Facts About SDR

Provision and Use of Medical Devices After SDR Surgeries

Facts about SDR

There are numerous effective ways to treat spastic musculature.  Selective Dorsal Rhizotomy (SDR) treatment is one among them. This is applied in case of spasticity affecting larger areas, i.e. many muscles.  SDR treatment means the cutting of perceptive fibres that lead from muscles and enter the spinal cord. During operation, the neurosurgeon determines, which group of neurofilaments causes spasticity or starch. Groups of neurofilaments operating defectively are cut over but properly operating filaments remain untouched. This lessens the number of messages coming from muscles, whereby the operation of neurofilaments of the spinal cord becomes more balanced and less tense (spasticity).

All tone decreasing therapies have risks thus these are recommended only in cases where young patients have enough muscle strength that allows a reasonable expectation of functional improvement after decreasing spasticity. Children however need a continual strengthening of muscles in the form of active gymnastics and stretching on psychotherapeutic sessions. If the remaining contractures cannot be stretched properly, orthopaedic operation may become necessary.

After SDR surgery, the use of orthosis must be commenced immediately and several changes of the orthoses may become necessary in order to provide orthoses always in accordance with the current status of the child's disease.

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What is AFO or DAFO?

What is AFO or DAFO?

 Tasks of orthoses:

 to replace lost functions;

  •  to disconnect painful movements;
  • to decrease the risk of the development of deformities;
  • to restore the balance of muscles and to decrease the tone of muscles

AFO is a special ankle-foot orthosis supporting the gait. Main functions of the product are the following: stable leg-ankle-foot fixation, regulation of movements of the ankle joint, foot posture correction and modification of mechanical forces during gait. The device fixes and corrects the position of the foot as compared to the leg in three dimensions in accordance with the physician's instructions. AFO can be used in cases where, besides positioning of the foot, regulation of ground stress having impact on the foot is also important.

Read more: What is AFO or DAFO?