Recovery of muscle strength following multi-level orthopaedic surgery in diplegic cerebral palsy

Muscle strength and walking ability in Diplegic Cerebral Palsy: Implications for assessment and management

“…Spastic muscles respond positively to strength training and strength gains have been shown to be similar or greater than those reported in the healthy population [8]. Various studies have reported significant improvements in gait following strengthening programmes in terms of temporal parameters [7,9,10] and Gross Motor Function Measure (GMFM) Dimension E [7,[10][11][12]. McPhail and Kramer [8] found a direct correlation between the strength gained and functional improvement, but significant changes in gait kinematics following strength training appear difficult to achieve and have rarely been reported [11].…”

Single-Event Multilevel Surgery in Children with Spastic Diplegia

“…goal of single-event multilevel surgery in children with cerebral palsy is to improve gait [3][4][5][6][7][8][9][10][11][12][13][14] . Secondary goals may include improvements in gait efficiency 4 and appearance, gross motor function 10,14 , independence 15 , and quality of life 14,16 .…”

“…Secondary goals may include improvements in gait efficiency 4 and appearance, gross motor function 10,14 , independence 15 , and quality of life 14,16 . Several well-designed retrospective cohort studies have demonstrated an improvement in gait or functional ability following singleevent multilevel surgery [4][5][6][7][8][9][10][11][12][13][14] . However, there have been few prospective studies, few studies that included a control group, and no randomized clinical trials to our knowledge 5,8,14 .…”

Effects of orthopedic intervention in adolescents and young adults with cerebral palsy

“…Additional improvements might be expected in this older group of patients if a longer follow-up period was assessed as several previous studies on younger populations have noted a time delay between the improvement in kinematics versus the improvement in functional status and recovery of muscle strength [11,[32][33][34].…”