“Life‐changing surgery”: English‐language news media representation of selective dorsal rhizotomy

Author(s):  
Simon Paul Paget ◽  
Lani Campbell ◽  
Anneliese Blaxland ◽  
Jennifer Lewis ◽  
Angela Mary Morrow ◽  
...  
2021 ◽  
Vol 37 (5) ◽  
pp. 1729-1740
Author(s):  
Conor Scott Gillespie ◽  
◽  
Alan Matthew George ◽  
Benjamin Hall ◽  
Steven Toh ◽  
...  

Abstract Purpose Investigate the effect of age category (1–9 years vs 10–18 years), sex, Gross Motor Function Classification System (GMFCS) level, and presence of dystonia on changes in eight function test parameters 24 months after selective dorsal rhizotomy (SDR). Methods Prospective, single-center study of all children aged 3–18 years with bilateral cerebral palsy with spasticity who underwent SDR at a tertiary pediatric neurosurgery center between 2012 and 2019. A linear mixed effects model was used to assess longitudinal changes. Results From 2012 to 2019, 42 children had follow-up available at 24 months. Mean GMFM-66 scores increased after SDR (mean difference 5.1 units: 95% CI 3.05–7.13, p < 0.001). Statistically significant improvements were observed in CPQoL, PEDI Self-care and Mobility, 6MWT, Gillette, and MAS scores. There was no significant difference in the improvements seen for age category, sex, GMFCS level, and presence of dystonia for most of the parameters tested (5/8, 6/8, 5/8, and 6/8 respectively). Conclusion SDR may improve gross and fine motor function, mobility and self-care, quality of life, and overall outcome based on extensive scoring parameter testing at 24 months. Atypical patient populations may benefit from SDR if appropriately selected. Multi-center, prospective registries investigating the effect of SDR are required.


1992 ◽  
Vol 16 (4) ◽  
pp. 25
Author(s):  
S A Huntoon ◽  
C A Giuliani

2021 ◽  
Vol 15 (2) ◽  
Author(s):  
Yating Yu ◽  
Mark Nartey

Although the Chinese media’s construction of unmarried citizens as ‘leftover’ has incited much controversy, little research attention has been given to the ways ‘leftover men’ are represented in discourse. To fill this gap, this study performs a critical discourse analysis of 65 English language news reports in Chinese media to investigate the predominant gendered discourses underlying representations of leftover men and the discursive strategies used to construct their identities. The findings show that the media perpetuate a myth of ‘protest masculinity’ by suggesting that poor, single men may become a threat to social harmony due to the shortage of marriageable women in China. Leftover men are represented as poor men, troublemakers and victims via discursive processes that include referential, predicational and aggregation strategies as well as metaphor. This study sheds light on the issues and concerns of a marginalised group whose predicament has not been given much attention in the literature.


2006 ◽  
Vol 105 (1) ◽  
pp. 8-15 ◽  
Author(s):  
Jack R. Engsberg ◽  
Sandy A. Ross ◽  
David R. Collins ◽  
Tae Sung Park

2021 ◽  
Author(s):  
wenbin jiang ◽  
Shuyun Jiang ◽  
Yan Yu ◽  
Qijia Zhan ◽  
Min Wei ◽  
...  

Abstract Background Selective Dorsal Rhizotomy (SDR) guided by our modified protocol can decrease spasticity in certain muscles. This study aimed to investigate gait parameters changes in cerebral palsy (CP) with focal spasticity after SDR in short-term follow-up. Methods CP classified as Gross Motor Function Classification System (GMFCS) level Ⅰ and Ⅱ who underwent SDR were included. Changes of spasticity, gait parameters and gait deviation index (GDI) were retrospectively reviewed. Results This study contained 26 individuals with 44 affected and 8 intact lower limbs (4 monoplegia, 4 hemiplegia and 18 diplegia). Mean age was 5.7 ± 1.9 years-old and follow-up duration was 9.9 ± 6.6 months. After SDR, average spasticity of 108 target muscles decreased from 2.9 ± 0.8 to 1.8 ± 0.6 in Modified Ashworth Scale (MAS). Kinematic curves changed after the surgery in sagittal and transverse plane in affected sides, further investigation showed improvements in ankle and knee. No changes were found in temporal-spatial parameters except decrease in cadence in affected sides. GDI improved significantly in affected limbs. Conclusion In short-term follow up, the new-protocol-guiding SDR can lower focal spasticity, GA showed improvements in kinematic parameters and GDI. Longer follow-up duration is needed to clarify the long-term outcome.


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