{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T02:24:39Z","timestamp":1794018279836,"version":"4.8.0"},"reference-count":45,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>The primary purpose of selective dorsal rhizotomy (SDR) is to ameliorate spasticity in the lower extremities of children with cerebral palsy (CP). In correctly selected patients, this neurosurgical procedure has been shown to have a beneficial effect on many aspects of the child\u2019s life. However, given the challenges faced by adults with CP, it would be valuable to document the status of this population compared to their peers later in adulthood. Therefore, the aim of this study was to determine the physical status, mental health, and health-related quality of life (HRQoL) of adults with CP who underwent SDR at least 25 years ago, compared to matched typically developing (TD) individuals. The second aim was to investigate relationships between physical status and the other outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Adults with CP were recruited from a database of children who had undergone SDR performed using the technique introduced by Professor Warwick Peacock at Red Cross War Memorial Children\u2019s Hospital in Cape Town, South Africa, between 1981 and 1991. These individuals were matched for age, sex, body mass index, and socioeconomic status to a TD adult cohort from a similar background. The parameters assessed were lower-extremity muscle tone, passive range of motion, muscle strength, selectivity, functional mobility and dynamic balance (Timed Up and Go [TUG] test), HRQoL (SF-36), and anxiety and depression levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Twenty-six adults with CP who had a median age of 35.8 years (interquartile range 34.2\u201341.4 years) (female\/male: n = 10\/16; Gross Motor Function Classification System level I\/II\/III: n = 13\/10\/3), were compared to 26 TD adults. Muscle tone was similar, whereas passive range of motion, muscle strength, selectivity, TUG, and SF-36 physical functioning (concept and summary) scores differed between the cohorts. Other SF-36 parameters, anxiety levels, and depression levels were not different. Strong correlations were found between the muscle strength and TUG scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Normalized lower-extremity muscle tone was sustained 25\u201335 years after SDR. Whereas the lower scores for physical assessments are in line with findings in other CP populations, remarkably, relatively good mental health and HRQoL scores were reported in this CP group despite their physical limitations. The strong correlation between muscle strength and TUG suggests that strength training after SDR may have value in improving functional mobility and balance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2021.3.jns204096","type":"journal-article","created":{"date-parts":[[2021,9,10]],"date-time":"2021-09-10T04:04:43Z","timestamp":1631246683000},"page":"689-698","source":"Crossref","is-referenced-by-count":9,"title":["More than 25 years after selective dorsal rhizotomy: physical status, quality of life, and levels of anxiety and depression in adults with cerebral palsy"],"prefix":"10.3171","volume":"136","author":[{"given":"Berendina E.","family":"Veerbeek","sequence":"first","affiliation":[{"name":"Neuroscience Institute and Division of Neurosurgery, Department of Surgery, Faculty of Health Sciences, University of Cape Town, South Africa;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert P.","family":"Lamberts","sequence":"additional","affiliation":[{"name":"Department of Sport Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Kosel","sequence":"additional","affiliation":[{"name":"Department of Biomechanics in Sports, Technical University of Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. Graham","family":"Fieggen","sequence":"additional","affiliation":[{"name":"Neuroscience Institute and Division of Neurosurgery, Department of Surgery, Faculty of Health Sciences, University of Cape Town, South Africa;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelleke G.","family":"Langerak","sequence":"additional","affiliation":[{"name":"Neuroscience Institute and Division of Neurosurgery, Department of Surgery, Faculty of Health Sciences, University of Cape Town, South Africa;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"b1","series-title":"Dev Med Child Neurol","first-page":"68","article-title":"Causal relation between spasticity, strength, gross motor function, and functional outcome in children with cerebral palsy: a path analysis","volume":"53","author":"Kim WH","year":"2011","unstructured":"Kim WH, Park EY. 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