Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
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Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Selective Dorsal Rhizotomy
What is a Selective Dorsal Rhizotomy?
Selective Dorsal Rhizotomy (SDR) is a specialized neurological surgery that targets specific nerve roots in the lower spinal cord to reduce spasticity (excessive muscle tone) in the lower limbs. Spasticity often occurs in individuals with neurological conditions, as the nerves controlling leg muscles are affected, causing stiffness and restricted movement. During SDR, performed under general anaesthesia, selected nerve roots responsible for the spasticity are carefully cut, allowing the muscles to function more normally.
Physiotherapy is a crucial part of recovery, helping to strengthen muscles, improve mobility, and maximize functional independence. SDR is typically performed in young children, as rehabilitation involves re-learning movements such as walking, which is easier at an early age. Performing surgery earlier allows for greater long-term improvement.
SDR is a major, irreversible procedure, so understanding the surgery and its rehabilitation process is essential. Patients and caregivers should discuss the procedure in detail with healthcare professionals, including a neurological physiotherapist, who can outline the surgery, expected outcomes, and the tailored rehabilitation plan required to achieve the best functional results.
Benefits of Selective Dorsal Rhizotomy
Selective dorsal rhizotomy (SDR) offers several important benefits, including:
- Reduction or elimination of spasticity in targeted muscles of the lower limbs
- Improved gait and movement, making walking smoother and more coordinated
- Enhanced overall function, supporting greater independence in daily activities
It is important to note that SDR is not a cure for the underlying neurological condition. Recovery requires a long and intensive physiotherapy rehabilitation program, and commitment to this program is essential for achieving the best outcomes. Due to the complexity of the surgery, additional effects may occur that require further treatment or intervention. As with any major surgery, there is a possibility that the procedure may not achieve the desired results or that other complications may arise.
Who Can Benefit from a Selective Dorsal Rhizotomy?
Selective dorsal rhizotomy (SDR) can be highly effective for individuals with neurological conditions that cause spasticity in the lower limbs. Common conditions that may benefit include:
- Spastic Cerebral Palsy
- Spastic Diplegia
- Spastic Quadriplegia
- Spastic Hemiplegia
SDR may also help individuals who experience:
- Severe spasticity in the lower limbs that limits movement and function
- Contractures or permanent tightening of muscles in the legs
SDR may also help individuals who experience:
How Does a Selective Dorsal Rhizotomy Help?
A selective dorsal rhizotomy (SDR) helps by reducing or eliminating spasticity in specific muscles of the lower limbs. By targeting the nerve roots responsible for excessive muscle tone, the surgery allows the muscles to move more normally. This can lead to improved walking, better mobility, and enhanced ability to perform everyday activities, ultimately contributing to a higher quality of life.
The Role and Benefits of Physiotherapy After SDR
Physiotherapy is a critical component of rehabilitation following SDR. It helps to maximize the benefits of surgery by:
- Increasing range of motion in the affected muscles
- Strengthening weakened muscles
- Improving walking patterns and gait
- Facilitating a safe return to daily and recreational activities
What Does Physiotherapy Involve?
Rehabilitation after SDR is long-term and intensive, requiring motivation and consistent participation. For children, parent or caregiver involvement is essential to support progress both in and outside physiotherapy sessions.
Physiotherapy techniques may include:
- Scar management to promote healing
- Range of motion exercises to restore flexibility
- Stretching exercises to reduce residual stiffness
- Strengthening exercises for lower limb and core muscles
- Gait re-education and walking advice
- Guidance on everyday activities to ensure safe and efficient movement
Physiotherapy sessions are often designed to be engaging for children, making rehabilitation enjoyable while ensuring progress. A home exercise program is also essential, with caregivers trained to assist younger patients in practicing exercises outside the clinic.
Summary
Selective dorsal rhizotomy is a neurosurgical procedure that removes select nerve roots in the spinal cord to reduce spasticity in lower limb muscles. This spasticity often limits walking and daily activities, and SDR aims to improve muscle function, mobility, and overall quality of life. Achieving these benefits requires a long-term, structured rehabilitation program, guided by physiotherapists and other healthcare professionals. Physiotherapy focuses on strengthening muscles, increasing range of motion, improving mobility, and restoring function, helping individuals achieve a higher level of independence and greater participation in everyday activities.
To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.
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