Minimally Invasive SPML Surgery for Children with Cerebral Palsy: Program Development.

Improvements in surgical and rehabilitation care are critical to lessen the burden of cerebral palsy (CP), the most common cause of severe physical disability in childhood. The selective percutaneous myofascial lengthening (SPML) surgical procedure is a minimally invasive method designed to improve ambulation by lengthening contracted musculoskeletal tissues. Information on surgical procedures, efficacy, and safety of SPML for children with CP is lacking.

Predictors of Discharge Settings After Total Knee Arthroplasty in Medicare Patients.

Objectives: To determine the factors associated with acute hospital discharge to the 3 most common postacute settings following total knee arthroplasty (TKA): inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), and directly back to the community.

Design: Retrospective cohort study.

Setting: Acute care hospitals submitting claims to Medicare.

[Efficacy of Vertical Muscle Transpositions with and without Simultaneous Rectus Muscle Recession for Unilateral Sixth Nerve Palsy].

Background: We report results of a modified vertical muscle transposition procedure according to the Hummelsheim principle - with and without simultaneous rectus muscle recession - for unilateral sixth nerve palsy. We examine the influence of the duration of the palsy, preoperative angle of squint and preoperative abductive capacity on surgical results of the procedures.

Patients And Methods: Retrospective study of 29 consecutive patients with unilateral abducens nerve palsy who underwent surgery between 2001 and 2012.

Effects of Postacute Settings on Readmission Rates and Reasons for Readmission Following Total Knee Arthroplasty.

Objectives: Examine the effects of postacute discharge setting on unplanned hospital readmissions following total knee arthroplasty (TKA) in older adults.

Design: Secondary analyses of 100% Medicare (inpatient) claims files.

Setting: Acute hospitals across the United States.

Estimating energy expenditure for different assistive devices in the school setting.

Purpose: This case report describes a simple means of estimating energy costs for a child with cerebral palsy using different assistive devices within a school setting.

Key Points: A 9-year-old boy, Gross Motor Function Classification Scale level III, was assessed over 8 ambulation trials using a posterior walker and using forearm crutches. Each trial was followed by a fine motor accuracy task.