Inpatient Rehabilitation After Multi-Level Orthopedic Surgery in Youth with Cerebral Palsy: Discharge and 18-Month Mobility Outcomes.
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| Title: | Inpatient Rehabilitation After Multi-Level Orthopedic Surgery in Youth with Cerebral Palsy: Discharge and 18-Month Mobility Outcomes. |
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| Authors: | Butler, Stephanie1 (AUTHOR) stephanie.butler@nemours.org, Virgil, Brittany1 (AUTHOR), Church, Chris1 (AUTHOR), Bushong, Katie1 (AUTHOR), Owens, Laura2 (AUTHOR), Shrader, M. Wade1 (AUTHOR), Salazar-Torres, Jose J.1 (AUTHOR), Trionfo, Arianna1 (AUTHOR), Lennon, Nancy1 (AUTHOR) |
| Source: | Physical & Occupational Therapy in Pediatrics. 2026, Vol. 46 Issue 4, p773-789. 17p. |
| Subject Terms: | *Statistical correlation, *Data analysis, *Retrospective studies, *Research, *Cognition, Pearson correlation (Statistics), T-test (Statistics), Hospital care, Multiple regression analysis, Questionnaires, Cerebral palsy, Discharge planning, Functional status, Treatment effectiveness, Diagnosis, Gait in humans, Descriptive statistics, Mann Whitney U Test, Orthopedic surgery, Medical records, Acquisition of data, Statistics, Length of stay in hospitals, Rehabilitation |
| Abstract: | Aims: To describe mobility outcomes for youth with cerebral palsy (CP) who received inpatient rehabilitation (IPR) following multilevel surgery (MLS) and surgical and patient factors associated with mobility outcomes. Methods: Data for 58 youth (mean age 13.5 years; Gross Motor Function Classification System [GMFCS] level II-53%; III-47%) who underwent high-burden MLS were retrospectively reviewed. 81% received IPR following MLS; average length of stay (LOS) was 4.3 wk. The Functional Independence Measure for Children (WeeFIM) was administered at admission and discharge from IPR. The Pediatric Outcomes Data Collection Instrument Transfer and Basic Mobility score (PODCI-TBM), Gait Deviation Index (GDI), and Gross Motor Function Measure Section D (GMFM-D) were administered preoperatively and at 18 months following MLS. Results: Youth made significant gains in acute mobility function (p < 0.0001); for youth classified at GMFCS III, length of stay was significantly longer (p = 0.03). Lower WeeFIM cognitive scores and lower GMFM-D scores preoperatively correlated with fewer mobility gains during IPR (r = 0.48, p = 0.0007). For all patients, at 18 months postoperatively, GDI improved significantly (p < 0.01); GMFM-D and PODCI-TBM did not (p > 0.05). Conclusion: Youth had improved mobility acutely after MLS that was associated with cognition and preoperative gross motor function. IPR did not influence 18-month mobility improvements. [ABSTRACT FROM AUTHOR] |
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| Database: | Education Research Complete |
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