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MISCELLANEOUS
Year : 2005  |  Volume : 39  |  Issue : 4  |  Page : 248-253

Lower limb alignment in cerebral palsy


Physical Medicine & Rehabilitation Department, Swamy Vivekanand National Institute of Rehabilitation Training and Research, Olatpur, Bairoi, Cuttack, India

Correspondence Address:
S P Das
SVNIRTAR. Olatpur, Bairoi, Cuttack- 754010. Orissa
India
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Source of Support: None, Conflict of Interest: None


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Background: Spasticity leading to tightness of muscle is disabling. Muscular activity is used for balance of motion and joint alignment rather than weight bearing. Change of joint position interferes with passage of ground reaction force leading to muscle fatigue. During ambulation center of mass changes beyond its range due to so many causes including abnormal hip, knee, ankle and foot motion leading to high energy expenditure. Methods: Three hundred and sixty five lower limbs in 220 patients were operated by various methods described for hip, knee and ankle joint. Results: Results were excellent to fair in two hundred cases and poor in twenty cases. Conclusion: When cases taken up for surgery are selected with proper and repeated assessment, appropriate surgical procedures are performed in time then results of surgery are best in comparison with any other modalities of treatment and also achieved in a short time


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