The Result of Functional Mobility Scale (FMS) on Cerebral Palsy Spastic Diplegic that Treated by SEMLS (Single Event Multi Level Surgery) method in Orthopaedic Hospital Prof. Dr. R. Soeharso Surakarta

HADINOTO, SETI AJI (2018) The Result of Functional Mobility Scale (FMS) on Cerebral Palsy Spastic Diplegic that Treated by SEMLS (Single Event Multi Level Surgery) method in Orthopaedic Hospital Prof. Dr. R. Soeharso Surakarta. Masters thesis, Universitas Sebelas Maret.

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    Abstract

    The Result of Functional Mobility Scale (FMS) on Cerebral Palsy Spastic Diplegic that treated by SEMLS (Single Event Multi Level Surgey) method in Orthopaedic Hospital Prof. Dr. R. Soeharso Surakarta Seti Aji Hadinoto ABSTRACT Background : Cerebral Palsy is a permanent and non progressive brain disorder due to damage on immature brain that results in motion and posture problem. The patients often comes late for treatment due to the lack of knowledge about this disease. The choice of operative treatment in RSO is using SEMLS (Single Event Multi Level Surgery).This research was intended to evaluate the success rate of orthopaedic paediatric clinic in the treatment of this cases using FMS score after SEMLS was done, and also to analyse the relationship between age, sex, and location with the success rate after SEMLS Methode : This study was observasional with cross sectional methode. The sample are obtained by sensus from January 1st 2016 until September 30th 2017. The patient’s characteristic that we include in this study are sex, age when the patient had a surgery, and where the contracture are involved. We evaluate the outcome using FMS before operation, 3 month, 6 month, 9 month, and 12 month after operation on three different distance (5, 50, 500 meter) that represent home, school, and community. After that we analyze the result using regression logistic model to understands about changes and time of changes on patient after SEMLS procedure. We also analyze the corelation between age, sex, and location of contracture with the outcome after SEMLS procedure Result : 51 patients were reviewed and identified, there were 31 males (61%) and 20 females (39%), mean age when the patient was operated was 8,17 y.o, with the most common cases are CP Spastic Diplegic with hip, knee, ankle contracture bilateral about 41 patient (80,3%), knee ankle bilateral about 7 patient (13,2%), and hip ankle bilateral about 3 patient (5,88%). From evaluation of FMS scoring, we found most patient had an improvement on their mobility after SEMLS procedure (OR > 1), with the time changes for 5 and 50 meters distance is at six months (OR : 1,519) and (OR : 1,470), and 500 meters is at 12 months (OR : 3,450). We also found no significant relationships (p value > 0,05) between age (p value :0,632), sex (p value : 0,576) and location of contracture (p value : 0,222) with the outcome of the FMS after SEMLS Conclusion: We found that SEMLS gives a good result to increased mobility of patient with CP Spastic Diplegic. . Age, sex, and contracture’s location were not significantly influence the FMS outcome after SEMLS. FMS Score were able to asses the outcome of SEMLS procedure, and also responsive to change that occur after SEMLS Key Word : CP Spastic Diplegic, SEMLS (Single Event Muti Level Surgery), FMS (Functional Mobility Scale)

    Item Type: Thesis (Masters)
    Subjects: R Medicine > R Medicine (General)
    Divisions: Pascasarjana
    Pascasarjana > Magister
    Pascasarjana > Magister > Magister Kedokteran Keluarga
    Depositing User: Fransiska Meilani f
    Date Deposited: 27 Feb 2018 10:46
    Last Modified: 27 Feb 2018 10:46
    URI: https://eprints.uns.ac.id/id/eprint/39570

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