Rectus and Hamstring Surgery in Cerebral Palsy: A Gait Analysis Study of Results by Functional Ambulation Level

Yngve, David A.; Scarborough, Nancy; Goode, Barry; Haynes, Richard

doi:10.1097/01241398-200209000-00019

Cited by 40 publications

(26 citation statements)

References 15 publications

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“…Hamstring procedures reproduce the same expected beneficial results on knee motion in this population as those seen in younger cerebral palsy population [1,2,4,5,9,11,[18][19][20][21]. Following a hamstring lengthening there was a reduction in the crouched pattern and improved knee extension at initial contact.…”

Section: Discussionsupporting

confidence: 67%

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

2009

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Section: Discussionsupporting

confidence: 67%

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

2009

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“…Using a combination of gait parameters and the physiologic cost index, Nene et al [21] in 1993 reported the function of 18 patients who had single-event multilevel surgery. Improvements in a predominance of gait parameters after multilevel surgery were reported for independent [36,40,47] and assisted walkers [18,46]. Thomason et al [42] published a pilot report of the first randomized clinical trial of single-event multilevel surgery.…”

mentioning

confidence: 99%

Are Results After Single-event Multilevel Surgery in Cerebral Palsy Durable?

Rutz

Baker

Tirosh

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Gait and function may deteriorate with time in patients with spastic diplegia. Single-event multilevel surgery often is performed to either improve gait or prevent deterioration. However it is unclear whether the presumed gait improvements are durable. Questions/purposes We therefore determined whether (1) single-event multilevel surgery improves gait in patients with spastic diplegia and (2) whether the improved function is durable.

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“…The use of three-dimensional (3-D) gait analysis to inform treatment (DeLuca et al 1997, Kay et al 2000 and to assess outcome following surgical intervention in these children has helped define the indications for individual operative procedures (Rose et al 1993, Sutherland et al 1997, DeLuca et al 1998 and to assess the overall effect of surgical intervention (Abel et al 1999, Yngve et al 2002. The effect of intervention in these uncontrolled studies is assessed by comparing postoperative gait with preoperative gait, with the implicit assumption that the gait of these children would not have changed over time without intervention.…”

mentioning

confidence: 99%

Short‐term outcome of multilevel surgical intervention in spastic diplegic cerebral palsy compared with the natural history

Gough

Eve²,

Robinson

et al. 2004

Develop Med Child Neuro

106

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Outcome in 24 ambulant children with spastic diplegic cerebral palsy, in whom multilevel surgical intervention was recommended following gait analysis, is reviewed. Twelve children had surgical intervention (treatment group; eight males, four females; mean age 9 years 10 months, SD 3 years 4 months) while the other 12 did not (control group; five males, seven females; mean age 10 years 1 month, SD 2 years 11 months). All children had interval three‐dimensional gait analyses (mean time between analyses: control group, 14.1 months; treatment group, 17.9 months). At follow‐up the control group (mean age 11 years 9 months) showed a significant increase in minimum hip and knee flexion in stance which was not related to age, the interval between analyses, changes in the passive joint range of motion, nor changes in anthropometric measurements. The treatment group (mean age at follow‐up 11 years 3 months) showed a significant improvement in minimum knee flexion and in ankle dorsiflexion in stance. Parents of nine children said their child's walking distance had increased following intervention. Of five children using posterior walkers preoperatively, two continued to use them postoperatively; two were using crutches or sticks and the remaining child walked independently. Two children who walked independently preoperatively used sticks postoperatively for community ambulation. The deterioration seen in the kinematics of the control group suggests that previous outcome studies comparing postoperative gait with preoperative gait have underestimated the immediate effects of surgery. It also raises concerns about the long‐term effects of surgical intervention.

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Rectus and Hamstring Surgery in Cerebral Palsy: A Gait Analysis Study of Results by Functional Ambulation Level

Cited by 40 publications

References 15 publications

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

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

Are Results After Single-event Multilevel Surgery in Cerebral Palsy Durable?

Short‐term outcome of multilevel surgical intervention in spastic diplegic cerebral palsy compared with the natural history

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