Evolution of walking ability after soft tissue surgery in cerebral palsy patients: what can we expect?
Autor: | Alena Kobesova, Libor Soumar, Tomáš Trč, Krystof Slaby, Pavel Smetana, Martin Svehlik |
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Rok vydání: | 2008 |
Předmět: |
Male
medicine.medical_specialty Knee Joint Physical examination Cerebral palsy Tendons Spastic cerebral palsy Preoperative level medicine Humans Orthopedics and Sports Medicine Range of Motion Articular Child Muscle Skeletal Gait Hip Contracture medicine.diagnostic_test business.industry Cerebral Palsy Soft tissue Equinus Deformity medicine.disease Surgery medicine.anatomical_structure Muscle Spasticity Pediatrics Perinatology and Child Health Female Hip Joint Ankle Range of motion business Ankle Joint |
Zdroj: | Journal of pediatric orthopedics. Part B. 17(3) |
ISSN: | 1060-152X |
Popis: | Eleven patients with spastic cerebral palsy were evaluated preoperatively, and 3 and 9 months postoperatively after soft tissue surgery. Evaluation included clinical examination, the Functional Mobility Scale questionnaire, and instrumented gait and center of mass trajectory analysis. A decrease in time-distance parameters after 3 months was followed by progress in all parameters at 9 months postoperatively. Push-off range of ankle motion decreased after surgery and was not restored to preoperative level until 9 months later. The center of mass vertical displacement improved significantly. The Functional Mobility Scale showed gait improvement. Despite the normalization of range of motion after surgery, there is an obvious period of functional gait deterioration in the early postoperative period and the push-off range of motion at the ankle did not recover to preoperative level until 9 months later. |
Databáze: | OpenAIRE |
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