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Published on: October 29, 2021
Long-term physical therapy management following a single-event multiple level surgery
Melodie Kondratek1, Holly McCollum, Angela Garland
1Oakland University Rochester, Michigan 48309, USA. mdkondra@oakland.edu
Purpose:
This case report provides an overview of surgical procedures, including single-event multiple level surgery (SEMLS) used in the management of secondary conditions in cerebral palsy (CP). Physical therapy (PT) management over 35 months following SEMLS is described for an adolescent (Gross Motor Function Classification System level II) with CP.
Summary Of Key Points:
When conservative management is not sufficient to manage secondary complications, SEMLS, combined with PT and family support, may provide the foundation for greater functional improvement than surgical correction of a single impairment. The outcome measures used following SEMLS included the Gross Motor Function Measure-66, Activity Scale for Kidsperformance38, goniometry, manual muscle testing, and Numerical Pain Rating Scale.
Statement Of Conclusions:
Preoperative functional level can be exceeded and sustained beyond 24 months following surgery.
Recommendations For Clinical Practice:
Rehabilitation following a SEMLS requires teamwork and a long-term commitment to maximize outcomes.
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Assessment:
1. Clinical Evaluation:
History:
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