Article

The degree of abnormality of the gait pattern of children with
bilateral spastic cerebral palsy (BSCP) can be reduced by lower limb orthopaedic
surgery. However, little attention is paid to the effects of surgery on standing
posture. Here, we investigated the abnormality of standing posture in young
people with BSCP as well as the effects of surgery on standing posture. METHODS:
We have developed an index of standing posture, the Standing Posture Score (SPS),
which is similar in composition to the gait profile score (GPS).
We applied SPS
retrospectively to 32 typically developing children and 85 children with BSCP
before and after surgery to the lower limbs aimed at improving gait. We
investigated the relationship between SPS and GPS before surgery and also the
relationship between changes in these variables before and after surgery.
RESULTS: SPS is significantly higher in young people with BSCP. SPS reduces after
surgery and this reduction is correlated with the reduction in GPS.
INTERPRETATION: Successful surgery improves the alignment of the lower limbs in
BSCP in standing and may have a positive impact on the activities of daily living
which depend on a stable and efficient standing posture.
CI - Copyright (c) 2017 Elsevier B.V. All rights reserved.

Langue : ANGLAIS