Long-term Ambulatory Change After Lower Extremity Orthopaedic Surgery in Children With Cerebral Palsy

Abstract

Level IV: case series.

Functional Gains in Children With Spastic Hemiplegia Following a Tendon Achilles Lengthening Using Computerized Adaptive Testing—A Pilot Study

“…While many studies have examined the effects of a tendon Achilles lengthening and other orthopedic procedures in children with cerebral palsy, 1 , 5 , 7 , 22 not many have considered functional outcomes following a tendon Achilles lengthening. This study considered the relatively new Cerebral Palsy Computer Adaptive Test as the main functional outcome measure.…”

“…Cerebral palsy affects 3.1 per 1000 live births in the United States, 1 33% of whom have hemiplegia. Impairment in patients with cerebral palsy is variable with a wide range of physical impairments leading to activity limitations and participation restrictions.…”

“…A recent study found that among 127 children with cerebral palsy having undergone an orthopedic surgical intervention of the lower extremities, 48% had a tendon Achilles lengthening. 1 The goal of a tendon Achilles lengthening is to correct the equinus deformity and obtain a plantigrade foot. The tendon Achilles lengthening also attempts to correct the gait cycle by restoring the initial contact to be heel first rather than toe first.…”

Finding consensus for hamstring surgery in ambulatory children with cerebral palsy using the Delphi method

“…Although some of these relate to variation in patient characteristics, much of the variation is surgeon-specific. 1,[6][7][8][9][10] The goal of this study was to use the Delphi method to establish areas of consensus for surgical indications, intraoperative considerations, and outcome assessment for hamstring lengthening (HSL) and hamstring transfer (HST) surgery in ambulatory children with CP, and to identify where there is less agreement and a need for more evidence.…”

Η Αποτελεσματικότητα Ενός Συνδυασμένου Προγράμματος Λειτουργικής Φυσικοθεραπείας Και Ελάχιστης Επεμβατικής Ορθοπαιδικής Χειρουργικής Στην Αδρή Κινητική Λειτουργία Παιδιών Με Εγκεφαλική Παράλυση

“…Η βαθμολογίες στην FMS, βαθμούς μετά την πάροδο 12 μηνών. Οι βαθμολογίες στην FMS δείχνουν να βελτιώνεται μετά τους 24 μήνες[284,572] από την πολυεπίπεδη χειρουργική επέμβαση και να διατηρείται για τα επόμενα 5[379] έως και 14 μετεγχειρητικά έτη[570]. Οι συγγραφείς των ανωτέρω ερευνών[31,572,576] αναγνωρίζουν την ανάγκη εφαρμογής καλύτερων δυνατών προγραμμάτων μετεγχειρητικής φυσικοθεραπείας, με έγκαιρη κινητοποίηση για την ενίσχυση της αποτελεσματικότητας μιας ορθοπαιδικής επέμβασης.…”