KINEMATIC AND KINETIC EVALUATION OF THE ANKLE AFTER LENGTHENING OF THE GASTROCNEMIUS FASCIA IN CHILDREN WITH CEREBRAL-PALSY

被引：100

作者：

ROSE, SA

DELUCA, PA

DAVIS, RB

OUNPUU, S

GAGE, JR

机构：

[1] Gait Analysis Laboratory and Physical Therapy Department, Newington Children's Hospital, Newington, CT

[2] Orthopaedic Department, Gillette Children's Hospital, St. Paul, MN

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1993年 / 13卷 / 06期

关键词：

CEREBRAL PALSY; GASTROCNEMIUS; GAIT ANALYSIS; KINEMATICS; KINETICS; SURGICAL LENGTHENING;

D O I：

10.1097/01241398-199311000-00007

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The effect of surgical lengthening of the gastrocnemius fascia on ankle joint kinematics and kinetics during gait in patients with cerebral palsy (CP) was evaluated. Twenty independent ambulators (24 sides) were included in this retrospective study. The evaluation included clinical examination, calculation of joint kinematics and kinetics, and collection of surface electromyography (EMG) during gait. Postoperative improvements were noted in static heelcord range of motion (ROM), with an associated increase in dorsiflexion in stance and swing. Kinetic analysis showed a decrease in the abnormal energy generated around the ankle in midstance and a statistically significant increase in the energy generated in late stance for push-off.

引用

页码：727 / 732

页数：6

共 20 条

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