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 dorsifiexion, GMFM, and dorsifiexion 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 heel-cord-lengthening surgeries.
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Comparison of Three Heel Cord Surgeries in Children with Cerebral Palsy
Jack R. Engsberg, Donna J. Oeffinger, Sandy A. Ross, Hank D. White, Chester M. Tylkowski, and Perry L. Schoenecker
Predicting Gait Patterns of Children With Spasticity by Simulating Hyperreflexia
Kirsten Veerkamp, Christopher P. Carty, Niels F.J. Waterval, Thomas Geijtenbeek, Annemieke I. Buizer, David G. Lloyd, Jaap Harlaar, and Marjolein M. van der Krogt
, location VU Medical Centre. Table 1 Patient Demographics and Gross Motor Function Classification System 19 Level Diagnosis 14 CP, 3 HSP Sex 9 boys, 8 girls Age, y 8.2 (3.64) [4, 17] Height, cm 132 (19) [108, 163] Mass, kg 31 (14) [17, 64] Gross Motor Function Classification System 4 × I, 13 × II
Weighted Vest Loads Do Not Elicit Changes in Spatial-Temporal Gait Parameters in Children and Adolescents With Autism
Alyssa N. Olivas, Emily A. Chavez, and Jeffrey D. Eggleston
.1016/j.humov.2018.09.003 10.1016/j.humov.2018.09.003 27429731 15. Mache MA , Todd TA . Gross motor skills are related to postural stability and age in children with autism spectrum disorder . Res Autism Spectr Disord . 2016 ; 23 : 179 – 187 . doi:10.1016/j.rasd.2016.01.001 10.1016/j.rasd.2016
Skeletal Muscle Adaptations and Passive Muscle Stiffness in Cerebral Palsy: A Literature Review and Conceptual Model
Alif Laila Tisha, Ashley Allison Armstrong, Amy Wagoner Johnson, and Citlali López-Ortiz
with CP experience a drastic decline in gross motor function with age. 6 For this review, we used keywords such as “cerebral palsy,” “muscle stiffness,” “mechanical properties,” and “structural changes” on EBSCO Information Services (Ipswich, Massachusetts) databases and identified peer
Tapping Into Skeletal Muscle Biomechanics for Design and Control of Lower Limb Exoskeletons: A Narrative Review
Zahra S. Mahdian, Huawei Wang, Mohamed Irfan Mohamed Refai, Guillaume Durandau, Massimo Sartori, and Mhairi K. MacLean
-ankle-foot-orthosis motion for individuals with spinal cord injury . Front Neurorobot . 2022 ; 15 : 748148 . doi:10.3389/fnbot.2021.748148 35140596 143. Afschrift M , De Groote F , De Schutter J , Jonkers I . The effect of muscle weakness on the capability gap during gross motor function: a simulation study
