Correction of Equinus Deformities in Cerebral Palsy.

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چکیده

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The correction of equinus deformity in cerebral palsy.

Spasm or contracture of the gastrocnemius muscle is predominantly responsible for the equinus deformity of the foot in cerebral palsy. Its release is therefore logical in the treatment of all cases which do not respond to conservative measures. The authors have demonstrated, by the use of metal markers and radiographic control at operation, that adequate release cannot be achieved by severance ...

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Evaluation of botulinum toxin therapy of spastic equinus in paediatric patients with cerebral palsy.

OBJECTIVE To develop a clinical and instrumental protocol to assess the postural and dynamic effects following treatment with botulinum neurotoxin A in children with cerebral palsy affected by spastic equinus. DESIGN Open study, in which every patient served as his or her own control. PATIENTS Ten sequential children with cerebral palsy and spastic dynamic equinus foot. METHODS Botulinum ...

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Achilles tendon length and medial gastrocnemius architecture in children with cerebral palsy and equinus gait.

BACKGROUND The aim of this study was to examine both the tendon and muscle components of the medial gastrocnemius muscle-tendon unit in children with cerebral palsy (CP) and equinus gait, with or without contracture. We also examined a small number of children who had undergone prior surgical lengthening of the triceps surae to address equinus contracture. METHODS Ultrasound was used to measu...

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Equinus Deformity as a Compensatory Mechanism for Ankle Plantarflexor Weakness in Cerebral Palsy

A theory for equinus gait in cerebral palsy (CP) is that the strong plantarflexors prevent the weak dorsiflexors from achieving dorsiflexion, thereby causing the ankle to be in a plantarflexed position. Recent work has indicated that both the ankle dorsiflexors and plantarflexors are weak. The purpose of this research was to theoretically and experimentally demonstrate that equinus deformity ga...

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ژورنال

عنوان ژورنال: Orthopedics & Traumatology

سال: 1997

ISSN: 1349-4333,0037-1033

DOI: 10.5035/nishiseisai.46.962