidokinisi' Pediatric Physiotherapy Practice, Argyroupolis, Attica, Greece.
  8. Third Department of Paediatrics, 'Attikon' University General Hospital, Chaidari, Attica, Greece.
  9. First Department of Orthopaedic Surgery, 'Attikon' University General Hospital, Chaidari, Attica, Greece.
  10. Department of Medical Physics and Biomedical Engineering, University College London, London, UK.

PMID: 34616116 PMCID: PMC8476894 DOI: 10.1016/j.jor.2021.09.004

Abstract

PURPOSE: This non-randomised controlled trial investigated whether a combined programme of functional physiotherapy and minimally invasive orthopaedic surgery improves the level and degree of capacity and performance of gross motor function in children with spastic cerebral palsy (CP).

METHODS: Fifty-two children with spastic CP aged 5-7 years, Gross Motor Function Classification System (GMFCS) levels II-IV, were allocated to two equal groups: experimental group (selective percutaneous myofascial lengthening [SPML] procedure and 9-month functional strengthening physiotherapy programme) and control (standard physiotherapy) groups. At baseline and at the end of the 9-month intervention, the capacity and performance of gross motor function were assessed with the Gross Motor Function Measure (GMFM) D and E subcategories and Functional Mobility Scale (FMS), respectively. The level of gross motor function was measured with the GMFCS.

RESULTS: There was a statistically significant difference in the post-intervention improvements in the GMFM D (experimental mean difference = 19.63 ± 10.46; control mean difference = 2.40 ± 4.62) and E (experimental mean difference = 19.33 ± 11.82; control mean difference = 4.20 ± 6.26) between experimental and control group (

CONCLUSION: SPML procedure combined with functional physiotherapy improves gross motor function in children with spastic CP, by raising the degree and level of motor independence.

© 2021 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.

Keywords: Cerebral palsy; Functional physiotherapy; Selective percutaneous myofascial lengthening

Conflict of interest statement

None.The authors have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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