Objective To investigate the significance of home-based rehabilitation by telecommuting for spastic cerebral palsy(SCP)children after selective dorsal rhizotomy(SDR).Methods The data of 90 SCP cases undergone home-based rehabilitation after SDR,were ana-lyzed retrospectively.The Gross Motor Function Measure Scale(GMFM)and the Functional In-dependence Measure for Children(WeeFIM)were used to quantify the efficacy before SDR,half year and 1 year after SDR.The related cost and the loss rate of home-based rehabilitation in 1 year after SDR were aggregated.Among all cases,43 cases chose home-based rehabilitation by outpatient assistance(HR-OA);47 cases chose home-based rehabilitation by telecommuting assistance(HR-TA).Results The statistical results of HR-OA group were,GMFM-66 35.2±8.5 before SDR,48.2±9.4 half year after SDR,64.6±13.5 one year after SDR;WeeFIM 43.9±10.8 before SDR,50.3±14.1 half year after SDR,62.7±11.0 one year after SDR.The statisti-cal results of HR-TA group were,GMFM-66 34.8±7.7 before SDR,58.5±8.6 half year after SDR,66.1±17.3 one year after SDR;WeeFIM 42.6±11.3 before SDR,57.6±12.3 half year af-ter SDR,65.0±12.5 one year after SDR.The GMFM-66 or WeeFIM data within each group were compared of in preoperative and in half year after SDR,in half year after SDR and in 1 year after SDR,and P＜0.05 for all.The GMFM-66 and WeeFIM data between the two groups were compared of in preoperative and resulted P＞0.05,in half year after SDR and resulted P＜0.05,in 1 year after SDR and resulted P＞0.05.The related rehabilitation cost(unit:10,000 yuan)in 1 year after SDR was 4.2±2.7 for HR-OA group and 1.6±0.4 for HR-TA group,and resulted P＜0.05.The loss rate of rehabilitation in 1 year after SDR was 44.2％(19 cases)for HR-OA group and 12.8％(6 cases)for HR-TA group,and resulted P＜0.05.The prognosis was all good in both groups.Conclusion In home-based rehabilitation,Telecommuting mode is more advan-tageous than Outpatient mode.The efficacy of SDR combined with home-based rehabilitation is positive.
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