Infantile Zerebralparese

Döderlein, Leonhard

doi:10.1007/978-3-642-35319-2_4

Cited by 2 publications

(3 citation statements)

References 157 publications

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“…Based on existing data on gait deviations in cerebral palsy, 3 the following waveforms were selected for evaluation: sagittal and frontal pelvis angle (PAS, PAF), sagittal and transverse hip angle (HAS, HAT), sagittal hip moment (HMS), sagittal and frontal knee angle (KAS, KAF), sagittal and frontal knee moment (KMS, KMF), foot progression angle (FPT), and sagittal ankle angle (AAS). All Vicon stored kinematic and kinetic waveforms were presented as time series of data points, then extracted using MATLAB (Version, 2014, MathWorks Inc, Natick, MA) and transferred to Excel.…”

Section: Discussionmentioning

confidence: 99%

“…2 Single-event multilevel surgery is a common method for treating gait pathologies and improve walking ability in patients with cerebral palsy. 3,4 In single-event multilevel surgery, 2 or more soft tissue or bony surgical procedures at 2 or more anatomic levels in the lower extremity are performed in a single surgery. 4 Three-dimensional instrumented gait analysis is a wellestablished method 5,6 for objectively measuring gait pathologies in children with cerebral palsy and frequently used in the surgical decision-making process in single-event multilevel surgery.…”

mentioning

confidence: 99%

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confidence: 99%

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Retrospective Evaluation of Changes in Gait Patterns in Children and Adolescents With Cerebral Palsy After Multilevel Surgery

Steppacher

North²,

Künzle

et al. 2018

J Child Neurol

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The purpose of this study was to retrospectively investigate changes in gait patterns after single-event multilevel surgery in children and adolescents with bilateral cerebral palsy. Three-dimensional instrumented pre- and postoperative gait data of 12 patients were compared to data of 12 healthy control subjects using principal component analysis to reduce the dimensionality of kinematic and kinetic gait data and detect gait differences. The differences between pre- and postoperative data and between postoperative data and data of control subjects were calculated using a linear mixed model. The results revealed 14 significant effects for pre- and postoperative waveforms and 11 significant effects for postoperative and control waveforms. Patients after single-event multilevel surgery walked with smaller internal foot progression angle throughout the gait cycle, lower knee flexion at initial swing, and earlier knee extension during terminal swing. Retained gait deviations included excessive pelvic tilt and internally rotated and flexed hips over the entire gait cycle. Contrary to our hypothesis, postoperative waveforms in the sagittal plane differed more from control waveforms than from preoperative waveforms. These results emphasize the importance of carefully planning further conservative therapy 2 years after single-event multilevel surgery.

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Section: Discussionmentioning

confidence: 99%