scholarly journals Surgical treatment of pes planovalgus in ambulatory children with cerebral palsy: effect on gait as characterized by multi-segment foot motion analysis and foot deformity

2018 ◽  
Vol 60 ◽  
pp. 63-63
Keyword(s):  
Cerebral Palsy ◽  
Surgical Treatment ◽  
Motion Analysis ◽  
Pes Planovalgus ◽  
Foot Deformity ◽  
Foot Motion ◽  
Children With Cerebral Palsy

scholarly journals Calcaneal lengthening for the pes planovalgus foot deformity in children with cerebral palsy

2020 ◽  
Vol 11 (2) ◽  
pp. 245-250 ◽  
Author(s):  
Aly Mohamed Aboelenein ◽  
Mohamed Lotfy Fahmy ◽  
Hassan Magdy Elbarbary ◽  
Abobakr Zein Mohamed ◽  
Sherif Galal
Keyword(s):  
Cerebral Palsy ◽  
Pes Planovalgus ◽  
Foot Deformity ◽  
Children With Cerebral Palsy ◽  
Calcaneal Lengthening

scholarly journals TARSAL COALITIONS IN CHILDREN WITH CEREBRAL PALSY: CLINICAL OBSERVATION AND TREATMENT STRATEGY

2014 ◽  
Vol 2 (1) ◽  
pp. 13-17
Author(s):  
Vladimir Markovich Kenis ◽  
Andrei Viktorovich Sapogovsky ◽  
Ruslan Khalilovich Husainov
Keyword(s):  
Computed Tomography ◽  
Cerebral Palsy ◽  
Surgical Treatment ◽  
Surgical Management ◽  
Clinical Observation ◽  
Foot Deformities ◽  
Foot Deformity ◽  
Tarsal Coalition ◽  
Children With Cerebral Palsy ◽  
Diagnostic Confusion

Tarsal coalition is a congenital anomaly of the foot, characterized by later appearance of the clinical and radiological signs, which become obvious in adolescents. Tarsal coalitions in children with cerebral palsy can lead to diagnostic confusion, as well as to complicate natural course of foot deformity and surgical treatment. The paper presents first experience with the systematized data for tarsal coalitions in children with cerebral palsy. Among 157 children operated for foot deformities this anomaly was identified in 4 patients (incidence - 2,5 % in our series). Clinical and radiological descriptions, surgical management, including complications, are presented for these cases, which demonstrate significance of tarsal coalitions for diagnostics, surgical management and prognosis. Information and caution, regarding tarsal coalitions in children with cerebral palsy, who undergo surgical treatment for foot deformities, as well as advanced methods of diagnostics (magnetic resonance and computed tomography), are required in order to avoid preventable complications.

scholarly journals Radiographic Analysis of Surgically Treated Flatfoot Deformity in Children with Cerebral Palsy

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0028
Author(s):  
Alicia Kerrigan ◽  
Waleed Kishta
Keyword(s):  
Cerebral Palsy ◽  
Surgical Intervention ◽  
Pes Planovalgus ◽  
Foot Deformity ◽  
Radiographic Parameters ◽  
Radiographic Measurements ◽  
Children With Cerebral Palsy ◽  
Before And After ◽  
Lengthening Osteotomy ◽  
Calcaneal Lengthening

Category: Midfoot/Forefoot Introduction/Purpose: Pes planovalgus is the most common foot deformity in children with cerebral palsy (CP). Many of these patients become functionally limited and require surgical intervention. The objectives of this study are to apply previously validated radiographic parameters to radiographs of children with CP who have undergone surgical intervention for pes planovalgus deformity and to assess if these radiographic parameters show improvements post-operatively. Furthermore, this study aims to determine which of these parameters can most accurately be used to quantify correction post-surgery. Methods: A retrospective review was performed to identify patients aged five to 17 with a diagnosis of CP who underwent lateral calcaneal lengthening osteotomy for pes planovalgus between 2006 and 2015 at London Health Sciences Center. The previously validated radiographic measurements were applied to pre-operative and post-operative radiographs. A normality test was performed to observe whether participants were normally distributed with regard to the severity of their deformity. Paired T-test and Wilcoxon signed-rank test were used to compare changes in radiographic measurements from before and after surgery. Results: Seventeen patients met the inclusion criteria. The average age of selected patients was 13.06 years (range 9.42-16.75 years). This included 11 males and six females, all with spastic CP (12 diplegic, five hemiplegic). Of these patients, 11 underwent bilateral surgery and six underwent unilateral surgery (28 feet). These patients were followed post-operatively for a mean of 7.97 months (range 1.5-20 months). In comparing the radiographs from before and after surgery, statistically significant changes were seen in five out of the seven measurements. Talonavicular coverage angle was found to have the most significant change post-correction. Conclusion: The previously validated radiographic parameters used to assess foot and ankle deformity can be applied to the surgically treated pes planovalgus foot in patients with CP. It was found that five out of the seven measurements used to assess foot deformity changed significantly with surgical intervention. Talonavicular coverage angle was found to be the most accurate measure for post-surgical correction. This is the first study to apply these parameters to CP patients with surgically treated flatfoot deformity. Lateral calcaneal lengthening osteotomy significantly improves these radiographic measures.

