Are the recommendations from three-dimensional gait analysis associated with better postoperative outcomes in patients with cerebral palsy?

被引:54
|
作者
de Morais Filho, Mauro Cesar [1 ,2 ,3 ,4 ]
Yoshida, Rafael
Carvalho, Wander da Silva
Stein, Helena Elisa
Novo, Neil Ferreira [5 ]
机构
[1] AACD, Assoc Care Disable Children, Cerebral Palsy Clin, Sao Paulo, Brazil
[2] AACD, Assoc Care Disable Children, Gait Lab, Sao Paulo, Brazil
[3] Univ Sao Paulo, Inst Orthoped & Traumatol, Sao Paulo, Brazil
[4] Univ Sao Paulo, Div Rehabil Med, Sao Paulo, Brazil
[5] Univ Santo Amaro, UNISA, Coll Med, Sao Paulo, Brazil
关键词
cerebral palsy; three-dimensional gait analysis; orthopedic surgery;
D O I
10.1016/j.gaitpost.2008.01.013
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
This study was performed to check if recommendations based on three-dimensional gait analysis (3DGA) are associated with better postoperative outcomes in patients with cerebral palsy (CP). Thirty-eight patients who underwent orthopedic surgery and assessment at the Gait Analysis Laboratory were evaluated retrospectively. The patients were divided in four groups according to the agreement between the recommendations from gait analysis and the procedures actually carried out. Fifteen patients with diplegic spastic cerebral palsy and indication for orthopedic surgery to improve walking - and whose surgical intervention was postponed - were also included in the study as a control group. Fourteen gait parameters recorded before and after treatment, were included in the statistical analysis. No gait improvement was noted in the control group or inh patients on whom no procedures recommended by the gait exam were performed (agreement of 0%). In the other groups, agreements averaged 46.71%, 72.2%, and 100%, respectively. Improvement of gait parameters after treatment was observed in these groups, with more significant values directly related to increased agreement percentage. Therefore, in this study the patients whose treatment matched the recommendations from three-dimensional gait analysis showed a more significant improvement in walking. (c) 2008 Elsevier B.V. All rights reserved.
引用
收藏
页码:316 / 322
页数:7
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