Leg lengthening as part of gait improvement surgery in cerebral palsy: an evaluation using gait analysis

Saraph, Vinay; Zwick, Ernst B.; Steinwender, Gernot; Auner, Claudia; Schneider, Frank; Linhart, Wolfgang E.

doi:10.1016/j.gaitpost.2004.12.003

Cited by 19 publications

(16 citation statements)

References 21 publications

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“…A similar compensatory mechanism has been observed in children with cerebral palsy (CP). In those patients, pelvic retraction is used to partly compensate internal rotation gait [18,19].…”

Section: Discussionmentioning

confidence: 99%

Torsional profile versus gait analysis: Consistency between the anatomic torsion and the resulting gait pattern in patients with rotational malalignment of the lower extremity

et al. 2010

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“…A similar compensatory mechanism has been observed in children with cerebral palsy (CP). In those patients, pelvic retraction is used to partly compensate internal rotation gait [18,19].…”

Section: Discussionmentioning

confidence: 99%

Torsional profile versus gait analysis: Consistency between the anatomic torsion and the resulting gait pattern in patients with rotational malalignment of the lower extremity

et al. 2010

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“…Treatment is seldom considered in these patients, partly because the impairment is mild and partly because effective treatment options are limited. Targeted muscle strengthening and coordination exercise programs, combined with focal muscle lengthening and bone realignment in specific cases, may provide improvement [3,7,16,25].…”

Section: Introductionmentioning

confidence: 99%

Are Muscle Volume Differences Related to Concentric Muscle Work During Walking in Spastic Hemiplegic Cerebral Palsy?

Riad

Modlesky

Gutierrez-Farewik

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Individuals with spastic hemiplegic cerebral palsy are typically high functioning and walk without assistive devices. The involved limb is usually smaller and shorter, although it is not clear whether the difference in muscle volume has an impact on walking capacity. Questions/purposes We determined the volume of muscles important for propulsion and related that volume to concentric muscle work during walking on the hemiplegic and noninvolved sides in patients with cerebral palsy. Patients and MethodsWe studied 46 patients (mean age, 17.6 years; range, 13-24 years) with spastic hemiplegic cerebral palsy. We assessed muscle volume using MRI and concentric muscle work in the sagittal plane from the hip, knee, and ankle using three-dimensional gait analysis. Patients were classified by Winters' criteria to assess the involvement of cerebral palsy and movement pattern during walking. Results On the hemiplegic side, muscles were smaller, except for the gracilis muscle, and concentric muscle work from the ankle plantar flexors, knee extensors, and hip flexors and extensors was lower compared to the noninvolved side. Hip extensor work was higher on the hemiplegic and the noninvolved sides compared to a control group of 14 subjects without cerebral palsy. Hemiplegic to noninvolved volume ratios correlated with work ratios (r = 0.40-0.66). The Winters classification and previous calf muscle surgery predicted work ratios. Conclusions Our observations of smaller muscles on the hemiplegic side and changes in muscle work on both sides can help us distinguish between primary deviations that may potentially be treatable and compensatory mechanisms that should not be treated.

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“…Gait analysis is now widely used in clinical evaluations, especially for patients with cerebral palsy (CP) [1][2][3][4][5]. Gait exams provide important data such as kinetics and kinematics of individual joints, ground reaction forces, muscle activities and time-distance parameters.…”

Section: Introductionmentioning

confidence: 99%

Gait analysis in children and uncertainty assessment for Davis protocol and Gillette Gait Index

et al. 2009

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Leg lengthening as part of gait improvement surgery in cerebral palsy: an evaluation using gait analysis

Cited by 19 publications

References 21 publications

Torsional profile versus gait analysis: Consistency between the anatomic torsion and the resulting gait pattern in patients with rotational malalignment of the lower extremity

Torsional profile versus gait analysis: Consistency between the anatomic torsion and the resulting gait pattern in patients with rotational malalignment of the lower extremity

Are Muscle Volume Differences Related to Concentric Muscle Work During Walking in Spastic Hemiplegic Cerebral Palsy?

Gait analysis in children and uncertainty assessment for Davis protocol and Gillette Gait Index

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