Comparison of hamstring transfer with hamstring lengthening in ambulatory children with cerebral palsy: further follow-up

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Comparison of hamstring transfer with hamstring lengthening in ambulatory children with cerebral palsy: further follow-up

BACKGROUND Overactivity or contractures of the hamstring muscles in ambulatory children with cerebral palsy (CP) can lead to either a jump gait (knee flexion associated with ankle plantar flexion) or a crouch gait (knee flexion associated with ankle dorsiflexion). Hamstring lengthening is performed to decrease stance knee flexion. However, this procedure carries the potential risk of weakening ...

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Percutaneous Versus Open Hamstring Lengthening in Spastic Diplegic Cerebral Palsy

Background: Open hamstring lengthening (oHSL) is commonly performed to decrease knee contracture and improvegait and posture for children with spastic diplegia. Furthermore, percutaneous hamstring lengthening (pHSL) is alsogaining popularity as an alternative to the open approach. This study aimed to compare the results of pHSL versusoHSL and to determine the efficacy and safe...

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Passive Mechanical Properties of Muscle in Hamstring Contractures of Children with Spastic Cerebral Palsy

INTRODUCTION: Children with spastic cerebral palsy (CP) often develop hamstring contractures, however, the mechanism of contracture formation is not known. Contractures represent a resistance of muscle to increased length. The structural elements responsible for this increased stiffness are also not known [1]. Previous work showed that single fibers from “contractured” muscle tissue has increas...

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Mechanical Properties of Muscle in Hamstring Contractures of Children with Spastic Cerebral Palsy

Children with spastic cerebral palsy (CP) often develop hamstring contractures; however, the mechanism of contracture formation is not known. Contractures represent a resistance of muscle to increased length, but the structural elements responsible for increased stiffness are not known [1]. Previous work showed that single fibers from “contractured” muscle tissue has increased passive stiffness...

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Transcriptional Abnormalities of Hamstring Muscle Contractures in Children with Cerebral Palsy

Cerebral palsy (CP) is an upper motor neuron disease that results in a spectrum of movement disorders. Secondary to the neurological lesion, muscles from patients with CP are often spastic and form debilitating contractures that limit range of motion and joint function. With no genetic component, the pathology of skeletal muscle in CP is a response to aberrant complex neurological input in ways...

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ژورنال

عنوان ژورنال: Journal of Children's Orthopaedics

سال: 2014

ISSN: 1863-2521,1863-2548

DOI: 10.1007/s11832-014-0626-8