Orendurff Michael S, Aiona Michael D, Dorociak Robin D, Pierce Rosemary A
Motion Analysis Laboratory, Shriners Hospital for Children, Portland, OR, USA.
Gait Posture. 2002 Apr;15(2):130-5. doi: 10.1016/s0966-6362(01)00154-0.
Nine subjects (12 sides) with cerebral palsy who walked in equnius were evaluated prior to and 1 year after surgical tendo Achilles lengthening. Gastrocnemius and soleus length [Gait Posture, 6 (1997) 9] and plantarflexor force [Gait Posture, 6 (1997) 9; J Biomech, 23 (1990) 495] were calculated. The length of the gastrocnemius and soleus increased significantly (P<0.01) following the intervention. Force output of the triceps surae during push-off increased significantly (13.95 N/kg body weight (BW) preop to 30.31 N/kg BW postop; P<0.01). Assessment of the force-length capacity of the triceps surae in candidates for tendo Achilles lengthenings may identify individuals at risk of residual weakness and iatrogenic crouch.
对9名患有脑瘫且行走时呈马蹄内翻足的受试者(12侧)在跟腱延长手术前及术后1年进行了评估。计算了腓肠肌和比目鱼肌的长度[《步态姿势》,6(1997年)9]以及跖屈肌力量[《步态姿势》,6(1997年)9;《生物力学杂志》,23(1990年)495]。干预后,腓肠肌和比目鱼肌的长度显著增加(P<0.01)。蹬离期腓肠肌三头肌的力量输出显著增加(术前为13.95 N/kg体重(BW),术后为30.31 N/kg BW;P<0.01)。对跟腱延长术候选者的腓肠肌三头肌力量-长度能力进行评估,可能有助于识别存在残留无力和医源性蹲伏风险的个体。