The relation of triceps surae surgical lengthening and crouch gait in patients with cerebral palsy
| Autor: | Mauro César de Morais Filho, Cátia Miyuki Kawamura, Yara Juliano, Paulo Kanaji |
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| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Knee Joint Cerebral palsy Young Adult Statistical significance Spastic Chi-square test Medicine Humans Orthopedics and Sports Medicine In patient Child Muscle Skeletal Gait Retrospective Studies Crouch gait business.industry Cerebral Palsy medicine.disease Tendon Surgery medicine.anatomical_structure Gait analysis Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Journal of pediatric orthopedics. Part B. 19(3) |
| ISSN: | 1473-5865 |
| Popis: | To investigate the effect of earlier triceps surae (TS) surgical lengthening at knee kinematics in the stance phase in patients with cerebral palsy (CP). One thousand and thirty-nine participants from an eligible total of 1750 children with CP were referred to gait analysis laboratory from January 2000 to April 2007. Inclusion criteria were the diagnosis of diparetic spastic CP levels I to III (GMFCS) and complete kinematics documentation. Patients with an asymmetrical knee pattern at kinematics and with different types of TS management among sides were excluded. The patients were divided into two groups according to the mean minimum knee flexion (MMKF) in stance phase: group A (n=253) MMKF > or =30 degrees and group B (n=786) MMKF less than 30 degrees . For each group, the occurrence of following procedures for TS in the past: (i) earlier surgery, (ii) gastrocnemius lengthening (zone I), (iii) gastrocnemius and soleus lengthening (zone II), and (iv) calcaneous tendon lengthening (zone III), was investigated. A chi test was applied to check if the number of procedures performed was different between groups. The level of significance was defined as P value of less than 0.05. The number of patients with no earlier surgeries at TS was higher in group B (51.8%) than in group A (39.1%), and this difference was significant (P |
| Databáze: | OpenAIRE |
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