National Collaborating Centre for Women's and Children's Health
National Collaborating Centre for Women's and Children's Health
National Collaborating Centre for Women's and Children's Health
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Spasticity in children <strong>and</strong> young people with non-progressive brain disorders<br />
Number of<br />
studies<br />
Number of participants Effect Quality<br />
Selective<br />
dorsal<br />
rhizotomy <strong>and</strong><br />
physical<br />
therapy<br />
Physical<br />
therapy only<br />
Relative<br />
(95% CI)<br />
Absolute<br />
(95% CI)<br />
Mean change in AROM, hip flexion/extension at 8 months (better indicated by higher values)<br />
1 study<br />
(Engsberg<br />
2006)<br />
29 o 36 p - MD = 3 higher* Very low<br />
Mean change in AROM, hip extension at 9 months (better indicated by higher values)<br />
1 study<br />
(Steinbok<br />
1997)<br />
14 14 - MD 19.1 higher<br />
(11.95 to 26.25<br />
higher)*<br />
High<br />
Mean change in AROM, hip extension at 12 months (better indicated by higher values)<br />
1 study (Wright<br />
1998)<br />
12 q 12 r - MD = 3.7 lower* Moderate<br />
Mean change in AROM, hip flexion/extension at 20 months (better indicated by higher values)<br />
1 study<br />
(Engsberg<br />
2006)<br />
29 s 36 t - MD = 3 higher* Very low<br />
Mean change in PROM hip extension at 6 months (better indicated by higher values)<br />
1 study (Wright<br />
1998)<br />
12 u 12 v - MD = 5.5<br />
higher*<br />
Moderate<br />
Mean change in PROM, hip extension at 12 months (better indicated by higher values)<br />
1 study (Wright<br />
1998)<br />
12 w 12 x - MD = 0* Moderate<br />
Mean change MAS score, knee at 6 months (better indicated by lower values)<br />
1 study (Wright<br />
1998)<br />
12 y 12 z - MD = 1 lower* Moderate<br />
Mean change MAS score, knee at 9 months (better indicated by lower values)<br />
1 study<br />
(Steinbok<br />
1997)<br />
14 14 - MD 1 lower<br />
(1.45 to 0.55<br />
lower)*<br />
Moderate<br />
Mean MAS score, knee at 12 months (better indicated by lower values)<br />
1 study (Wright<br />
1998)<br />
12 y 12 z - MD = 1 lower* Moderate<br />
Mean change in AROM, knee extension at 6 months (better indicated by higher values)<br />
1 study (Wright<br />
1998)<br />
12 A 12 B - MD = 12.6<br />
higher*<br />
Moderate<br />
Mean change in AROM, knee flexion/extension at 8 months (better indicated by higher values)<br />
1 study<br />
(Engsberg<br />
2006)<br />
29 c 36 D - MD = 4 higher* Very low<br />
230
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