Saleh Eli, Dahan-Oliel Noémi, Montpetit Kathleen, Benaroch Thierry, Yap Rita, Barakat Nadia, Mulcahey M J
Université de Montréal, Montreal, Quebec, Canada.
Shriners Hospital for Children, School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada.
Child Neurol Open. 2018 Nov 14;5:2329048X18811452. doi: 10.1177/2329048X18811452. eCollection 2018.
This pilot study evaluated the outcomes of tendon Achilles lengthening in 12 children (mean age: 11.2 years) with spastic hemiplegia.
Cerebral Palsy Computer Adaptive Tests, the timed up-and-go, the Gross Motor Function Measure, the Gillette Functional Assessment Questionnaire, and the Pediatric Outcomes Data Collection Instrument were administered at baseline and at 6, 12, and 24 months postsurgery.
Significant improvement at the latest follow-up (12-24 months following surgery) was seen in all domains of the Cerebral Palsy Computer Adaptive Test: activity ( = .017), lower extremity ( = .005), global ( = .005), pain ( = .005), and fatigue ( = .028), as well as in the Gross Motor Function Measure-D domain ( = .02) and the mobility domain of the Pediatric Outcomes Data Collection Instrument ( = .04).
These findings indicate that the tendon Achilles lengthening improved functional outcome in these children as measured by tests of physical function, walking speed, and activity performance.
本初步研究评估了12名痉挛性偏瘫儿童（平均年龄：11.2岁）跟腱延长术的疗效。
在基线以及术后6个月、12个月和24个月时，进行脑瘫计算机自适应测试、计时起立行走测试、粗大运动功能测量、吉列功能评估问卷以及儿童结局数据收集工具评估。
在脑瘫计算机自适应测试的所有领域均观察到在最新随访时（术后12 - 24个月）有显著改善：活动（P = 0.017）、下肢（P = 0.005）、整体（P = 0.005）、疼痛（P = 0.005）和疲劳（P = 0.028），以及在粗大运动功能测量-D领域（P = 0.02）和儿童结局数据收集工具的活动能力领域（P = 0.04）。
这些发现表明，通过身体功能测试、步行速度和活动表现测试衡量，跟腱延长术改善了这些儿童的功能结局。
