KNEE MOTION FOLLOWING MULTIPLE SOFT-TISSUE RELEASES IN AMBULATORY PATIENTS WITH CEREBRAL-PALSY

被引:33
作者
HADLEY, N [1 ]
CHAMBERS, C [1 ]
SCARBOROUGH, N [1 ]
CAIN, T [1 ]
ROSSI, D [1 ]
机构
[1] SHRINERS HOSP CRIPPLED CHILDREN,HOUSTON,TX
关键词
CEREBRAL PALSY; GAIT; KNEE MOTION; MOTION ANALYSIS; MULTIVARIATE ANALYSIS; RECTUS FEMORIS;
D O I
10.1097/01241398-199205000-00008
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Multiple soft-tissue releases (MSTRs) in cerebral palsy have been advocated to improve knee motion during gait. Forty-five extremities underwent MSTRs as recommended by preoperative gait analysis. Pre- and postoperative analyses were evaluated in relation to knee motion and foot progression angle. Maximum knee flexion during swing and the foot progression angle showed no significant change postoperatively. The total knee ROM and minimum knee flexion in stance improved significantly towards normal. The timing of maximum knee flexion and slope of the knee flexion curve at toe off improved with respect to age and number of previous surgeries. MSTRs increased knee ROM and improved the sequential timing and event progression during gait.
引用
收藏
页码:324 / 328
页数:5
相关论文
共 15 条
[1]  
Baumann J.U., Ruetsch H., Schurmann K., Distal hamstring lengthening in cerebral palsy. An evaluation by gait analysis, Int Orthop, 3, pp. 305-309, (1983)
[2]  
Bleck E.E., The Orthopaedic Management of Cerebral Palsy, (1979)
[3]  
Gage J.R., Fabian D., Hicks R.R., Tashman S., Pre- and postoperative gait analysis in patients with spastic diplegia: A preliminary report, J Pediatr Orthop, 4, pp. 715-725, (1984)
[4]  
Gage J.R., Perry J., Hicks R.R., Koop S., Werntz J.R., Rectus femoris transfer to improve knee function of children with cerebral palsy, Dev Med Child Neurol, 29, pp. 159-166, (1987)
[5]  
Hoffer M.M., Pathodynamics of gait alterations in cerebral palsy and the significance of kinetic electromyography in evaluating foot and ankle problems, Foot Ankle, 4, pp. 128-134, (1983)
[6]  
Kadaba M.P., Ramakrishnan H.K., Wootten M.E., Measurement of lower extremity kinematics during level walking, J Orthop Res, 8, pp. 383-392, (1990)
[7]  
Kadaba M.P., Ramakrishnan H.K., Wootten M.E., Gain J., Gorton G., Cochran G., Repeatability of kinematic, kinetic and electromyographic data in normal adult gait, J Orthop Res, 7, pp. 849-860, (1989)
[8]  
Mann R., Biomechanics in cerebral palsy, Foot Ankle, 4, pp. 114-119, (1983)
[9]  
Perry J., Distal rectus femoris transfer, Dev Med Child Neurol, 28, pp. 153-158, (1987)
[10]  
Silfverskiold N., Reduction of the uncrossed two-joint muscles of the leg to one-joint muscles in spastic conditions, Acta Chir Scand, 56, pp. 315-329, (1923)