Impact of scoliosis surgery on activites of daily living in females with Rett Syndrome

Background: Scoliosis is a common orthopaedic complication of Rett syndrome, and surgery is commonly used to reduce asymmetry in cases with severe scoliosis.Methods: Data from questionnaires administered to caregivers biennially from 2000 to 2006 were used to describe functional skill levels in subj...

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Main Authors: Downs, Jennepher, Young, D., De Klerk, N., Bebbington, A., Baikie, G., Leonard, H.
Format: Journal Article
Published: Lippincott Williams & Wilkins 2009
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/2651
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author Downs, Jennepher
Young, D.
De Klerk, N.
Bebbington, A.
Baikie, G.
Leonard, H.
author_facet Downs, Jennepher
Young, D.
De Klerk, N.
Bebbington, A.
Baikie, G.
Leonard, H.
author_sort Downs, Jennepher
building Curtin Institutional Repository
collection Online Access
description Background: Scoliosis is a common orthopaedic complication of Rett syndrome, and surgery is commonly used to reduce asymmetry in cases with severe scoliosis.Methods: Data from questionnaires administered to caregivers biennially from 2000 to 2006 were used to describe functional skill levels in subjects with Rett syndrome, and within-subject change in16 subjects with scoliosis surgery were compared with within-subject change in 186 pairs of data from 86 subjects with conservatively managed scoliosis. Postsurgical assessment was conducted after amean of 17.8 months.Results: Surgery was associated with improved activities of daily living as measured by the WeeFIM for subjects who were wheelchair bound (P = 0.05). Mobility levels, social interaction, communicationskills, and the frequency of daytime napping remained similar for the group as a whole.Conclusions: Improvements in activities of daily living are likely to represent an increase in the quality of life for subjects and caregivers and were mainly found in subjects who were wheelchair bound,indicating that those who were more severely affected were able to benefit from this intervention.Level of Evidence: Therapeutic study: level III
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spelling curtin-20.500.11937-26512017-09-13T14:32:14Z Impact of scoliosis surgery on activites of daily living in females with Rett Syndrome Downs, Jennepher Young, D. De Klerk, N. Bebbington, A. Baikie, G. Leonard, H. scoliosis spinal fusion Rett syndrome neuromuscular scoliosis function Background: Scoliosis is a common orthopaedic complication of Rett syndrome, and surgery is commonly used to reduce asymmetry in cases with severe scoliosis.Methods: Data from questionnaires administered to caregivers biennially from 2000 to 2006 were used to describe functional skill levels in subjects with Rett syndrome, and within-subject change in16 subjects with scoliosis surgery were compared with within-subject change in 186 pairs of data from 86 subjects with conservatively managed scoliosis. Postsurgical assessment was conducted after amean of 17.8 months.Results: Surgery was associated with improved activities of daily living as measured by the WeeFIM for subjects who were wheelchair bound (P = 0.05). Mobility levels, social interaction, communicationskills, and the frequency of daytime napping remained similar for the group as a whole.Conclusions: Improvements in activities of daily living are likely to represent an increase in the quality of life for subjects and caregivers and were mainly found in subjects who were wheelchair bound,indicating that those who were more severely affected were able to benefit from this intervention.Level of Evidence: Therapeutic study: level III 2009 Journal Article http://hdl.handle.net/20.500.11937/2651 10.1097/BPO.0b013e3181a53b41 Lippincott Williams & Wilkins restricted
spellingShingle scoliosis
spinal fusion
Rett syndrome
neuromuscular scoliosis
function
Downs, Jennepher
Young, D.
De Klerk, N.
Bebbington, A.
Baikie, G.
Leonard, H.
Impact of scoliosis surgery on activites of daily living in females with Rett Syndrome
title Impact of scoliosis surgery on activites of daily living in females with Rett Syndrome
title_full Impact of scoliosis surgery on activites of daily living in females with Rett Syndrome
title_fullStr Impact of scoliosis surgery on activites of daily living in females with Rett Syndrome
title_full_unstemmed Impact of scoliosis surgery on activites of daily living in females with Rett Syndrome
title_short Impact of scoliosis surgery on activites of daily living in females with Rett Syndrome
title_sort impact of scoliosis surgery on activites of daily living in females with rett syndrome
topic scoliosis
spinal fusion
Rett syndrome
neuromuscular scoliosis
function
url http://hdl.handle.net/20.500.11937/2651