Rectus and hamstring surgery in cerebral palsy: A gait analysis study of results by functional ambulation level

David A. Yngve, Nancy Scarborough, Barry Goode, Richard Haynes

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

The purpose of this study is to determine if children more severely involved with cerebral palsy respond as well to rectus transfer and hamstring surgery as those with less severe involvement. Ninety-nine children were classified as independent community ambulators, crutch/walker-dependent community ambulators, or household/exercise ambulators, Maximum knee extension in stance and total range of knee motion in gait increased following surgery in all groups. Peak knee flexion in swing was maintained in the independent group only, but timing of knee flexion in swing improved in all groups. All groups showed increases in stride length, and the household/exercise group also showed an increase in walking speed. Four of 39 crutch/walker-dependent community ambulators and 13 of 21 household/exercise ambulators progressed to the next higher functional ambulation group.

Original languageEnglish (US)
Pages (from-to)672-676
Number of pages5
JournalJournal of Pediatric Orthopaedics
Volume22
Issue number5
DOIs
StatePublished - Jan 1 2002

Keywords

  • Ambulation
  • Cerebral palsy
  • Gait analysis
  • Hamstring lengthening
  • Rectus transfer

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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