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https://doi.org/10.14300/mnnc.2018.13090

Personalized approach to the treatment of supporting motor disturbances of the lower extremities in children with spastic forms of cerebral palsy

[Neurology]
Andrey Fisenko; Oleg Chelpachenko; Lale Pak; Maria Volkova; Pavel Zubkov; Konstantin Zherdev; Ulviya Ashrafova; Igor Kirgizov;

This study is based on the results of surgical treatment of 718 patients with musculoskeletal disorders against the background of spastic cerebral palsy. Of these 718 patients, 242 constituted study group 1 (a retrospective study), in which the treatment approach was based on the general principles of orthopedics. Study group 2 comprised 476 children (a prospective study), in which a personalized treatment approach was applied based on the prediction of motor development. The observation period ranged from 6 months to 10 years. Based on a comparative assessment of the Gillette Functional Assessment Questionnaire and data from a gait video analysis, there was an improvement in the results of surgical treatment and a reduction in the length of postoperative rehabilitation in children with musculoskeletal disorders of the lower limbs in spastic forms of cerebral palsy.

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Keywords: cerebral palsy, personalized approach, treatment, GMFSC, SEMLS