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정형외과 수술 후 횡단면에서의 경직성 양지마비형 뇌성마비의 보행 변화

Other Titles
 Changes of Kinematic Parameters on Transverse Plane after Orthopaedic Surgery in Children with Spastic Diplegic Cerebral Palsy 
 나동욱  ;  박은숙  ;  박찬우  ;  남희승  ;  정호익  ;  박창일 
 Journal of the Korean Academy of Rehabilitation Medicine (대한재활의학회지), Vol.30(5) : 475-480, 2006 
Journal Title
Journal of the Korean Academy of Rehabilitation Medicine(대한재활의학회지)
Issue Date
Cerebral palsy ; Gait analysis ; Transverse plane ; Orthopaedic surgery
Objective: The aim of this study was to evaluate the effect of orthopaedic surgery for correcting gait deviation on transverse plane with regard to the kinematic parameters in children with spastic diplegic cerebral palsy (CP).
Method: Forty-one children with spastic diplegic CP were included. They were divided into 3 groups: femoral derotaional osteotomy (FDRO) group, multiple hip internal rotator lengthening (without FDRO) group and medial hamstring lengthening only group. Gait analysis was done before and at least 6 months after operation using Vicon 370 system (Oxford Metrics Ltd., Oxford, UK).
Results: In FDRO group, average values of hip internal ro-tation and foot progression internal rotation were significantly improved (from 12.3o to 0.5o and from 6.5o to ⁣11.2o), but pelvic rotation was not changed. In another 2 groups without FDRO, there was no significant change in all kinematic parameters on transverse plane after surgery.
Conclusion: In children with spastic diplegic CP, there were improvements in kinematic parameters of hip and foot on transverse plane after FDRO. However, the lengthening of medial hamstrings and other hip internal rotator muscles without FDRO had no significant effect on kinematic parameters on transverse plane.
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1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun Sook(박은숙) ORCID logo https://orcid.org/0000-0002-9144-3063
Park, Chang Il(박창일)
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