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马蹄足患儿跟腱延长术后步态中腓肠肌和比目鱼肌的长度及力量

Length and force of the gastrocnemius and soleus during gait following tendo Achilles lengthenings in children with equinus.

作者信息

Orendurff Michael S, Aiona Michael D, Dorociak Robin D, Pierce Rosemary A

机构信息

Motion Analysis Laboratory, Shriners Hospital for Children, Portland, OR, USA.

出版信息

Gait Posture. 2002 Apr;15(2):130-5. doi: 10.1016/s0966-6362(01)00154-0.

DOI:10.1016/s0966-6362(01)00154-0
PMID:11869906
Abstract

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.

摘要

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。

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