Changes in Gait Pattern After Surgeries for Equinus Gait in Cerebral Palsy Spastic Hemiplegia
Changes in Gait Pattern After Surgeries for Equinus Gait in Cerebral Palsy Spastic Hemiplegia
复制标题
脑瘫痉挛性偏瘫马蹄足步态手术后步态模式的变化
DOI：
10.4055/jkoa.2005.40.6.709
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Hyunwoo Kim
中科院分区：
文献类型：
--
作者：
S. Joo;H. Park;K. Park;Hyunwoo Kim
目的：目的探讨马蹄足步态手术对脑瘫痉挛性偏瘫患者踝关节和近端关节运动学和动力学参数的影响。材料和方法：16例痉挛性偏瘫患者接受了马蹄足手术矫正。术前、术后采用计算机步态分析评估步态的运动学和动力学参数。结果：术后踝关节活动度明显改善，时间空间参数无明显变化。踝关节和骨盆的角度运动得到改善。然而，踝关节的动力学参数不受影响。在手术前具有反屈膝步态模式的患者中，膝关节的运动学和动力学参数显著改善。术前有骨盆外旋的患者术后骨盆角运动得到改善。结论：痉挛性偏瘫患者步态中的膝反屈和骨盆外旋可通过手术矫正马蹄足畸形得到改善。
Purpose: To evaluate the effects of surgery for an equinus gait on the kinematic and kinetic parameters of ankle and proximal joints in cerebral palsy spastic hemiplegics. Materials and Methods: Sixteen spastic hemiplegic patients who had undergone a surgical correction for equinus were enrolled in this study. The kinematic and kinetic parameters during gait were assessed using computed gait analysis before and after surgery. Results: Postoperatively, the ankle range of motion was significantly improved and the temporospatial parameters were not significantly changed. The angular movement of the ankle joint and pelvis were improved. However, the kinetic parameters of the ankle joint were unaffected. In patients with a recurvatum knee gait pattern prior to surgery, the kinematic and kinetic parameters of the knee joint were significantly improved. The angular movements of pelvis after surgery were improved in patients with pelvic external rotation preoperatively. Conclusion: Genu recurvatum and pelvic external rotation during the gait in spastic hemiplegic CP might be improved by a surgical correction of the equinus deformity.