| Summary: | 碩士 === 長庚大學 === 復健科學研究所 === 93 === Background: Multiple soft tissue releases (MSTR) are common orthopedic procedures in children with spastic cerebral palsy (CP) to improve musculoskeletal function and structures. Previously, short term outcome studies of MSTR were limited. The purpose of this study was to explore the short-term changes in children with CP after MSTR. Method：A repeated measurement research design was used. Seven children with spastic type CP who underwent MSTR were recruited as the MSTR group. The additional seven subjects matched with diagnosis, Gross Motor Function Classification System (GMFCS) level and age of the MSTR group were recruited as the control group. PROM, spasticity, muscle strength, and Gross Motor Function Measure (GMFM) scores, walking velocity and physiological cost index (PCI) were assessed every 6 weeks for 3 months. Result: The significant improvments were noted on spasticity and PROM of the lower extremities after MSTR 6 weeks. No significant difference of muscle strength and GMFM scores was noted between children in the control group and the MSTR group in 6 weeks after MSTR, as well as 12 weeks. Discussion: The immediate positive effect on muscle spasticity and PROM of this study was similar with the previous findings. However, the variable changes of gross motor function and muscle strength among the children in both groups were noted. Therefore, the impact of individual differences and episode of care should be emphasized in further research.
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