Abstract:
:Equinus is the commonest deformity in cerebral palsy (CP). Many different surgical procedures have been described for the treatment of spastic equinus. In long standing equinus deformities the tibialis anterior muscle becomes elongated which is one reason for muscle weakness. Surgical tendon shortening of the tibialis anterior tendon was therefore introduced to rebalance muscle strength. All patients with CP who had a tibialis anterior tendon shortening (TATS) in combination with a tendo Achilles lengthening (TAL) were included in this study. A total of 29 patients had 30 surgical interventions (21 hemiplegic patients: 14 boys/7 girls, age 9-22 years; mean 15.2 years; 5 diplegics and 3 quadriplegics; 5 boys/3 girls, age 7-37.5 years; mean 14.8 years). Fifteen patients had additional surgery (soft tissue or bony procedures). The TATS was performed at the distal insertion with transosseous tendon fixation in the medial cuneiform bone at the original place. Movement Analysis Profile (MAP) for ankle dorsi-/plantarflexion, Gait Profile Score (GPS), Gait Deviation Index (GDI), and Gillette Gait Index (GGI) improved significantly for all patients compared pre- to postoperatively. In 93% of the patients active dorsiflexion of the ankle was possible postoperatively. We conclude that TATS in combination with TAL in spastic equinus in CP is a safe procedure and improves but not completely corrects foot positioning during gait. For the treatment of spastic equinus in CP we recommend shortening of the elongated antagonist (TATS) in combination with lengthening of the short agonist (TAL) for achieving optimal postoperative function.
journal_name
Gait Posturejournal_title
Gait & postureauthors
Rutz E,Baker R,Tirosh O,Romkes J,Haase C,Brunner Rdoi
10.1016/j.gaitpost.2010.11.002subject
Has Abstractpub_date
2011-02-01 00:00:00pages
152-7issue
2eissn
0966-6362issn
1879-2219pii
S0966-6362(10)00390-5journal_volume
33pub_type
杂志文章相关文献
GAIT & POSTURE文献大全abstract::The relationship between trunk and lower limb kinematics in healthy females versus males is unclear since trunk kinematics in the frontal and transverse planes have not been systematically examined with lower limb kinematics. The aim of this study was to investigate the existence of different multi-joints movement str...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2012.04.006
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:Osteoarthritis (OA) is a chronic degenerative disease which can result in chronic pain, loss of joint function and consequently decline in quality of life. RESEARCH QUESTION:A variety of instruments that measure the different dimensions of health status in patients with OA are available. However, despite th...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2020.08.121
更新日期:2020-10-01 00:00:00
abstract::The purpose of this study was to examine spatiotemporal parameters of the walk-to-run transition (WRT) and run-to-walk transition (RWT) when speed is altered with different constant accelerations. Twenty women (height: 168.9+/-3.36cm) performed three accelerations (0.05, 0.07 and 0.1ms(-2)) and three decelerations (-0...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2005.09.006
更新日期:2006-10-01 00:00:00
abstract::The effect of alterations in the processing of proprioceptive signals, on postural control, has been studied using muscle vibration effects. However, reliability and agreement of muscle vibration have still to be addressed. This study aimed to assess intra- and interday reliability and agreement of vibration effects o...
journal_title:Gait & posture
pub_type: 临床试验,杂志文章
doi:10.1016/j.gaitpost.2014.03.184
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Energetic cost contributes to movement impairments observed during stair negotiation in persons with knee osteoarthritis. Specifically, the intersegmental mechanical energy exchange may be diminished in the presence of pathologies. RESEARCH QUESTION:The purpose of this study was to evaluate mechanical energ...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2019.01.009
更新日期:2019-03-01 00:00:00
abstract::This study investigated if asymmetry exists in the responses of trunk muscles to a perturbation of the trunk induced by loading of an outstretched arm. Nineteen healthy right-handed subjects were recruited into the study. Electromyographic recordings were made from trunk muscles (erector spinae and rectus abdominus) a...
