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Influence of surgery involving tendons around the knee joint on ankle motion during gait in patients with cerebral palsy.

ABSTRACT: Simultaneous motion of the knee and ankle joints is required for many activities including gait. We aimed to evaluate the influence of surgery involving tendons around the knee on ankle motion during gait in the sagittal plane in cerebral palsy patients.We included data from 55 limbs in 34 patients with spastic cerebral palsy. Patients were followed up after undergoing only distal hamstring lengthening with or without additional rectus femoris transfer. The patients' mean age at the time of knee surgery was 11.2?±?4.7 years, and the mean follow-up duration was 2.2?±?1.5 years (range, 0.9-6.0 years). Pre- and postoperative kinematic variables that were extracted from three-dimensional gait analyses were then compared to assess changes in ankle motion after knee surgery. Outcome measures included ankle dorsiflexion at initial contact, peak ankle dorsiflexion during stance, peak ankle dorsiflexion during swing, and dynamic range of motion of the ankle. Various sagittal plane knee kinematics were also measured and used to predict ankle kinematics. A linear mixed model was constructed to estimate changes in ankle motion after adjusting for multiple factors.Improvement in total range of motion of the knee resulted in improved motion of the ankle joint. We estimated that after knee surgery, ankle dorsiflexion at initial contact, peak ankle dorsiflexion during stance, peak ankle dorsiflexion during swing, and dynamic range of motion of the ankle decreased, respectively, by 0.4° (p?=?0.016), 0.6° (p?

SUBMITTER: Lee SY

PROVIDER: S-EPMC5856371 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature

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Influence of surgery involving tendons around the knee joint on ankle motion during gait in patients with cerebral palsy.

Lee Seung Yeol SY Kwon Soon-Sun SS Chung Chin Youb CY Lee Kyoung Min KM Sung Ki Hyuk KH Kim Sangwoo S Park Moon Seok MS

BMC musculoskeletal disorders 20180315 1

<h4>Background</h4>Simultaneous motion of the knee and ankle joints is required for many activities including gait. We aimed to evaluate the influence of surgery involving tendons around the knee on ankle motion during gait in the sagittal plane in cerebral palsy patients.<h4>Methods</h4>We included data from 55 limbs in 34 patients with spastic cerebral palsy. Patients were followed up after undergoing only distal hamstring lengthening with or without additional rectus femoris transfer. The pat ...[more]

PMID: 29544488

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Dataset Information

Influence of surgery involving tendons around the knee joint on ankle motion during gait in patients with cerebral palsy.

Publications

Influence of surgery involving tendons around the knee joint on ankle motion during gait in patients with cerebral palsy.

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