The analysis of walk cycle in patients with spastic cerebral palsy after surgical management on the lower extremity

Šakić, Šimun and Šakić, Katarina and Buković, Nevia and Buković, Damir and Zlojtro, Marija and Pavić, Mato (2007) The analysis of walk cycle in patients with spastic cerebral palsy after surgical management on the lower extremity. Collegium Antropologicum, 31 (3). pp. 781-786. ISSN 0350-6134

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Abstract

Gait pattern is a frequent problem in cerebral palsy. The aim of the investigation is the evaluation of proximal femur normalization and/or pelvis normalization after surgical correction and simultaneous operations on soft tissues of lower limbs, as well as walk analysis. From 1980. to 2000. were operated 856 patients, 476 male and 380 female, between 1-51 years. Basic walk parameters were analyzed: step length, speed and the number of steps in one minute (cadence). 75.25% of patients had good results with improved of centrum collum diaphysis (CCD) and angle of anteversion (AV) or antetorsion (AT) for 70%, and more independent walking with contracture corrections and decreased spasticism. The best results were achieved with simultaneous two-side operations, with patients' age between 1 and 3, achieving independent walking. More operations at the same time significantly reduce spasticism--one anesthesia, one immobilization, and later same time post-operative physical therapy and satisfactory better results.

Abstract in Croatian

Hod je česti problem u cerebralnoj paralizi. Svrha istraživanja je evaluacija normalizacije proksimalnog dijela bedrene kosti i/ili normalizacije zdjelice poslije kirurške korekcije, te simultanih operacija na mekim tkivima kao i analiza hoda. Od 1980. do 2000. godine bilo je operirano 856 pacijenata, 476 muški i 380 ženski, u dobi od 1–51 godinu. Bili su analizirani bazični parametri hoda: dužina koraka, brzina hoda i broj koraka u minuti (cadence). 75,25% pacijenta imalo je dobar rezultat sa poboljšanjem kolodijafizarnog kuta (CCD) i kuta anteverzije (AV) odnosno antetorzije (AT) za 70%, i poboljšanje samostalnog hoda sa ispravljenim kontrakturama, i smanjenim spasticitetom. Najbolji rezultati postignuti su sa simultanim obostranim operacijama, u pacijenata u životnoj dobi od 1 i 3 godine, koji su samostalno prohodali poslije operacije. Više istovremenih operacija u jednoj anesteziji, jednoj imobilizaciji znakovito snižava spazam i bol, olakšava poslijeoperacijsku fizikalnu terapiju i daje cjelokupno bolje rezulte i zadovoljstvo bolesnika.

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