TY - JOUR
T1 - Comparison of three heel cord surgeries in children with cerebral palsy
AU - Engsberg, Jack R.
AU - Oeffinger, Donna J.
AU - Ross, Sandy A.
AU - White, Hank D.
AU - Tylkowski, Chester M.
AU - Schoenecker, Perry L.
PY - 2005/11
Y1 - 2005/11
N2 - This nonrandomized prospective descriptive study compared outcomes of three isolated heel cord surgeries in children with spastic diplegia cerebral palsy (CP): (1) heel cord advancement (HCA), (2) heel cord lengthening according to Vulpius (HCL-V), and (3) heel cord lengthening according to White (HCL-W). Thirty-two children were tested prior to and approximately 1 year after undergoing one of the three surgeries. Objective measures were collected for ankle passive and active range of motion, gross motor function measure (GMFM), and gait. All surgeries indicated significant improvements in end range passive and active ankle dorsiflexion, GMFM, and dorsiflexion during gait. Gait speed was significantly improved for the HCA group, but appeared to be the result of maturity. Gait speed for the HCL-V and HCL-W groups was unchanged. The study was the first to directly compare three heelcord-lengthening surgeries.
AB - This nonrandomized prospective descriptive study compared outcomes of three isolated heel cord surgeries in children with spastic diplegia cerebral palsy (CP): (1) heel cord advancement (HCA), (2) heel cord lengthening according to Vulpius (HCL-V), and (3) heel cord lengthening according to White (HCL-W). Thirty-two children were tested prior to and approximately 1 year after undergoing one of the three surgeries. Objective measures were collected for ankle passive and active range of motion, gross motor function measure (GMFM), and gait. All surgeries indicated significant improvements in end range passive and active ankle dorsiflexion, GMFM, and dorsiflexion during gait. Gait speed was significantly improved for the HCA group, but appeared to be the result of maturity. Gait speed for the HCL-V and HCL-W groups was unchanged. The study was the first to directly compare three heelcord-lengthening surgeries.
KW - Equinus deformity
KW - Gait
KW - Gross motor function measure
UR - http://www.scopus.com/inward/record.url?scp=27644433102&partnerID=8YFLogxK
U2 - 10.1123/jab.21.4.322
DO - 10.1123/jab.21.4.322
M3 - Article
C2 - 16498178
AN - SCOPUS:27644433102
SN - 1065-8483
VL - 21
SP - 322
EP - 333
JO - Journal of Applied Biomechanics
JF - Journal of Applied Biomechanics
IS - 4
ER -