Influence of the phase-tonic muscular activity of extremities on the formation of unfavourable outcomes in orthopaedic-surgical treatment of children with spastic cerebral palsies

Anatoliy Nenko, Yuriy Ponomarenko, Mykhaylo Sirotiuk

Abstract


The work is based on experience of 60 years of surgical treatment of contractures and deformities of the upper and lower extremities in 3,188 children with spastic cerebral palsies. From this group of patients, 348 (10.9 %) cases developed recurrent contractures and “reverse” deformities within the immediate and remote postoperative periods (from 6 months to 2-3 years). Phase-tonic muscle activity of the upper and lower extremities was studied in 560 children operated. Causes for the formation of recurrent spastic contractures and “reverse” deformities depending on the type of surgery and electromyographic parameters were analysed.

Keywords


spastic cerebral palsy; tonic reflexes; surgery; relapses of contractures and deformities; electromyography

References


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DOI: https://doi.org/10.15674/0030-59872013316-19

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