Medizinische Universität Graz - Research portal
Selected Publication:
Saraph, V; Zwick, EB; Zwick, G; Steinwender, C; Steinwender, G; Linhart, W.
Multilevel surgery in spastic diplegia: evaluation by physical examination and gait analysis in 25 children.
J Pediatr Orthop. 2002; 22(2):150-157
Doi: 10.1097/00004694-200203000-00003
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- Leading authors Med Uni Graz
- Saraph Vinay
- Co-authors Med Uni Graz
- Linhart Wolfgang
- Steinwender Gerhardt
- Zwick Bernhard-Ernst
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- Abstract:
- Gait improvement surgery was performed on 25 ambulatory children with the diplegic type of cerebral palsy. Multiple soft tissue and bony procedures were performed (mean 8.2 procedures) according to criteria defined on the basis of physical examination and gait analysis. Relevant physical examination findings and kinematic and kinetic data in the sagittal plane were evaluated before surgery and at least 3 years after surgery. Physical examination showed a reduction in the ankle plantar-flexor power and in the range of hip flexion and ankle plantarflexion after surgery. Analysis of gait data showed significant improvements in the sagittal plane kinematics and the power generation at the hip and the ankle. At the knee joint there was maintenance of power of the flexor and extensor group of muscles on physical examination, with significant improvements in the kinematics after surgery. The authors conclude that well-selected surgery improves function of the spastic muscle. The importance of assessing clinical, kinematic, and kinetic data together for proper evaluation of gait is stressed.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Ankle Joint - physiopathology
- Biomechanical Phenomena -
- Cerebral Palsy - surgery
- Child -
- Gait - physiology
- Hip Joint - physiopathology
- Humans -
- Knee Joint - physiopathology
- Orthopedic Procedures - methods
- Physical Examination -
- Range of Motion, Articular -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- cerebral palsy
- clinical examination
- diplegia
- gait analysis
- multilevel surgery