Outcomes of selective dorsal rhizotomy in ambulatory children and young people with cerebral palsy: A scoping review.

IF 4.3 2区医学 Q1 CLINICAL NEUROLOGY

Developmental Medicine and Child Neurology Pub Date : 2025-09-19 DOI:10.1111/dmcn.16496

Deepti Chugh, Eleanor Main, Gillian Waite, Lucy Alderson, Kristian Aquilina, Cherry Kilbride, Tim Theologis, Hortensia Gimeno

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引用次数: 0

Abstract

Aim: To identify outcomes reported after selective dorsal rhizotomy (SDR) in ambulant children and young people with cerebral palsy in different domains of the International Classification of Functioning, Disability and Health (ICF).

Method: A scoping review using the JBI Scoping Review methodology was conducted. Six databases were searched for literature published between 1993 and 2024.

Results: A total of 214 published papers met the inclusion criteria. Outcomes under the body function and structure domain were most frequently investigated (n = 199, 93%), followed by activity (n = 123, 58%) and participation (n = 33, 15%) across all studies. Quality of life was reported in 16 (8%) studies, and four (2%) studies mentioned individualized goals for SDR surgery. A combination of validated measures and subjective outcomes was used, with 119 (56%) studies reporting outcomes in two or more domains.

Interpretation: Impairment-based outcomes remain the primary focus in SDR research. A small shift in emphasis towards participant-reported outcome measures has been seen in recent years. Few studies reported on the impact of personal and environmental factors. Future SDR studies need to incorporate all domains of the ICF to enhance understanding and capture holistic, meaningful changes in the lives of children and young people with cerebral palsy and their families.

查看原文本刊更多论文

选择性背神经根切断术治疗非卧床儿童和青少年脑瘫的疗效：一项范围综述。

目的：确定国际功能、残疾和健康分类（ICF）中不同领域的脑性瘫痪患儿和青少年在选择性背侧神经根切断术（SDR）后报告的结果。方法：使用JBI范围审查方法进行范围审查。在六个数据库中检索了1993年至2024年间发表的文献。结果：共有214篇已发表论文符合纳入标准。在所有研究中，最常调查的是身体功能和结构领域的结果（n = 199, 93%），其次是活动（n = 123, 58%）和参与（n = 33, 15%）。16项（8%）研究报告了生活质量，4项（2%）研究提到了SDR手术的个体化目标。采用了有效测量和主观结果的结合，119项（56%）研究报告了两个或多个领域的结果。基于损伤的结果仍然是SDR研究的主要焦点。近年来，对参与者报告的结果测量的重视略有转变。很少有研究报告了个人和环境因素的影响。未来的特别提款权研究需要纳入ICF的所有领域，以加强理解并捕捉脑瘫儿童和青少年及其家庭生活中整体的、有意义的变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Developmental Medicine and Child Neurology 医学-临床神经学

CiteScore

7.80

自引率

13.20%

发文量

338

审稿时长

3-6 weeks

期刊介绍： Wiley-Blackwell is pleased to publish Developmental Medicine & Child Neurology (DMCN), a Mac Keith Press publication and official journal of the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) and the British Paediatric Neurology Association (BPNA). For over 50 years, DMCN has defined the field of paediatric neurology and neurodisability and is one of the world’s leading journals in the whole field of paediatrics. DMCN disseminates a range of information worldwide to improve the lives of disabled children and their families. The high quality of published articles is maintained by expert review, including independent statistical assessment, before acceptance.