Soft Tissue Surgery for Equinus Deformity in Spastic Hemiplegic Cerebral Palsy: Effects on Kinematic and Kinetic Parameters.
10.3349/ymj.2006.47.5.657
- Author:
Chang Il PARK
1
;
Eun Sook PARK
;
Hyun Woo KIM
;
Dong wook RHA
Author Information
1. Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea. medicus@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Cerebral palsy;
equinus;
soft tissue surgery;
gait analysis
- MeSH:
Male;
Kinetics;
Joints/physiopathology/surgery;
Humans;
Hemiplegia/*surgery;
Gait/physiology;
Female;
Equinus Deformity/*surgery;
Child, Preschool;
Child;
Cerebral Palsy/*surgery;
Biomechanics;
Ankle Joint/physiopathology/surgery;
Adolescent
- From:Yonsei Medical Journal
2006;47(5):657-666
- CountryRepublic of Korea
- Language:English
-
Abstract:
The purpose of this study was to evaluate how soft tissue surgery for correcting equinus deformity affects the kinematic and kinetic parameters of the ankle and proximal joints. Sixteen children with spastic hemiplegic cerebral palsy and equinus deformities (age range 3-16 years) were included. Soft tissue surgeries were performed exclusively on the ankle joint area in all subjects. Using computerized gait analysis (Vicon 370 Motion Analysis System), the kinematic and kinetic parameters during barefoot ambulation were collected preoperatively and postoperatively. In all 16 children, the abnormally increased ankle plantar flexion and pelvis anterior tilting on the sagittal plane were significantly improved without a weakening of push-off (p < 0.05). In a group of 8 subjects with a recurvatum knee gait pattern before operation, the postoperative kinematic and kinetic parameters of the knee joint were significantly improved (p < 0.05). In a group of 8 subjects with ipsilateral pelvic external rotation before operation, the postoperative pelvic deviations on the transverse plane were significantly decreased (p < 0.05). These findings suggest that the soft tissue surgery for correcting equinus deformity improves not only the abnormal gait pattern of the ankle, but also that of the knee and pelvis.
