“Functional Outcome of Adulthood Selective Dorsal Rhizotomy for Spastic Diplegia” (2019; TS Park, So Yeon Uhm, Deanna M. Walter, Nicole L. Meyer, Matthew B. Dobbs)

“Functional Outcomes of Childhood Selective Dorsal Rhizotomy 20 to 28 Years Later” (2017; TS Park, Jenny L. Liu, Caleb Edwards, Deanna M. Walter, Matthew B. Dobbs)
Describes the long-term results and safety of SDR

“Functional outcomes after selective dorsal rhizotomy followed by minimally invasive tendon lengthening procedures in children with spastic cerebral palsy” (2020; Limpaphayom N., Stewart S., Wang L., Liu J., Park TS, Dobbs MB.) (Full text can be found at this link instead: https://www.facebook.com/groups/161839724125/files/)

“Evidence Supporting Selective Dorsal Rhizotomy for Treatment of Spastic Cerebral Palsy” (2018; TS Park, Matthew B. Dobbs, Junsang Cho.)

“Selective dorsal rhizotomy in ambulant children with cerebral palsy” (2019; Jennifer Summers, Bola Coker, Saskia Eddy, Maria Elstad, Catey Bunce, Elli Bourmpaki, et al.)

This study of UK SDRs was funded by NHS England. Because of its encouraging clinical findings, a national policy decision was made to expand funding for English SDR candidates.

“Simultaneous Selective Dorsal Rhizotomy and Baclofen Pump Removal Improve Ambulation in Patients with Spastic Cerebral Palsy” (2018; TS Park, Brandon A. Miller, Junsang Cho.)

“Beneficial Effects of Childhood Selective Dorsal Rhizotomy in Adulthood” (2017; TS Park, Caleb Edwards, Jenny L. Liu, Deanna M. Walter, Matthew B. Dobbs.)

“Clinical Outcomes After Selective Dorsal Rhizotomy in an Adult Population” (2011; Matthew R. Reynolds, Wilson Z. Ray, Russell G. Strom, Spiros L. Blackburn, Amy Lee, Tae Sung Park)

This helps contextualize the importance of managing spasticity; SDR can slow or stop the “early aging” of bones, muscles, and joints that frequently accompanies spastic CP:

“Adults with cerebral palsy: a workshop to define the challenges of treating and preventing secondary musculoskeletal and neuromuscular complications in this rapidly growing population” (2009; Laura L. Tosi, Nancy Maher, D. Winslow Moore, Murray Goldstein, Mindy Laisen)

Botox may be useful in specific situations, but some research suggests that repeated injections can damage muscles. See below:

“What are the long‐term consequences of botulinum toxin injections in spastic cerebral palsy?” (2011; Rod S. Barrett)
Suggests that Botox injections cause weakness and reduce muscle growth

“Vibration therapy in patients with cerebral palsy: a systematic review” (2018; Ramona Ritzmann, Christina Stark, Anne Krause)
Suggests that vibration plates improve muscle tone, strength, gait, mobility, muscle mass, and bone density in people with CP.
“Vibration therapy in patients with cerebral palsy: a systematic review” (2018; Sean A. Duquette, Anthony M. Guiliano, David J. Starmer)
Suggests that vibration plates reduce spasticity, improve muscle strength, and improve coordination, and they may improve bone density.

“Effect of whole-body vibration on muscle strength, spasticity, and motor performance in spastic diplegic cerebral palsy children” (2014; Marwa M. Ibrahim, Mohamed A. Eid, Samah A. Moawd)
Twelve weeks of vibration plate use appeared to increase strength, decrease spasticity, and improve walking speed and motor development in kids with spastic diplegia.