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Changes in gait at 1 year post-selective dorsal rhizotomy: results of a prospective randomized study
Graubert C, Song KM, McLaughlin JF, Bjornson KF
Journal of Pediatric Orthopaedics 2000 Jul-Aug;20(4):496-500
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

We performed a prospective randomized trial to compare the effects of selective dorsal rhizotomy with intensive physical therapy to intensive physical therapy alone in a group of children with mild spastic diplegic cerebral palsy. Instrumented gait analysis was carried out upon enrollment into the study and after 1 year. Changes in ambulatory status, time/distance parameters, and gait kinematics were observed for both groups. Considerable variability was present in both groups. Changes in ankle dorsiflexion, foot progression angle, and hip and knee extension in stance were significantly better in the selective dorsal rhizotomy group compared to the physical therapy group at 1 year (p < 0.05). These differences were not associated with significant improvements in functional gait as determined by changes in time/distance parameters or ambulatory status.
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