Effect of single-event multilevel surgery on functional mobility of children with cerebral palsy

Abstract

Introduction. Movement disorders are one of the most common complaints of patients with cerebral palsy. The attending physician needs to evaluate the motor activity of patients after treatment. The Functional Mobility Scale (FMS) is a clinically feasible tool to quantify changes after SEMLS in children with cerebral palsy.Purpose of the study. To evaluate the effect of simultaneous multilevel operations in combination with early rehabilitation treatment on the functional mobility of children with cerebral palsy in comparison with standard surgery.Materials and methods. The criterion for inclusion in the study was age at the time of examination less than 18 years, spastic cerebral palsy, surgical treatment due to orthopedic complications of cerebral palsy in two groups: after SEMLS and standard surgery. All subjects were assessed motor activity on the FMS scale.Results. The analysis performed showed no statistically significant changes in the assessment of functional mobility at a distance of 5 meters after surgical treatment in both study groups (p = 0.143; p = 0.083). A statistically significant improvement in functional mobility according to the FMS scale was found in children after simultaneous multilevel operations at distances of 50 and 500 meters (p = 0.025; p < 0.001). No statistically significant changes were noted after standard operating procedures were carried out at distances of 50 and 500 meters (p = 0,063; p = 0,058).Conclusion. In children with cerebral palsy after simultaneous multilevel operations in combination with a complex of rehabilitation measures, the level of functional mobility improves. The use of the functional mobility scale allows the attending physician to objectify the dynamics of the motor function of patients with cerebral palsy after surgical treatment.