journal_title:Gait & posture
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.gaitpost.2009.04.006
更新日期:2009-08-01 00:00:00
abstract::Segment power can be estimated from the rate of change of segment energy or from segment endpoint dynamics. The inequality between these two calculations is termed the segment power imbalance (DeltaP). Explanations for this imbalance have been largely anecdotal. We used 3D gait data for 20 young, healthy adults to sho...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/s0966-6362(97)00041-6
更新日期:1998-05-01 00:00:00
abstract::When investigating whole-body balance in dynamic tasks, adequately tracking the whole-body centre of mass (CoM) or derivatives such as the extrapolated centre of mass (XCoM) can be crucial but add considerable measurement efforts. The aim of this study was to investigate whether reduced kinematic models can still prov...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2017.04.036
更新日期:2017-07-01 00:00:00
abstract::This paper describes a protocol for dynamometer assisted manual muscle testing of the major muscle groups of the lower extremity and its application to 11 able-bodied children who also had conventional gait analysis to obtain joint kinetics. Data from the manual muscle testing was processed in such a way that the resu...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2005.09.015
更新日期:2006-12-01 00:00:00
abstract::The Edinburgh Visual Gait Score (EVGS) for cerebral palsy has been validated for observer reliability and validity for observers experienced in gait analysis. This study investigated the reliability and validity of the EVGS for observers inexperienced in gait analysis. Six medical students used the score to analyse vi...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2008.01.008
更新日期:2008-08-01 00:00:00
abstract::We investigated the individual muscle contribution to arm motion to better understand the complex muscular coordination underlying three-dimensional (3D) reaching tasks of the upper limb (UL). The individual contributions of biceps, triceps, deltoid anterior, medius, posterior and pectoralis major to the control of sp...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2011.11.028
更新日期:2012-04-01 00:00:00
abstract::Effective locomotion training with robotic exoskeletons requires identification of optimal control algorithms to better facilitate motor learning. Two commonly employed training protocols emphasize use of training stimuli that either augment or reduce performance errors. The current study sought to identify which of t...
journal_title:Gait & posture
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.gaitpost.2012.06.025
更新日期:2013-01-01 00:00:00
abstract::Although total hip arthroplasty (THA) is known to be a successful surgical procedure to alleviate hip pain and to improve health-related quality of life, these outcome measures in THA patients do not reach those of the general population. As a result, several investigators have assessed THA patients' gait mechanics, b...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2010.05.007
更新日期:2010-06-01 00:00:00
abstract:INTRODUCTION:Principal component analysis (PCA) has been used to reduce the volume of gait data and can also be used to identify the differences between populations. This approach has not been used on stair climbing gait data. Our objective was to use PCA to compare the gait patterns between young and older adults duri...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2009.10.005
更新日期:2010-02-01 00:00:00
abstract::The comparative effect of semi-dimensional (SD) and non-dimensional (ND) normalisation on the results of a longitudinal study of gait in 5-12-year old children was investigated. The use of both height and leg length in the normalisation was examined. Only ND analysis could be used to identify subjects with the same ac...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/s0966-6362(02)00062-0
更新日期:2003-02-01 00:00:00
abstract:BACKGROUND:Multiple sclerosis (MS) is a neurological disease marked by demyelination and axonal loss. Individuals with MS experience increases in clinical signs and symptoms during heat exposure. OBJECTIVE:To test the hypothesis that moderate heat exposure adversely affects postural sway in individuals with MS. METHO...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2017.01.025
更新日期:2017-03-01 00:00:00
abstract::Falls occur frequently in the growing population of elderly. Since trunk control is critical for maintaining balance, the higher trunk stiffness in elderly people compared to the general population has been associated with their increased fall-risk. Theoretically, trunk stiffness may be beneficial for balance recovery...
journal_title:Gait & posture
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.gaitpost.2006.09.080
更新日期:2007-07-01 00:00:00
abstract::Several studies indicated that walking with an ankle foot orthosis (AFO) impaired third rocker. The purpose of this study was to evaluate the effects of two types of orthoses, with similar goal settings, on gait, in a homogeneous group of children, using both barefoot and shoe walking as control conditions. Fifteen ch...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2006.08.003
更新日期:2006-10-01 00:00:00
abstract::The main objective of this study is to understand the differences in equilibrium control between normal subjects and those with Down syndrome. A total of 54 subjects participated voluntarily, divided into control group and Down syndrome group. The equilibrium of the subjects was tested under two conditions: bipedal su...
