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Journal of the Korean Academy of Rehabilitation Medicine 2006;30(5):475-480.
Changes of Kinematic Parameters on Transverse Plane after Orthopaedic Surgery in Children with Spastic Diplegic Cerebral Palsy.
Rha, Dong Wook , Park, Eun Sook , Park, Chan Woo , Nam, Hee Seung , Chung, Ho Ik , Park, Chang il
Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. yyyellow@hanmail.net
정형외과 수술 후 횡단면에서의 경직성 양지마비형 뇌성마비의 보행 변화
나동욱, 박은숙, 박찬우, 남희승, 정호익, 박창일
연세대학교 의과대학 재활의학교실 및 재활의학연구소
The aim of this study was to evaluate the effect of orthopaedic surgery for correcting gait deviation on transverse plane with regard to the kinematic parameters in children with spastic diplegic cerebral palsy (CP).
Forty-one children with spastic diplegic CP were included. They were divided into 3 groups: femoral derotaional osteotomy (FDRO) group, multiple hip internal rotator lengthening (without FDRO) group and medial hamstring lengthening only group. Gait analysis was done before and at least 6 months after operation using Vicon 370 system (Oxford Metrics Ltd., Oxford, UK).
In FDRO group, average values of hip internal ro-tation and foot progression internal rotation were significantly improved (from 12.3o to 0.5o and from 6.5o to ⁣11.2o), but pelvic rotation was not changed. In another 2 groups without FDRO, there was no significant change in all kinematic parameters on transverse plane after surgery.
In children with spastic diplegic CP, there were improvements in kinematic parameters of hip and foot on transverse plane after FDRO. However, the lengthening of medial hamstrings and other hip internal rotator muscles without FDRO had no significant effect on kinematic parameters on transverse plane. (J Korean Acad Rehab Med 2006; 30: 475-480)
Key Words: Cerebral palsy, Gait analysis, Transverse plane, Orthopaedic surgery


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