Specific surgery method for treatment of patients with cerebral palsy
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The aim of this research was to evaluate the efficacy of the specific surgery method, called Ulzibat® surgery method, in the rehabilitation of children with cerebral palsy. 83 patients, aged 2.6 to 13.4yearswith spastic cerebral palsy participated in this study The average course of treatment was 2 stages. Thefollow-up period was 2-5years. GMFM-88 was used to assess the degree of motor disorders before and after treatment. Patients before and after surgical treatment were divided into 5 groups of levels of motor activity. Results showed that, after treatment, there was a significant increase in total score in average by 23 points in all observed group. There were a positive correlation between the difference in scores before and after treatment and the level of motor skills (p<0.05) and a negative correlation with age of operation (p<0.05). Most children after surgical treatment moved to a higher level of physical activity. The number of children with minimal disruption in motor activi...ty (1st group) after treatment has doubled, and the number of children with the most severe disorders (4th and 5th group) was halved. Most of the children showed improvement either within their group movement activity (39%) or transition on level 1 above (49%). 12% of patients were passed on 2-4 levels above. It can be said, that this surgery method has shown high efficiency in the rehabilitation of children with cerebral palsy with different the severity of the disease. The most pronounced effect noted in the course of surgical treatment atan early age (3-7years).
Keywords:cerebral palsy / surgery / rehabilitation / Ulzibat method / gradual fibrotomy
Source:Approaches and Models in Special Education and Rehabilitation – Thematic Collection of International Importance, 2020, 161-172
- University of Belgrade – Faculty of Special Education and Rehabilitation Publishing Center of the Faculty