@article{3031638,
    title = "Effects of minimally invasive surgery and functional physiotherapy on
motor function of children with cerebral palsy: A non-randomised
controlled trial",
    author = "Skoutelis, Vasileios C. and Kanellopoulos, Anastasios D. and Vrettos, and Stamatis G. and Dimitriadis, Zacharias and Kalamvoki, Efstratia and and Dinopoulos, Argirios and Papagelopoulos, Panayiotis J. and Vrettos, and Stefanos S. and Kontogeorgakos, Vasileios A.",
    journal = "Indian Journal of Orthopaedics",
    year = "2021",
    volume = "27",
    pages = "122-129",
    publisher = "Elsevier",
    doi = "10.1016/j.jor.2021.09.004",
    keywords = "Cerebral palsy; Functional physiotherapy; Selective percutaneous
myofascial lengthening",
    abstract = "Purpose: This non-randomised controlled trial investigated whether a
combined programme of functional physiotherapy and minimally invasive
orthopaedic surgery improves the level and degree of capacity and
performance of gross motor function in children with spastic cerebral
palsy (CP).
Methods: Fifty-two children with spastic CP aged 5-7 years, Gross Motor
Function Classification System (GMFCS) levels II-IV, were allocated to
two equal groups: experimental group (selective percutaneous myofascial
lengthening [SPML] procedure and 9-month functional strengthening
physiotherapy programme) and control (standard physiotherapy) groups. At
baseline and at the end of the 9-month intervention, the capacity and
performance of gross motor function were assessed with the Gross Motor
Function Measure (GMFM) D and E subcategories and Functional Mobility
Scale (FMS), respectively. The level of gross motor function was
measured with the GMFCS.
Results: There was a statistically significant difference in the
post-intervention improvements in the GMFM D (experimental mean
difference = 19.63 +/- 10.46; control mean difference = 2.40 +/- 4.62)
and E (experimental mean difference = 19.33 +/- 11.82; control mean
difference = 4.20 +/- 6.26) between experimental and control group (p <
0.001). There was a significant improvement in the GMFCS level and each
FMS distance for the experimental group (p < 0.001), but not for the
control group (p > 0.05).
Conclusion: SPML procedure combined with functional physiotherapy
improves gross motor function in children with spastic CP, by raising
the degree and level of motor independence."
}