| Outcomes | Illustrative comparative risks (95% CI) | Relative effect (95% CI) | No of participants (studies) | Quality of the evidence (GRADE) | |
|---|---|---|---|---|---|
| Risk with pre-operative | Risk with Selective dorsal rhizotomy (post-operative) | ||||
|
Walking Self rated ambulatory ability on visual analogue scale Scale from: 0 to 10 Follow-up: 5 years | The mean walking score was 6 | The mean walking - in the intervention group was 2.3 higher (2 lower to 6.6 higher) | - |
21 (1 observational study) | Very low1 |
|
Walking Walking, running & jumping dimension of GMFM Scale from: 0 to 100 f Follow-up: 5 years | The mean GMFM walking scale was 65.57 | The mean walking in the intervention group was 15.09 higher (6.1 higher to 24.08 higher) | - |
7 (1 observational study) | Very low2 |
|
Gross Motor Function Measure (GMFM) Scale from: 0 to 100 follow up: 4 months | The mean gross motor function was 87.14 | The mean gross motor function in the intervention group was 6.25 higher (1.73 lower to 14.23 higher) | - |
7 (1 observational study) | Very low1 |
|
Gross motor function Jebsen-Taylor hand function test Scale from: 0 to 720 Follow-up: 15 months | The mean gross motor function was 72 | The mean gross motor function in the intervention group was 35.29 lower (55.71 lower to 14.87 lower) | - |
7 (1 observational study) | Very low2 |
|
Tone - hip adductors Modified Ashworth score Scale from: 1 to 4 Follow-up: 4 months | The mean tone - hip adductors was 2.16 | The mean tone - hip adductors in the intervention group was 2.11 lower (2.8 lower to 1.42 lower) | - |
19 (1 observational study) | Very low2 |
|
Tone - hamstrings Modified Ashworth score Scale from: 1 to 4 follow up: 4 months | The mean tone - hamstrings was 3.58 | The mean tone - hamstrings in the intervention group was 3.47 lower (3.83 lower to 3.11 lower) | - |
19 (1 observational study) | Very low2 |
|
Tone - gastroc / soleus Modified Ashworth score Scale from: 1 to 4 Follow-up: 4 months | The mean tone - gastroc / soleus was 3.25 | The mean tone - gastroc / soleus in the intervention group was 2.96 lower (3.52 lower to 2.4 lower) | - |
19 (1 observational study) | Very low2 |
|
Tone - wrist flexors Ashworth score Scale from: 1 to 5 Follow-up: 15 months | The mean tone - wrist flexors was 3.5 | The mean tone - wrist flexors in the intervention group was 2.5 lower (3.6 lower to 1.4 lower) | - |
6 (1 observational study) | Very low2 |
|
Tone - digital flexors Ashworth score Scale from: 1 to 5 Follow-up: 15 months | The mean tone - digital flexors was 3.42 | The mean tone - digital flexors in the intervention group was 2.28 lower (3.25 lower to 1.3 lower) | - |
7 (1 observational study) | Very low2 |
|
Health related quality of life Self rated visual analogue scale Scale from: 0 to 10 Follow-up: 5 years | The mean quality of life was 6.9 | The mean quality of life in the intervention group was 2 higher (2.3 lower to 6.3 higher) | - |
21 (1 observational study) | Very low1 |
|
Pain Self rated visual analogue scale Scale from: 0 to 10 Follow-up: 5 years | The mean pain was 4 | The mean pain in the intervention group was 1.9 lower (9.61 lower to 5.81 higher) | - |
21 (1 observational study) | Very low1 |
| Adverse events - not reported | - | - | - | - | - |
| Satisfaction - not reported | - | - | - | - | - |
| Concurrent medications - not reported | - | - | - | - | - |
CI: confidence interval; GMFM, gross motor function measure; MID: minimally important difference.
Confidence interval includes one default MID threshold
Number of participants <400
From: Management of abnormal muscle tone: neurosurgical procedures to reduce spasticity
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