Изменения походки у взрослых и подростков с ДЦП после многоуровневых вмешательств при исходном типе ходьбы, классифицируемом как stiff knee gait

O.I Gatamov,T.I Dolganova,D.Yu Borzunov,D.V Dolganov,D.A Popkov,G.M Chibirov

doi:10.18019/1028-4427-2020-26-2-185-190

Abstract

Изменения походки у взрослых и подростков с ДЦП после многоуровневых вмешательств при исходном типе ходьбы, классифицируемом как stiff knee gait

Highlights

Stiff knee gait (SKG) is common among patients with spastic cerebral palsy and gross motor function classified as GMFCS levels I and II [1]
Supported by computerized gait analysis surgical treatment involving distal rectus femoris transfer (DRFT) to the semitendinosus, the gracilis or the biceps femoris can help retain its function as hip flexor for early swing phase, reduce dysphasic extensor activity during swing and improve swing phase clearance [4, 5]
The Gait Profile Score (GPS), peak knee flexion PKF) in swing phase, total knee range of motion (KROM) across the gait cycle and the maximum knee flexion angle recorded with the time of occurrence as a percentage of the gait cycle were measured in the series

Summary

Introduction

Stiff knee gait (SKG) is common among patients with spastic cerebral palsy and gross motor function classified as GMFCS levels I and II [1]. SKG is characterized by hyperactivity of the rectus femoris muscle at swing phase or constant rectus activity through the entire gait cycle [2]. It is associated with diminished and delayed timing in peak knee flexion during swing and decrease in the knee range of motion across the gait cycle [3, 4]. Supported by computerized gait analysis surgical treatment involving distal rectus femoris transfer (DRFT) to the semitendinosus, the gracilis or the biceps femoris can help retain its function as hip flexor for early swing phase, reduce dysphasic extensor activity during swing and improve swing phase clearance [4, 5]. Outcomes of the surgical procedure rely on kinematic gait assessment. Few studies report on the outcomes of single-event multilevel orthopaedic procedures including DRFT [11–13]

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Conclusion