Post-surgical rehabilitation protocol in cerebral palsy: Management experience at the Teletón Children's Rehabilitation Center Baja California Sur
Keywords:
Cerebral palsy, orthopedic surgery, level of motor function, postoperative protocolAbstract
Background: Cerebral palsy is a movement and posture alterations that in time evolve to musculo-
skeletal alterations that could require surgical treatment. After surgery, rehabilitation treatment shall
be recommended to take advantage of the procedure. Material and methods: A self-controlled
study was performed. We reviewed the clinical records of patients who underwent orthopedic
surgery during the period of one year. The objective was to describe postsurgical treatment with
hydrotherapy and mecanotherapy and assessed through motor gross function. Patients were clas-
sified according to previous function level and after interventions. Results: 62 patients underwent
surgery between ages from 4 to 19 years. The most frequent surgeries were multiple tenotomy.
After rehabilitation treatment and related to gross motor function classification, 17 patients progress
to immediate superior level. Conclusion: Patients that undergo to orthopedic surgery require ap-
propriate and early rehabilitation, to ensure positive effects of surgery and to improve function level.
Publication Facts
Reviewer profiles N/A
Author statements
Indexed in
- Academic society
- N/A
References
Dodge N. Cerebral palsy: medical aspects. Pediatr Clin
N Am. 2008; 55: 1189-1207.
Berker N, Yalcin S. Cerebral palsy: orthopedic aspects
and rehabilitation. Pediatr Clin N Am. 2008; 55: 1209-
Krigger K. Cerebral palsy: an overview. Am Fam Phy-
sician. 2006; 73: 91-100.
Thornhill A, Naarden K. Cerebral palsy: classifi cation
and epidemiology. El Sevier Phys Med Rehabil Clin N
Am. 2009; 20: 425-452.
Robaina-Castellanos G, Riesgo-Rodríguez S, Rebaño-
Castellanos M. Evaluación diagnóstica del niño con
parálisis cerebral. Rev Cubana Pediatr. 2007; 2 (79):
-46.
Gómez-López S, Jaimes VH, Palencia Gutiérrez CM,
Hernández M, Guerrero A. Parálisis cerebral infantil.
Arch Venez Puer Ped. 2013; 76(1): 30-39.
Palisano RJ, Cameron D, Rosenbaum PL, Walter SD,
Russell D. Gross motor function system. Can Child. Dev
Med Child Neurol. 1997; 39: 214-223.
Hurtado L. La parálisis cerebral. Actualización del con-
cepto, pronóstico y tratamiento. Pediatr Integral. 2007;
XI (8): 687-698.
Angulo P, Falcone F. Cirugía ortopédica y rehabilitación
en la encefalopatía infantil. Revista de la Sociedad
Peruana de Ortopedia y Traumatología. 2008; 38-41.
Secretaría de Salud. CENETEC. Guía de Práctica
Clínica. Evaluación Diagnóstica del niño con pará-
lisis cerebral en el tercer nivel de atención; México:
Beguiristain-Gúrpide JL. Lógica clínica en cirugía or-
topédica de la parálisis cerebral. Revista Neurológica
; 37 (1): 51-54.
Deepak Sh, Biju NJ, Ajeesh PS. Cerebral palsy: functio-
nal rehabilitation using SEMLARASS. RECOUP. 2013;
-215.
Piana-Román A, Viñals-Labañino CP, Del Valle-Cabrera
MG, Arellano-Saldaña ME, Redón-Tavera A, Peralta-
Cruz S et al. Neuromotor evaluation of patients with
spastic palsy treated with orthopedic surgery in the
Instituto Nacional de Rehabilitación. Acta Ortopédica
Mexicana. 2010; 24 (5): 330-336.
Harryman SE. Lower-extremity for children with cerebral
palsy: physical therapy management. Phys Ther. 1992;
: 16-24.
Owers KL, Pyman J, Gargan MF, Witherow PJ, Portinaro
NM. Bilateral hip surgery in severe cerebral palsy. J
Bone Joint Surg Br. 2001; 83 (8): 1161-1167.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra

This work is licensed under a Creative Commons Attribution 4.0 International License.
© Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra under a Creative Commons Attribution 4.0 International (CC BY 4.0) license which allows to reproduce and modify the content if appropiate recognition to the original source is given.

