Journal article
Stability of the Gross Motor Function Classification System after single-event multilevel surgery in children with cerebral palsy
E Rutz, O Tirosh, P Thomason, A Barg, HK Graham
Developmental Medicine and Child Neurology | WILEY | Published : 2012
DOI: 10.1111/dmcn.12011
Abstract
Aim There are conflicting reports about the stability of the Gross Motor Function Classification System (GMFCS) in children with cerebral palsy (CP) after orthopaedic surgery. We studied the stability of the GMFCS in children with bilateral spastic CP after single-event multilevel surgery, using the Gait Profile Score (GPS) as the primary outcome measure. Method This was a retrospective cohort study of 107 children (46 females, 61 males) with bilateral spastic CP, classified as GMFCS level II or III, who underwent surgery at a single tertiary institution between 1997 and 2008. The mean age at surgery was 10years 7months (SD 2y 8mo). The primary outcome measure was the GPS. Changes in GMFCS l..
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Funding Acknowledgements
The authors wish to thank the Swiss National Science Foundation for financially supporting this study, Associate Professor Susan Donath MA, BSc Statistician, Murdoch Childrens Research Institute for statistical advice, and Mary Sheedy and Dr Daniela Rutz, for their help in the preparation of this manuscript.