journal_title:Gait & posture
pub_type: 临床试验,杂志文章
doi:10.1016/j.gaitpost.2010.09.014
更新日期:2011-01-01 00:00:00
abstract::Aging is frequently accompanied by a deterioration in postural control. Accordingly, the elderly adopt postural strategies in order to maintain balance. The purpose of this study was to compare anticipatory postural adjustments in (healthy) 10 young and 10 elderly subjects using electromyography (EMG) and biomechanica...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2005.09.001
更新日期:2006-10-01 00:00:00
abstract::Over 230,000 new cases of breast cancer are expected to be diagnosed in the United States in 2015. Taxane-based chemotherapy is often an effective treatment, but can also cause adverse symptoms in patients due to neurotoxicity. These side effects can impair postural control in patients; however, this instability has s...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2016.06.011
更新日期:2016-07-01 00:00:00
abstract::The aim of this study was to analyze the motor and visual strategies used when walking around (circumvention) an obstacle in patients with Parkinson's disease (PD), in addition to the effects of dopaminergic medication on these strategies. To answer the study question, people with PD (15) and neurologically healthy in...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2017.09.016
更新日期:2017-10-01 00:00:00
abstract::Functional near-infrared spectroscopy (fNIRS) is a portable, non-invasive, brain imaging technology that uses low levels of non-ionizing light to record changes in cerebral blood flow in the brain through optical sensors placed on the surface of the scalp. These signals are recorded via flexible fiber optic cables, wh...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2011.10.007
更新日期:2012-03-01 00:00:00
abstract::The energy cost of gait (C) is greater in amputee than in normal subjects. Our objective was to assess the influence of lower speed, inefficient pendulum mechanism and disturbed smoothness of centre of body mass (CM(b)) displacement on C in unilateral amputees and to have a better understanding the relationship betwee...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2004.04.005
更新日期:2005-04-01 00:00:00
abstract::Electroarthrography (EAG) is a novel technique for recording potentials on the knee surface that are generated by the compression of articular cartilage and that reflect both compression force and cartilage quality. The mechanical loading of the knee is achieved by transferring the subject's body weight from a bipedal...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2016.10.011
更新日期:2017-02-01 00:00:00
abstract:PURPOSE:Foot deformity is a well-recognised impairment in patients with rheumatoid arthritis (RA) which results in functional disability. Deformity can occur at the rearfoot, midfoot, forefoot or in combination and the impact that site-specific foot deformities has on functional disability is largely unknown. The aim o...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2008.04.004
更新日期:2008-11-01 00:00:00
abstract::The purpose of this study was to determine prospectively gait related risk factors for exercise-related lower leg pain (ERLLP) in 400 physical education students. Static lower leg alignment was determined, and 3D gait kinematics combined with plantar pressure profiles were collected. After this evaluation, all sports ...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2004.12.004
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Negotiating stairs is an important activity of daily living that is also associated with large loads on the knee joint. In medial compartment knee osteoarthritis, the knee adduction moment during level walking is considered a marker for disease severity. It could be argued that the discriminative capability ...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2019.07.192
更新日期:2019-09-01 00:00:00
abstract::Childhood obesity is commonly associated with a pes planus foot type and altered lower limb joint function during walking. However, limited information has been reported on dynamic intersegment foot motion with the level of obesity in children. The aim of this study was to explore the relationships between intersegmen...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2015.12.009
更新日期:2016-02-01 00:00:00
abstract::We examined age-related differences in frontal plane stability during performance of narrow base (NB) walking relative to usual gait. A cross-sectional analysis of participants from the Baltimore Longitudinal Study of Aging (BLSA) was performed on data from the BLSA Motion Analysis Laboratory. Participants were 34 adu...
journal_title:Gait & posture
pub_type: 杂志文章
doi:10.1016/j.gaitpost.2008.02.009
更新日期:2008-10-01 00:00:00