Factors associated with longer-term outcomes of multilevel orthopaedic surgery in ambulatory children with cerebral palsy using a multivariate approach were evaluated using a retrospective pretest-posttest design. The population included 20 ambulatory children with spastic diplegia who had undergone multilevel orthopaedic surgery with a minimum of 4-year interval between a preoperative and a postoperative gait assessment. Multiple regression analysis was used to identify factors associated with postoperative velocity and mean knee flexion in stance. Independent variables included in the regression models were velocity, mean knee flexion in stance, age at preoperative evaluation, Gross Motor Function Classification System level, use of ankle-foot orthoses, leg length, age-adjusted body mass index, number of surgical procedures, and range of motion of hip and knee. Children who demonstrated faster postoperative gait velocity 4 years or more after surgery were younger at the time of initial evaluation, had undergone fewer surgical procedures, had faster preoperative gait velocity, used ankle-foot orthoses postoperatively, and had increased hip extension range of motion postoperatively (R = 0.55). Children who demonstrated greater knee flexion in stance 4 years or more after surgery had undergone more surgical procedures, greater postoperative popliteal angle, and less knee extension range of motion (R = 0.73). This study demonstrates the usefulness of a multivariate approach toward understanding and predicting outcomes. The results of this study will provide clinicians and researchers more information about those factors associated with maintained improvements in the longer term and may be useful for treatment planning.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1097/01.bpb.0000271327.79481.e3 | DOI Listing |
Gait Posture
December 2024
Department of Exercise and Rehabilitation Sciences, College of Health and Human Services, University of Toledo, Toledo, OH, USA; Department of Health and Human Performance, Congdon School of Health Sciences, High Point University, High Point, NC, USA. Electronic address:
Background: People with patellofemoral pain (PFP) may have bilateral deficits in hop for distance test (SLHD) performance, whereas the worsening performance of the pain-free or less painful limbs suggests that bilateral movement differences may occur. While clinicians may not be aware of bilateral movement differences that may be employed during the clinical assessment of SLHD performance (e.g.
View Article and Find Full Text PDFSci Rep
December 2024
School of Health Sciences, Western Sydney University, Campbelltown, NSW, Australia.
Given the higher fall risk and the fatal sequelae of falls on stairs, it is worthwhile to investigate the mechanism of dynamic balance control in individuals with knee osteoarthritis during stair negotiation. Whole-body angular momentum ([Formula: see text]) is widely used as a surrogate to reflect dynamic balance and failure to constrain [Formula: see text] may increase the fall risk. This study aimed to compare the range of [Formula: see text] between people with and without knee osteoarthritis during stair ascent and descent.
View Article and Find Full Text PDFJ Funct Morphol Kinesiol
December 2024
Human Anatomy and Embryology Unit, Experimental Pathology and Therapeutics Department, Faculty of Medicine and Health Sciences, University of Barcelona, 08907 Hospitalet, Spain.
Background: Viscosupplementation consists of intraarticular hyaluronic acid injections applied to treat pain and improve joint mobility. The objective of the study was to analyze the improvement of the range of mobility of the first metatarsophalangeal joint with a single dose of cross-linked hyaluronic acid.
Methods: Ten fresh frozen specimens of feet sectioned below the knee were selected.
Anat Rec (Hoboken)
December 2024
Biology Department, Northland Pioneer College, Holbrook, Arizona, USA.
Nothronychus graffami was a large therizinosaur represented by a single well-preserved individual from the Turonian Tropic Shale of southern Utah. It is characterized by an enlarged abdomen, small tail, and an extensively pneumatized axial skeleton, and is frequently regarded as herbivorous. Given the overall tail reduction and the development of a wide fused synsacrum with widely spaced acetabulae, it is reconstructed with an anteriorly rotated femur and a displaced resting ground reaction force anterior to the center of mass.
View Article and Find Full Text PDFJ Orthop Surg Res
December 2024
Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Background: Physical therapy (PT) is widely employed in osteoarthritis (OA). This study aimed to explore the research development of PT for OA and to identify the emerging treatment, and verify its efficacy.
Materials And Methods: The Web of Science Core Collection was used to conduct the bibliometric analysis.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!