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dc.rights.licenseAtribución-NoComercial 4.0 Internacional
dc.contributor.advisorOrtiz Corredor, Fernando
dc.contributor.authorDelgado Martinez, Javier Rubio
dc.date.accessioned2021-02-08T19:35:47Z
dc.date.available2021-02-08T19:35:47Z
dc.date.issued2020-11-18
dc.identifier.urihttps://repositorio.unal.edu.co/handle/unal/79139
dc.description.abstractObjective: To analyze postoperative functional changes in children with cerebral palsy (CP) after multilevel surgery, measured with the GMFM-66 scale on each functional level. Design: Retrospective study, to compare GMFM-66 scores before and after multilevel surgery in patients under 18 years old with CP evaluated at one third level Hospital from 2004 until 2018. The Wilcoxon signed-rank test was used for statistical analysis. Results: A sample of 103 patients was obtained, from 5 to 17 years old (mean 8.03); 58 boys. Functional level: 4 patients in GMFCS I (3.8%), 11 in Level II (10.5%), 18 in Level III (17.1%), 39 in level IV (37.1%) and 33 in level V (31.4%). Type of CP: 77.1% spastic, 19.1% dyskinetic and 3.8% mixed. 56 of 103 patients showed a higher postoperative score of GMFM-66, 42 a lower score and 7 draws (Wilcoxon signed-rank test, p=0.41). With the analysis by functional level groups, it was found that there were no significant changes for levels I-II (p=0.33), Level III (p=0.24) or levels IV-V (p=0.92). Conclusion: It is controversial that the multilevel surgery results in a shift towards improvement in the functionality of patients with CP. It should be noted that patients with functional levels III, IV and V did not show a deterioration of their functional level measured with the GMFM-66 scale after multilevel surgery.
dc.description.abstractObjetivo: Analizar los cambios funcionales postoperatorios en niños con parálisis cerebral (PC) tras cirugía multinivel, medidos con la escala GMFM-66 en cada nivel funcional. Diseño: Estudio retrospectivo, para comparar las puntuaciones del GMFM-66 antes y después de la cirugía multinivel en pacientes menores de 18 años con PC evaluados en un hospital de tercer nivel entre 2004 y 2018. Para el análisis estadístico se utilizó la prueba de rangos con signo de Wilcoxon. Resultados: Se obtuvo una muestra de 103 pacientes, de 5 a 17 años (media 8.03); 58 varones. Nivel funcional: 4 pacientes en GMFCS I (3,8%), 11 en nivel II (10,5%), 18 en nivel III (17,1%), 39 en nivel IV (37,1%) y 33 en nivel V (31,4%). Tipo de PC: 77,1% espástica, 19,1% discinética y 3,8% mixta. 56 de 103 pacientes mostraron una puntuación postoperatoria más alta de GMFM-66, 42 una puntuación más baja y 7 empates (prueba de rango con signo de Wilcoxon, p = 0,41). Con el análisis por grupos de nivel funcional, se encontró que no hubo cambios significativos para los niveles I-II (p = 0.33), Nivel III (p = 0.24) o niveles IV-V (p = 0.92). Conclusión: Es controvertido que la cirugía multinivel resulte en un cambio hacia la mejora de la funcionalidad de los pacientes con PC. Cabe destacar que los pacientes con niveles funcionales III, IV y V no presentaron deterioro de su nivel funcional medido con la escala GMFM-66 tras cirugía multinivel.
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dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.rightsDerechos reservados - Universidad Nacional de Colombia
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subject.ddc610 - Medicina y salud::615 - Farmacología y terapéutica
dc.titleCambios funcionales después de cirugías multinivel en niños con parálisis cerebral
dc.typeOtro
dc.rights.spaAcceso abierto
dc.description.additionalLínea de investigación: Parálisis cerebral
dc.type.driverinfo:eu-repo/semantics/other
dc.type.versioninfo:eu-repo/semantics/acceptedVersion
dc.publisher.programBogotá - Medicina - Especialidad en Medicina Física y Rehabilitación
dc.contributor.researchgroupFisiatría, electrodiagnóstico y enfermedades neuromusculares
dc.description.degreelevelEspecialidades Médicas
dc.publisher.branchUniversidad Nacional de Colombia - Sede Bogotá
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dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.subject.proposalCerebral palsy
dc.subject.proposalParálisis cerebral
dc.subject.proposalMultilevel surgery
dc.subject.proposalCirugía multinivel
dc.subject.proposalResultados funcionales
dc.subject.proposalFunctional outcomes
dc.type.coarhttp://purl.org/coar/resource_type/c_1843
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.contentText
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2


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