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Functional Status of Patients With Cerebral Palsy According to the International Classification of Functioning, Disability and Health Model: A 20-Year.

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Presentation on theme: "Functional Status of Patients With Cerebral Palsy According to the International Classification of Functioning, Disability and Health Model: A 20-Year."— Presentation transcript:

1 Functional Status of Patients With Cerebral Palsy According to the International Classification of Functioning, Disability and Health Model: A 20-Year Follow-Up Study After Selective Dorsal Rhizotomy  Nelleke G. Langerak, MSc, Robert P. Lamberts, MSc, A. Graham Fieggen, FCS, Jonathan C. Peter, FRCS, Warwick J. Peacock, FRCS, Christopher L. Vaughan, PhD  Archives of Physical Medicine and Rehabilitation  Volume 90, Issue 6, Pages (June 2009) DOI: /j.apmr Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

2 Fig 1 Outcome measures for the ICF dimension body structure and function before and at 1 and 20 years after surgery. Box plots show (A) muscle tone, (B) joint stiffness, and (C) voluntary movement, whereas whiskers represent the minimum and maximum values, excluding outliers. Outliers are values more than 1.5 box lengths from the upper or lower edge of the box and shown as circles. Note: the median of muscle tone scores at 1 and 20 years postoperatively are 2.1 and 2.0, respectively. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

3 Fig 2 Outcome measures for the ICF dimension activity before and at 1 and 20 years after surgery. (A) Box plots show 1st, 2nd (median), and 3rd quartiles, whereas whiskers represent the minimum and maximum values, excluding outliers. Outliers are values more than 1.5 box lengths from the upper or lower edge of the box and are shown as circles. (B) Line plots of median scores of 9 functional movements before and at 1 and 20 years after surgery. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

4 Fig 3 Patient with CP showing 1 of the functional movement outcome measures: long sitting before surgery (A), at 1 year (B), 20 years (C) after surgery.17 Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

5 Fig 4 Distribution of GMFCS levels per patient (n=14) before and at 1 and 20 years after surgery. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions


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