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Early Mobilization Rehabilitation Program for Children With Cerebral Palsy Undergoing Single-Event Multilevel Surgery
Melissa Howard1, Christina Bickley, Judi Linton
1Shriners Hospitals for Children (Drs Howard, Bickley, Northcutt, Lux, Scott, Stephenson, and Barnes and Ms Linton), Houston, Texas; Texas Woman's University (Dr Bickley), Houston, Texas.
Purpose:
This study investigates functional and technical outcomes to support an early mobilization approach to rehabilitation after single-event multilevel surgery (SEMLS) for children with cerebral palsy (CP), and disseminates innovative guidelines emphasizing early walking.
Methods:
Twenty-three participants with spastic diplegic CP ages 7 through 17 years, Gross Motor Function Classification System levels I to III, who underwent an early mobilization program after SEMLS were reviewed. Outcomes were examined from motion analysis data and clinical documentation.
Results:
All participants were able to return to school walking at discharge. At 1-year postoperatively, participants had returned to their prior walking level or better. Change in Gait Deviation Index and Pediatric Outcomes Data Collection Instrument indicated improvements in functional mobility and gait consistent with or greater than the literature.
Conclusion:
This intensive early mobilization program restores participation in daily activities, walking, and school within the first month postoperatively.
