Back to Search
Start Over
Prevalence and classification of equinus foot in bilateral spastic cerebral palsy
- Source :
- World Journal of Pediatrics. 15:276-280
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- Equinus is a common deformity in children with bilateral spastic cerebral palsy (BSCP). While dynamic equinus usually is treated by conservative therapy, fixed contractures need surgical correction. To choose the appropriate surgical method, it is important to discriminate between isolated gastrocnemius shortening and combined gastrosoleus complex contracture. In a retrospective study 938 patients with BSCP were studied. Patients underwent gait analysis and clinical examination. 248 patients (496 limbs) met the inclusion criteria. Data from motion analysis and clinical examination were used to calculate the prevalence and to further classify fixed equinus foot. The prevalence of equinus was 83.3%. During clinical exam 246 (59.6%) limbs showed combined gastrosoleus complex contracture and 167 (40.4%) isolated gastrocnemius contracture. Max. DF at stance and mean DF at initial contact were significantly reduced in combined contracture, while max. ROM was increased (P
- Subjects :
- Male
medicine.medical_specialty
Adolescent
Physical examination
Cerebral palsy
03 medical and health sciences
0302 clinical medicine
Germany
030225 pediatrics
Prevalence
medicine
Deformity
Humans
030212 general & internal medicine
Retrospective Studies
Muscle contracture
Soleus muscle
medicine.diagnostic_test
business.industry
Cerebral Palsy
Retrospective cohort study
medicine.disease
Surgery
Clubfoot
Gait analysis
Pediatrics, Perinatology and Child Health
Female
Contracture
medicine.symptom
business
Subjects
Details
- ISSN :
- 18670687 and 17088569
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- World Journal of Pediatrics
- Accession number :
- edsair.doi.dedup.....e01b744f7130c5fb9545284b8bdd89c5