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Research Article  |   June 1992
Upper Extremity Functional Changes Following Selective Posterior Rhizotomy in Children With Cerebral Palsy
Author Affiliations
  • Judith Kinghorn, OTR, is Senior Occupational Therapist, Neuromotor Clinic, Alberta Children’s Hospital, 1820 Richmond Road, Calgary, Alberta, Canada T2T 5C7
Article Information
Neurologic Conditions / Pediatric Evaluation and Intervention / Research
Research Article   |   June 1992
Upper Extremity Functional Changes Following Selective Posterior Rhizotomy in Children With Cerebral Palsy
American Journal of Occupational Therapy, June 1992, Vol. 46, 502-507. doi:10.5014/ajot.46.6.502
American Journal of Occupational Therapy, June 1992, Vol. 46, 502-507. doi:10.5014/ajot.46.6.502
Abstract

Spasticity in children with cerebral palsy may inhibit function and reduce progress in therapy. Selective posterior rhizotomy, a neurosurgical procedure, has been found to effectively reduce spasticity in selected cases. The literature suggests that positive changes in upper extremity function results from this surgery. At the Alberta Children’s Hospital in Calgary, Alberta, Canada, all candidates for this surgery are screened by the neuromotor clinic team, which includes an occupational therapist, a speech therapist, and a physical therapist. This paper outlines the specific changes seen in the upper extremity functions of 7 children over a 12-month period following their surgeries. The data collected suggest the children had improved function in activities of daily living, play skills, balance, and endurance. This paper focuses on the changes in activities of daily living and recommends future direction for research in this area.