Effects of distal hamstring lengthening on sagittal motion in patients with diplegia

Mechanical work and energy consumption in children with cerebral palsy after single-event multilevel surgery

“…The p-value for the items that include more parameters, is corrected by the Bonferroni correction, the significance is indicated by means of y. Kinematics assessment suggested that postoperatively, the angles corresponding to the hip's, knee's, joints displacement, were significantly improved after the treatment, and tended to be more similar to the ones described in normal developing population. Many studies found similar modifications [2,3,[26][27][28][29], and some demonstrated that these improvements can be maintained up to 10 years after the surgical intervention [1,30].…”

Repeat Hamstring Lengthening for Crouch Gait in Children With Cerebral Palsy

“…Studies have shown improvements in knee extension at initial contact and throughout the stance phase of gait after hamstring lengthening. [5][6][7][8][9][10] However, hamstring contractures can recur over time in patients with CP, 11,12 with 1 study showing need for repeat surgical intervention in 17% of cases. 11 The literature contains few reports of the effectiveness of revision hamstring lengthening procedures.…”

The mechanics of activated semitendinosus are not representative of the pathological knee joint condition of children with cerebral palsy

“…Note that for the remainder patients unable to walk, such abnormal gait and pathological knee joint condition could not be quantified, but was clear. (III) Popliteal angle (PA) correlates significantly with hamstring length (Park et al, 2009). Surgical treatment recommendations are influenced significantly by PA values (Gough and Shortland, 2008).…”