Physical Therapeutic and Surgical Management in Spastic Diplegia

Okawa, Atsuko; Kajiura, Ichiro; Hiroshima, Kazuo

doi:10.1097/00003086-199004000-00007

Cited by 5 publications

(2 citation statements)

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“…Some authors suggest that a popliteal angle >40−50° is an indication for distal hamstring lengthening. 31 32 However, Katz, et al 5 investigated the normal ranges of popliteal angle in 482 healthy children and showed that the ranges were up to 50° at ≥5 years of age. The current study also showed that 31 participants (30%) had a unilateral popliteal angle greater than 40°.…”

Section: Discussionmentioning

confidence: 99%

Normative Values of Physical Examinations Commonly Used for Cerebral Palsy

et al. 2017

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PurposeThe aim of this study was to establish normative values and to identify age-related change in physical examinations that are commonly used while evaluating patients with cerebral palsy (CP).Materials and MethodsOne hundred four healthy volunteers (mean age 36 years, standard deviation 15 years) were enrolled and divided into four age groups: 13−20, 21−35, 36−50, and 51 years and older. The eighteen physical examination tests for CP were selected by five orthopedic surgeons in consensus-building session. The measurements were taken by three orthopedic surgeons.ResultsThere was no significant difference in the measures of physical examination among all the age groups, except for the Staheli test (p=0.002). The post hoc test revealed that the mean hip extension was 2.7° higher in the 13−20-year-old group than in the other age groups. The bilateral popliteal angle had a tendency to increase in those over 36-years-old. There were 31 participants (30%) with a unilateral popliteal angle greater than 40°.ConclusionWe documented normative values that can be widely used for evaluating CP in patients 13 years and older.

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Section: Discussionmentioning

confidence: 99%

Normative Values of Physical Examinations Commonly Used for Cerebral Palsy

et al. 2017

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“…1 In all cases, the following were measured and performed: (a) the popliteal angle (Holt's angle) 1 [2,4,9,10,[16][17][18], (b) the straight-leg raising angle 2 , (c) the Duncan-Ely test 3 , and (d) the mobility arch of the knee [2,7,11,12,19]. The inclusion criteria were:…”

Section: Methodsmentioning

confidence: 99%

Monolateral external fixation for the progressive correction of neurological spastic knee flexion contracture in children

Carbonell¹,

Valero²,

Fernández³

et al. 2007

Strategies in Trauma and Limb Reconstruction

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There were no superficial or deep infections, and no fractures or distal sensory-motor alterations. There was one case of arthrodiatasis of the knee (6.3%) which was resolved when the fixator was removed, and 11 cases of pin-track infection (68.7%) which were resolved with local care and oral antibiotics. To conclude, spastic knee flexion contracture can be treated gradually with monolateral external fixator with distraction devices, and with distraction modules which prevent acute stretching of the posterior neurovascular structures of the knee.

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Cerebral Palsy

Sawyer¹

2008

Campbell's Operative Orthopaedics

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Physical Therapeutic and Surgical Management in Spastic Diplegia

Cited by 5 publications

References 0 publications

Normative Values of Physical Examinations Commonly Used for Cerebral Palsy

Normative Values of Physical Examinations Commonly Used for Cerebral Palsy

Monolateral external fixation for the progressive correction of neurological spastic knee flexion contracture in children

Cerebral Palsy

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