医学
矢状面
痉挛性双瘫
步态分析
步态
脚踝
体格检查
物理医学与康复
物理疗法
脑瘫
运动学
回廊的
康复
外科
解剖
物理
经典力学
作者
Vinay Saraph,Ernst B. Zwick,Gertrude Zwick,Christiane Steinwender,Gernot Steinwender,Wolfgang E. Linhart
出处
期刊:Journal of Pediatric Orthopaedics
[Ovid Technologies (Wolters Kluwer)]
日期:2002-03-01
卷期号:22 (2): 150-157
被引量:40
标识
DOI:10.1097/00004694-200203000-00003
摘要
Gait improvement surgery was performed on 25 ambulatory children with the diplegic type of cerebral palsy. Multiple soft tissue and bony procedures were performed (mean 8.2 procedures) according to criteria defined on the basis of physical examination and gait analysis. Relevant physical examination findings and kinematic and kinetic data in the sagittal plane were evaluated before surgery and at least 3 years after surgery. Physical examination showed a reduction in the ankle plantar-flexor power and in the range of hip flexion and ankle plantarflexion after surgery. Analysis of gait data showed significant improvements in the sagittal plane kinematics and the power generation at the hip and the ankle. At the knee joint there was maintenance of power of the flexor and extensor group of muscles on physical examination, with significant improvements in the kinematics after surgery. The authors conclude that well-selected surgery improves function of the spastic muscle. The importance of assessing clinical, kinematic, and kinetic data together for proper evaluation of gait is stressed.
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