Radiographic and plantar pressure assessment of pes planovalgus severity in children with cerebral palsy

2021 ◽  
Vol 85 ◽  
pp. 105364
Author(s):  
Nicole Look ◽  
Patrick Autruong ◽  
Zhaoxing Pan ◽  
Frank M. Chang ◽  
James J. Carollo
Keyword(s):  
Cerebral Palsy ◽  
Plantar Pressure ◽  
Pes Planovalgus ◽  
Children With Cerebral Palsy

scholarly journals Vertical gastric plication versus Nissen fundoplication in the treatment of gastroesophageal reflux in children with cerebral palsy

2007 ◽  
Vol 125 (1) ◽  
pp. 15-21 ◽  
Author(s):  
Antonio Paulo Durante ◽  
Sergio Tomaz Schettini ◽  
Djalma José Fagundes
Keyword(s):  
Cerebral Palsy ◽  
Surgical Treatment ◽  
Gastroesophageal Reflux ◽  
Nissen Fundoplication ◽  
Length Of Hospital Stay ◽  
Signs And Symptoms ◽  
High Morbidity ◽  
Gastric Plication ◽  
Esophageal Ph ◽  
Children With Cerebral Palsy

CONTEXT AND OBJECTIVE: Association between neurological lesions and gastroesophageal reflux disease (GERD) in children is very common. When surgical treatment is indicated, the consensus favors the fundoplication technique recommended by Nissen, despite its high morbidity and relapse rates. Vertical gastric plication is a procedure that may have advantages over Nissen fundoplication, since it is less aggressive and more adequately meets anatomical principles. The authors proposed to compare the results from the Nissen and vertical gastric plication techniques. DESIGN AND SETTING: Randomized prospective study within the Postgraduate Surgery and Experimentation Program of Unifesp-EPM, at Hospital do Servidor Público Estadual (IAMSPE) and Hospital Municipal Infantil Menino Jesus. METHODS: Fourteen consecutive children with cerebral palsy attended between November 2003 and July 2004 were randomized into two groups for surgical treatment of GERD: NF, Nissen fundoplication (n = 7); and VGP, vertical gastric plication (n = 7). These were clinically assessed by scoring for signs and symptoms, evaluation of esophageal pH measurements, duration of the operation, intra and postoperative complications, mortality and length of hospital stay. RESULTS: The mean follow-up was 5.2 months; symptoms were reduced by 42.8% (NF) (p = 0.001) and 57.1% (VGP) (p = 0.006). The Boix-Ochoa score was favorable for both groups: NF (p < 0.001) and VGP (p < 0.042). The overall mortality was 14.28% in both groups and was due to causes unrelated to the surgical treatment. CONCLUSION: The two operative procedures were shown to be efficient and efficacious for the treatment of GERD in neuropathic patients, over the study period.

Combining motion analysis and ultrasound to analyse muscles in children with cerebral palsy

2015 ◽  
Vol 42 ◽  
pp. S2-S3
Author(s):  
Francesco Cenni ◽  
Davide Monari ◽  
Simon-Henri Schless ◽  
Lynn Bar-On ◽  
Herman Bruyninckx ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motion Analysis ◽  
Children With Cerebral Palsy

scholarly journals The Validity and Reliability of a Kinect v2-Based Gait Analysis System for Children with Cerebral Palsy

Sensors ◽  
2019 ◽  
Vol 19 (7) ◽  
pp. 1660 ◽  
Author(s):  
Yunru Ma ◽  
Kumar Mithraratne ◽  
Nichola Wilson ◽  
Xiangbin Wang ◽  
Ye Ma ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Gait Analysis ◽  
Motion Analysis ◽  
Poor Correlation ◽  
Analysis Tool ◽  
Calibration Methods ◽  
Pattern Similarity ◽  
Children With Cerebral Palsy ◽  
Analysis System ◽  
Mean Square Errors

The aim of this study is to evaluate if Kinect is a valid and reliable clinical gait analysis tool for children with cerebral palsy (CP), and whether linear regression and long short-term memory (LSTM) recurrent neural network methods can improve its performance. A gait analysis was conducted on ten children with CP, on two occasions. Lower limb joint kinematics computed from the Kinect and a traditional marker-based Motion Analysis system were investigated by calculating the root mean square errors (RMSE), the coefficients of multiple correlation (CMC), and the intra-class correlation coefficients (ICC2,k). Results showed that the Kinect-based kinematics had an overall modest to poor correlation (CMC—less than 0.001 to 0.70) and an angle pattern similarity with Motion Analysis. After the calibration, RMSE on every degree of freedom decreased. The two calibration methods indicated similar levels of improvement in hip sagittal (CMC—0.81 ± 0.10 vs. 0.75 ± 0.22)/frontal (CMC—0.41 ± 0.35 vs. 0.42 ± 0.37) and knee sagittal kinematics (CMC—0.85±0.07 vs. 0.87 ± 0.12). The hip sagittal (CMC—0.97±0.05) and knee sagittal (CMC—0.88 ± 0.12) angle patterns showed a very good agreement over two days. Modest to excellent reliability (ICC2,k—0.45 to 0.93) for most parameters renders it feasible for observing ongoing changes in gait kinematics.

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