Effects of Achilles Tendon Lengthening on Talipes Equinus in Children with Spastic Cerebral Palsy

VernacularTitle:跟腱延长术治疗痉挛型脑性瘫痪患儿马蹄足的效果
Author: Ke FANG ; Fanling LI ; Sheng XIAO ; Xin LI ; Hong LIU
Keywords: cerebral palsy; spasticity; talipes equinus; Achilles tendon lengthening; surface electromyography; ankle
From: Chinese Journal of Rehabilitation Theory and Practice 2017;23(6):734-736
CountryChina
Language:Chinese
Abstract: Objective To evaluate the effects of Achilles tendon lengthening on talipes equinus in children with spastic cerebral palsy. Methods From December, 2013 to June, 2014, seventeen spastic cerebral palsy children with talipes equinus (34 feet) received Achilles ten-don lengthening. Ankle dorsiflexion range of motion (ROM) and surface electromyography from tibialis anterior and medial head of gastroc-nemius were measured before and 8 to 12 months after operation, respectively. ROM of passive and active dorsiflexion, root mean square (RMS) of tibia muscle group and co-contraction ratio (CR) when standing were compared. Results The ROM of ankle passive and active dorsiflexion increased (Z>4.867, P<0.001), while the RMS of gastrocnemius muscle decreased when ankle passively dorsiflex (t=4.31, P<0.001). RMS of tibialis anterior and gastrocnemius muscle changed little when standing (Z<1.291, P>0.05), while CR reduced (t=2.38, P<0.05). Conclusion Achilles tendon lengthening can improve the coordination of tibia muscle group to increase the ROM of ankle for chil-dren with talipes equinus after spastic cerebral palsy.