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Spastic Contracture
[OCOSH Code: D009128 55033002 G80 MD_CON_SC]

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Adductor release and chemodenervation in children with cerebral palsy

Location: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2656828/

The combined surgical–medical intervention resulted in a reduction of spastic hip subluxation and improvements in gross motor function, as determined by the FMS. The combined intervention is, thus, useful as a temporizing measure, before definitive decisions are made considering such interventions as dorsal rhizotomy, intrathecal baclofen and single-event, multilevel surgery.
Adductor...
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Cerebral Palsy Wheeless

Location: http://www.wheelessonline.com/ortho/cerebral_palsy

non progressive neuromuscular disorder w/ onset before 2 yr resulting from injury to the immature brain;
- etiology includes: perinatal infections (TORCH), prematurity (most common), anoxic injuries, head injuries, and meningitis;
- commonly immobility leads to joint contractures that, if uncorrected, can progress to cartilage deformity and joint dysplasia;
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Cerebral Palsy World Ortho

Location: http://www.worldortho.com/dev/index.php?option=com_content&task=view&id=476&Itemid=267

Cerebral Palsy is the result of injury to the immature brain. It is a non progressive neuromuscular disorder. Etiology includes perinatal infections and prenatal intrauterine factors. The disease results in a mixture of muscle weakness and spasticity. Cerebral Palsy can be classified according to the placement of the disorder...
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Electrical simulation in addition to passive stretch has a small effect on spasticity and contracture in children with cerebral palsy

Location: http://www.ncbi.nlm.nih.gov/pubmed/18721122

QUESTION: Does electrical stimulation in addition to passive stretching reduce spasticity and contracture more than passive stretching alone in children with cerebral palsy?
CONCLUSION: Electrical stimulation combined with passive stretching is marginally more effective than passive stretching alone for spastic limbs of children with cerebral palsy.
Electrical simulation in addition to...
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Hip Joint in CP Wheeless

Location: http://www.wheelessonline.com/ortho/hip_joint_in_cp

Hip dislocation/subluxation may occur in upto 30% of patients w/ spastic CP, and may occur in upto 50% of patients w/ spastic quadriparetic CP;
- more severe contractures with unilateral or bilateral hip dislocation occur in the nonambulatory child with spastic quadriplegia;
- hip subluxation may be more likely in asymmetric in...
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Intrathecal baclofen infusion and subsequent orthopedic surgery in patients with spastic cerebral palsy

Location: http://thejns.org/doi/pdf/10.3171/foc.1998.4.1.8

Intrathecal baclofen infusion (IBI) is an effective treatment for spasticity secondary to cerebral palsy (CP). The authors retrospectively reviewed the need for orthopedic surgery of the lower extremities in 48 patients with spastic CP who were treated with IBI.
At the time of pump placement, subsequent orthopedic surgery was planned in 28 patients (58%);...
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Local and distant effects of isolated calf muscle lengthening in children with cerebral palsy and equinus gait

Location: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2656777/

PURPOSE: The purpose was to assess the local and distant effects of isolated calf muscle lengthening in ambulant children with cerebral palsy. METHODS: The study included fifteen ambulant children with cerebral palsy (nine with diplegia and six with hemiplegia), average age 8.8 years, Gross Motor Function Classification System (GMFCS) level...
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Medium-term follow-up of Achilles tendon lengthening in the treatment of ankle equinus in cerebral palsy

Location: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1888588/

CONCLUSIONS: Achilles tendon lengthening as practiced by the senior author results in a high rate of over weakening of the triceps surae as defined by the need for a floor reaction brace. Results are best in patients with hemiplegia and non-hemiplegic patients who require only single leg surgery, and who...
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Monolateral external fixation for the progressive correction of neurological spastic knee flexion contracture in children

Location: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2322839/

The purpose of this study was to report the results of the surgical treatment of spastic knee flexion contracture using tenotomy and progressive correction by external fixator-distractor devices. The study design involved a prospective observational study of 16 knees in nine patients with spastic flexion contracture greater than 30 degrees...
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Short-term results of musculotendinous release for paralytic hip subluxation in children with spastic cerebral palsy

Location: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2443307/

INTRODUCTION: Children with paralytic hip subluxation secondary to spastic cerebral palsy were treated with a standard protocol that depended on early detection of the subluxation using clinical examination detecting limited range of hip abduction of or= 33% migration as indications. PATIENTS...
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Simultaneous multiple operations for spastic diplegia

Location: http://www.jbjs.org.uk/cgi/reprint/75-B/3/488

We assessed the outcome after simultaneous multiple operations performed on 18 children with spastic diplegia, with emphasis on the changes in the physiological cost index (PCI) of walking. Fourteen patients had a measurable reduction at one year, but the more severely affected patients took up to two years to reach...
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Single-stage multilevel soft-tissue surgery in the lower limbs with spastic cerebral palsy

Location: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2740361/

be made ambulant with single-stage multilevel soft-tissue surgery. It has to be a team effort of the surgeon and the rehabilitation team in the postoperative period for the attainment of satisfactory goal.
Single-stage multilevel soft-tissue surgery in the lower limbs with spastic cerebral palsy: Experience from a rehabilitation unit. Gupta A,...
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Spastic deformities of the hindfoot

Location: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1438708/

Spastic deformities of the hindfoot may occur in isolation, as in peroneal spastic flat foot, or as part of a generalized condition, such as congenital or acquired cerebral palsy. Peroneal spastic flat foot is often but not always associated with tarsal coalition, a localized anatomical abnormality in which two or more of the...
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Spasticity and muscle contracture following stroke

Location: http://brain.oxfordjournals.org/cgi/reprint/119/5/1737

It has become increasingly recognized that the major functional deficits following brain damage are largely due to "negative' features such as weakness and loss of dexterity rather than spasticity. A variety of studies suggest that spasticity is a distinct problem and separate from the loss of dexterity, but that it...
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The Baumann procedure for fixed contracture of the gastrosoleus in cerebral palsy

Location: http://www.jbjs.org.uk/cgi/reprint/82-B/4/535.pdf

We treated 22 children (28 limbs) with diplegic cerebral palsy who were able to walk by the Baumann procedure for correction of fixed contracture of the gastrosoleus as part of multilevel single-stage surgery to improve gait. The function of the ankle was assessed by clinical examination and gait analysis before and at two years (2.1 to...
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