Surgery and Rehabilitation Piecewise Gradient Therapy for Spastic Cerebral Palsy

Objective: To seek the best collaboration of the various Personalized combination of the selective posterior rhizotomy(SPR),the peripheral nervous constrictive operation,the lower limbs orthopaedic operation and the rehabilitation training to the spastic cerebral palsy(SCP).Methods: We gained 32 patients of SCP from Feb.2007 to Nov.2008.Among them there were 24 male and 8 female,mean of age was 7.1.All the patients accepted the piecewise gradient therapy of operation and rehabilitation.This study adopted before and after treatment control method.The study observed the cerebral palsy partial functional score,the cerebral palsy spasms clinical sub-item evaluation,the muscle evaluation and the overall efficacy.Results: Compared to preoperation,among the cerebral palsy break-down the sitting posture,the torso activities and the squat made transformation of the postoperation patients had improved significantly and the rates of the improvement were 94%,91% and 91% accordingly.And the improvement rates of ankle clonus and the Babinski were 97.2% and 54%.The recovery rate of the cerebral palsy sub-item function was above 80%.The curative effect of the whole group were excellent 18 cases(56.3%),fine 12 cases(37.5%),can 2 cases(6.2%).Conclusion: The piecewise gradient therapy is the effective shortcut of the various kinds of spastic cerebral palsy.