PMID- 16139748
OWN - NLM
STAT- MEDLINE
DCOM- 20060110
LR  - 20220408
IS  - 0966-6362 (Print)
IS  - 0966-6362 (Linking)
VI  - 22
IP  - 2
DP  - 2005 Oct
TI  - Progression of knee joint kinematics in children with cerebral palsy with and 
      without rectus femoris transfers: a long-term follow up.
PG  - 132-7
AB  - The purpose of this study was to compare long-term outcomes of multi-level 
      surgery with and without rectus femoris transfer (RFT) in a group of children 
      with cerebral palsy. Forty-one subjects with a diagnosis of cerebral palsy were 
      divided into a RFT group (28 subjects with 50 sides) and non-RFT group (13 
      subjects with 22 sides). The study protocol included pre-operative gait analysis, 
      multi-level orthopedic surgical intervention, one year post-operative gait 
      analysis, and three year or greater post-operative gait analysis. All 
      participants received inpatient physical therapy for 2-12 weeks either following 
      surgery or following a period of immobilization, depending on surgical procedures 
      performed. Results showed improved peak knee flexion during swing phase (PKFS) 
      for the RFT group one year after surgery. The deviation from normal in PKFS in 
      the RFT group improved, on average, from seven to five degrees. The deviation 
      from normal in PKFS in the non-RFT group increased approximately four degrees in 
      the same period of time. The knee flexion swing range (KFSR) of the RFT group 
      increased dramatically by 11 degrees after surgery, where no significant KFSR 
      changes observed in the non-RFT group. Those parameters maintained relatively 
      stable from one to three years post surgery for both groups. These observations 
      support our hypothesis that improvements after RFT surgery persist over time, 
      counteracting the negative effects of growth and time.
FAU - Moreau, Noelle
AU  - Moreau N
AD  - Department of Kinesiology, Louisiana State University, Baton Rouge, 70803 USA.
FAU - Tinsley, Suzanne
AU  - Tinsley S
FAU - Li, Li
AU  - Li L
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Gait Posture
JT  - Gait & posture
JID - 9416830
SB  - IM
MH  - Biomechanical Phenomena
MH  - Cerebral Palsy/*physiopathology/*surgery
MH  - Child
MH  - Follow-Up Studies
MH  - Gait
MH  - Humans
MH  - Knee Joint/*physiopathology/*surgery
MH  - Quadriceps Muscle/*surgery
EDAT- 2005/09/06 09:00
MHDA- 2006/01/13 09:00
CRDT- 2005/09/06 09:00
PHST- 2004/08/02 00:00 [accepted]
PHST- 2005/09/06 09:00 [pubmed]
PHST- 2006/01/13 09:00 [medline]
PHST- 2005/09/06 09:00 [entrez]
AID - S0966-6362(04)00142-0 [pii]
AID - 10.1016/j.gaitpost.2004.08.003 [doi]
PST - ppublish
SO  - Gait Posture. 2005 Oct;22(2):132-7. doi: 10.1016/j.gaitpost.2004.08.003.