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dc.contributor.authorSteppacher, Ramona-
dc.contributor.authorNorth, David-
dc.contributor.authorKünzle, Christoph-
dc.contributor.authorLengnick, Harald-
dc.contributor.authorKlima, Harry-
dc.contributor.authorMündermann, Annegret-
dc.contributor.authorWegener, Regina-
dc.date.accessioned2023-07-20T12:42:09Z-
dc.date.available2023-07-20T12:42:09Z-
dc.date.issued2018-
dc.identifier.issn0883-0738de_CH
dc.identifier.issn1708-8283de_CH
dc.identifier.issn1702-6075de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/28261-
dc.description.abstractThe purpose of this study was to retrospectively investigate changes in gait patterns after single-event multilevel surgery in children and adolescents with bilateral cerebral palsy. Three-dimensional instrumented pre- and postoperative gait data of 12 patients were compared to data of 12 healthy control subjects using principal component analysis to reduce the dimensionality of kinematic and kinetic gait data and detect gait differences. The differences between pre- and postoperative data and between postoperative data and data of control subjects were calculated using a linear mixed model. The results revealed 14 significant effects for pre- and postoperative waveforms and 11 significant effects for postoperative and control waveforms. Patients after single-event multilevel surgery walked with smaller internal foot progression angle throughout the gait cycle, lower knee flexion at initial swing, and earlier knee extension during terminal swing. Retained gait deviations included excessive pelvic tilt and internally rotated and flexed hips over the entire gait cycle. Contrary to our hypothesis, postoperative waveforms in the sagittal plane differed more from control waveforms than from preoperative waveforms. These results emphasize the importance of carefully planning further conservative therapy 2 years after single-event multilevel surgery.de_CH
dc.language.isoende_CH
dc.publisherSagede_CH
dc.relation.ispartofJournal of Child Neurologyde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectCerebral palsyde_CH
dc.subjectGait analysisde_CH
dc.subjectGait deviationde_CH
dc.subjectMultilevel surgeryde_CH
dc.subjectPrincipal component analysisde_CH
dc.subjectAdolescentde_CH
dc.subjectBiomechanical phenomenade_CH
dc.subjectCerebral Palsyde_CH
dc.subjectChildde_CH
dc.subjectFemalede_CH
dc.subjectHumansde_CH
dc.subjectMalede_CH
dc.subjectRetrospective studyde_CH
dc.subjectSingle-blind methodde_CH
dc.subjectTreatment outcomede_CH
dc.subjectYoung adultde_CH
dc.subjectGaitde_CH
dc.subject.ddc615.82: Physiotherapiede_CH
dc.subject.ddc618.92: Pädiatriede_CH
dc.titleRetrospective evaluation of changes in gait patterns in children and adolescents with cerebral palsy after multilevel surgeryde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Physiotherapie (IPT)de_CH
dc.identifier.doi10.1177/0883073818766681de_CH
dc.identifier.pmid29683017de_CH
zhaw.funding.euNode_CH
zhaw.issue7de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end462de_CH
zhaw.pages.start453de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume33de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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Steppacher, R., North, D., Künzle, C., Lengnick, H., Klima, H., Mündermann, A., & Wegener, R. (2018). Retrospective evaluation of changes in gait patterns in children and adolescents with cerebral palsy after multilevel surgery. Journal of Child Neurology, 33(7), 453–462. https://doi.org/10.1177/0883073818766681
Steppacher, R. et al. (2018) ‘Retrospective evaluation of changes in gait patterns in children and adolescents with cerebral palsy after multilevel surgery’, Journal of Child Neurology, 33(7), pp. 453–462. Available at: https://doi.org/10.1177/0883073818766681.
R. Steppacher et al., “Retrospective evaluation of changes in gait patterns in children and adolescents with cerebral palsy after multilevel surgery,” Journal of Child Neurology, vol. 33, no. 7, pp. 453–462, 2018, doi: 10.1177/0883073818766681.
STEPPACHER, Ramona, David NORTH, Christoph KÜNZLE, Harald LENGNICK, Harry KLIMA, Annegret MÜNDERMANN und Regina WEGENER, 2018. Retrospective evaluation of changes in gait patterns in children and adolescents with cerebral palsy after multilevel surgery. Journal of Child Neurology. 2018. Bd. 33, Nr. 7, S. 453–462. DOI 10.1177/0883073818766681
Steppacher, Ramona, David North, Christoph Künzle, Harald Lengnick, Harry Klima, Annegret Mündermann, and Regina Wegener. 2018. “Retrospective Evaluation of Changes in Gait Patterns in Children and Adolescents with Cerebral Palsy after Multilevel Surgery.” Journal of Child Neurology 33 (7): 453–62. https://doi.org/10.1177/0883073818766681.
Steppacher, Ramona, et al. “Retrospective Evaluation of Changes in Gait Patterns in Children and Adolescents with Cerebral Palsy after Multilevel Surgery.” Journal of Child Neurology, vol. 33, no. 7, 2018, pp. 453–62, https://doi.org/10.1177/0883073818766681.


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