Effects of Physical Training Following Selective Dorsal Rhizotomy on Non-ambulant Children With Bilateral Spastic Cerebral Palsy

Effects of Physical Training Following Selective Dorsal Rhizotomy on Trunk Control, Selectivity and Upper Extremity Function of Non-ambulant Children With Bilateral Spastic Cerebral Palsy: A Randomized Controlled Trial

Children with spastic bilateral cerebral palsy are late developers. delayed gross and fine motor development require early intervention to improve the child performance and avoid secondary impairments.

increased tone of lower extremity muscles interfere with the child sitting posture and trunk control. delayed sitting and lack of trunk control contribute to the impairments of upper extremity functions.

selective dorsal rhizotomy is a surgical procedure to control increased tone of the lower extremities. Therefore, the current study is carried out to investigate the effects of selective dorsal rhizotomy on trunk control, selectivity and upper extremity function of non-ambulant children with bilateral spastic cerebral palsy

Inclusion Criteria:

• CP, spastic diplegia
• 4-7 years of age
• On Level IV-V on Gross Motor Function Classification System
• Partial trunk control (sitting with support).

Exclusion Criteria:

• Structural non-reducible deformities or musculoskeletal surgery in the lower extremities in the past 12 months
• Ankle clonus
• Exaggerated deep tendon reflex in the legs
• Babinski sign;
• Moderate to severe signs of dystonia, athetosis or ataxia.