ArticleDevelopmental medicine and child neurology2020
Energy consumption does not change after selective dorsal rhizotomy in children with spastic cerebral palsy.
Article in Developmental medicine and child neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed, 18 citations in OpenAlex.
- Body-weight support is the primary driver of elevated walking cost in cerebral palsy.Research square · 2026Article
- The evolution of nutrition management in children with severe neurological impairment with a focus on cerebral palsy.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Review
- Postoperative Functional Recovery and Rehabilitation Following Selective Dorsal Rhizotomy.Advances and technical standards in neurosurgery · 2025Review
- Causal modelling demonstrates metabolic power is largely affected by gait kinematics and motor control in children with cerebral palsy.PloS one · 2023Article
- Article
- Efficacy of Selective Dorsal Rhizotomy and Intrathecal Baclofen Pump in the Management of Spasticity.Advances and technical standards in neurosurgery · 2022Article
- Skeletal Muscle Mitochondrial Physiology in Children With Cerebral Palsy: Considerations for Healthy Aging.Frontiers in neurology · 2021Review
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
aimTo determine whether energy consumption changes after selective dorsal rhizotomy (SDR) among children with cerebral palsy (CP).
methodWe retrospectively evaluated net nondimensional energy consumption during walking among 101 children with bilateral spastic CP who underwent SDR (59 males, 42 females; median age [5th centile, 95th centile] 5y 8mo [4y 2mo, 9y 4mo]) compared to a control group of children with CP who did not undergo SDR. The control group was matched by baseline age, spasticity, and energy consumption (56 males, 45 females; median age [5th centile, 95th centile] 5y 8mo [4y 1mo, 9y 6mo]). Outcomes were compared at baseline and follow-up (SDR: mean [SD] 1y 7mo [6mo], control: 1y 8mo [8mo]).
resultsThe SDR group had significantly greater decreases in spasticity compared to matched controls (-42% SDR vs -20% control, p<0.001). While both groups had a modest reduction in energy consumption between visits (-12% SDR, -7% control), there was no difference in change in energy consumption (p=0.11) or walking speed (p=0.56) between groups.
interpretationThe SDR group did not exhibit greater reductions in energy consumption compared to controls. The SDR group had significantly greater spasticity reduction, suggesting that spasticity had minimal impact on energy consumption during walking in CP. These results support prior findings that spasticity and energy consumption decrease with age in CP. Identifying matched control groups is critical for outcomes research involving children with CP to account for developmental changes.
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