{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T03:46:29Z","timestamp":1792035989775,"version":"4.4.0"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T00:00:00Z","timestamp":1701216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Literature is limited on functional outcomes in children with cerebral palsy (CP) following surgical procedures and a subsequent inpatient rehabilitation unit (IRU) stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary care pediatrics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Pediatric patients with CP who underwent one of three surgical procedures followed by an IRU stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>Selective dorsal rhizotomy (SDR), single\u2010event multilevel orthopedic surgery (SEMLS), or intrathecal baclofen (ITB) pump implantation and subsequent IRU stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>IRU LOS, Functional Independence Measure for Children (WeeFIM) total score, sub\u2010scores, and efficiency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Children undergoing SDR had a longer LOS (<jats:italic>p<\/jats:italic>\u2009\u2264\u2009.015). Children with spastic diplegia, GMFCS level II, and prematurity\u2010based CP had higher WeeFIM efficiency scores (<jats:italic>p<\/jats:italic>\u2009\u2264\u2009.046, \u2264.021, and .034 respectively). Greater changes in WeeFIM\u2122 scores were associated with spastic diplegia, SDR, GMFCS level II, longer LOS, and higher admission scores (<jats:italic>p<\/jats:italic>\u2009\u2264\u2009.045).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although 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, to have undergone SDR, GMFCS level II, longer LOS, and higher admission scores.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.13075","type":"journal-article","created":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T18:43:48Z","timestamp":1696617828000},"page":"449-461","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of outcomes following surgical intervention and inpatient rehabilitation stays in children with cerebral palsy"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0512-1322","authenticated-orcid":false,"given":"Christian","family":"Niedzwecki","sequence":"first","affiliation":[{"name":"Department of Physical Medicine &amp; Rehabilitation Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Barbuto","sequence":"additional","affiliation":[{"name":"Department of Physical and Occupational Therapy Texas Children's Hospital\u2014The Woodlands  The Woodlands Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5182-5406","authenticated-orcid":false,"given":"Katy","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Texas Woman's University\u2014Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Wirt","sequence":"additional","affiliation":[{"name":"Department of Physical and Occupational Therapy Texas Children's Hospital\u2014Main Campus  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Seymour","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine &amp; 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