| Kinematic Gait Analysis in Children with Spastic Diplegic Cerebral Palsy after Selective Posterior Rhizotomy: Long Term Follow Up. |
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Kim, Yong Wook , Park, Chang Il , Park, Eun Sook , Bae, Hasuk , Ko, Young Hoon , Lee, Don Sin |
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Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. acebhs@yumc.yonsei.ac.kr |
| 경직성 양지 뇌성마비 아동에서 선택적 후근 절제술 후 보행양상의 변화 |
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김용욱, 박창일, 박은숙, 배하석, 고영훈, 이돈신 |
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연세대학교 의과대학 재활의학교실 및 재활의학연구소 |
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| Abstract |
Objective
To evaluate the changes of kinematic gait patterns at long-term follow up study after selective posterior rhizotomy (SPR) in children with spastic diplegic cerebral palsy.
Method
Eighteen children with spastic diplegic cerebral palsy participated in this study. Gait patterns on sagittal plane were studied before and at average 3.5 years after SPR. Kinematic and temporospatial data were obtained by the VICON 370 system.
Results
The spasticity of hip adductor and ankle plantarflexor were improved significantly after SPR. The maximal angle of pelvic tilt, ankle dorsiflexion angle at initial contact, peak ankle dorsiflexion angle during stance phase, at toe-off and during swing phase, mid-range point of flexion-extension motion on ankle were significantly improved after SPR. The temporospatial data tended to improve after SPR at long-term follow up.
Conclusion
The SPR reduced spasticity and the gait patterns were improved in children with spastic diplegic cerebral palsy at long-term follow up. (J Korean Acad Rehab Med 2003; 27: 855-861)
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| Key Words:
Spastic diplegic cerebral palsy, Selective posterior rhizotomy, Kinematic gait |
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