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SPIRiT is a physical therapy (PT) outpatient intensive program implemented after Selective Dorsal Rhizotomy (SDR) surgery once your child has been discharged from the hospital. Your child will participate in physical therapy 2-5 times per week, with greater intensity immediately after SDR surgery.
After the surgery called Selective Dorsal Rhizotomy (SDR), we offer an intensive, therapy program. It includes:
The recommended frequency of therapy at Cincinnati Children's is in line with the current evidence referenced below, and best clinical practice.
1.) Engsberg, JR, Ross, Sa, Collins, DR, Park TS. Effect of selective dorsal rhizotomy in the treatment of children with cerebral palsy. J Neurosurg. 2006; 105: 8-15.
2.) Graubert, C, Song, KM, McLaughlin, JF, Bjornson, KF. Changes in gait at 1-year post-selective dorsal rhizotomy: results of a prospective randomized study. J Pediatric Orthopaedics. 2000; 20(4): 496-500.
3.) McLaughlin JF, Bjornson K, Steinbok P, Wright V, Reiner A, Roberts T, Drake, J, O’Donnell M, Rosenbaum P, Barber J, Ferrel A. Selective dorsal rhizotomy: meta-analysis of three randomized controlled trials. Dev Med & Child Neuro. 2002; 44: 17-25.
4.) McLaughlin J, Bjornson, K, Astley, S, Hays, R, Hoffinger, S, Armantrout, E, Roberts, T. The role of selective dorsal rhizotomy in cerebral palsy: critical evaluation of a prospective clinical series. Dev Med & Child Neuro. 1994; 36: 755-769.
5.) Wright FV, Sheil EM, Drake JM, Wedge JH, Naumann S. Evaluation of selective dorsal rhizotomy for the reduction of spasticity in cerebral palsy: a randomized controlled trial. Dev Med & Child Neuro. 1998; 40: 239-247.
Strengths of our program include:
Children who have undergone a recent SDR surgery at Cincinnati Children's, or another medical facility, can benefit from the SPIRiT program.
Our outpatient SPIRiT program is offered at our Main (Burnet) Campus, and several of our neighborhood locations. Your child may need to be seen at more than one location due to the intensive nature of the program.
We have a reputation for using the latest therapeutic approaches to achieve the best possible outcomes for our patients. Our specialized programs range from aquatic therapy to vestibular rehabilitation.
3333 Burnet Avenue, Cincinnati, Ohio 45229-3026 | 1-513-636-4200 | 1-800-344-2462 | TTY:1-513-636-4900
New to Cincinnati Children’s or live outside of the Tristate area? 1-877-881-8479
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