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- W4387397293 abstract "Abstract INTRODUCTION Literature is limited on functional outcomes in children with cerebral palsy (CP) following surgical procedures and a subsequent inpatient rehabilitation unit (IRU) stay. OBJECTIVE To compare functional outcomes and length of stay (LOS) in children with CP following a surgical procedure and IRU stay based on the surgical procedure performed, pattern of involvement, etiology, and Gross Motor Function Classification System (GMFCS) level. DESIGN Retrospective cohort study. SETTING Tertiary care pediatrics. PARTICIPANTS Pediatric patients with CP who underwent one of three surgical procedures followed by an IRU stay. INTERVENTIONS Either selective dorsal rhizotomy (SDR), single‐event multilevel orthopedic surgery (SEMLS), or intrathecal baclofen (ITB) pump implantation and subsequent IRU stay. MAIN OUTCOME MEASURES. IRU LOS, WeeFIM™ total score, sub‐scores, and efficiency. RESULTS Children undergoing SDR had a longer LOS (p ≤ .015). Children with spastic diplegia, GMFCS level II and prematurity‐based CP had higher WeeFIM™ efficiency scores (p ≤ .046, ≤.021, .034 respectively). Greater changes in WeeFIM™ scores were associated with spastic diplegia, SDR, GMFCS level II, longer LOS, and higher admission scores (p ≤ .045). CONCLUSIONS While statistically and functionally significant improvements in children with CP following surgical interventions and an IRU stay were seen, those with higher WeeFIM™ change scores tended to have spastic diplegia, undergone SDR, GMFCS level II, longer LOS, and higher admission scores. This article is protected by copyright. All rights reserved." @default.
- W4387397293 created "2023-10-07" @default.
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- W4387397293 date "2023-10-06" @default.
- W4387397293 modified "2023-10-08" @default.
- W4387397293 title "Comparison of Outcomes following Surgical Intervention and Inpatient Rehabilitation Stays in Children with Cerebral Palsy" @default.
- W4387397293 doi "https://doi.org/10.1002/pmrj.13075" @default.
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- W4387397293 hasPublicationYear "2023" @default.
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