Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Nov 14:5:2329048X18811452.
doi: 10.1177/2329048X18811452. eCollection 2018.

Functional Gains in Children With Spastic Hemiplegia Following a Tendon Achilles Lengthening Using Computerized Adaptive Testing-A Pilot Study

Eli Saleh  1 , Noémi Dahan-Oliel  2 , Kathleen Montpetit  3 , Thierry Benaroch  3 , Rita Yap  3 , Nadia Barakat  4 , M J Mulcahey  5
Affiliations

Functional Gains in Children With Spastic Hemiplegia Following a Tendon Achilles Lengthening Using Computerized Adaptive Testing-A Pilot Study

Eli Saleh et al. Child Neurol Open. .

Abstract

Purpose: This pilot study evaluated the outcomes of tendon Achilles lengthening in 12 children (mean age: 11.2 years) with spastic hemiplegia.

Methods: 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.

Results: 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 (P = .017), lower extremity (P = .005), global (P = .005), pain (P = .005), and fatigue (P = .028), as well as in the Gross Motor Function Measure-D domain (P = .02) and the mobility domain of the Pediatric Outcomes Data Collection Instrument (P = .04).

Conclusion: 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.

Keywords: computer adaptive testing; functional outcomes; spastic hemiplegia; tendon Achilles lengthening.

PubMed Disclaimer

Conflict of interest statement

Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Similar articles

See all similar articles

Cited by

References

    1. Yu S, Rethlefsen SA, Wren TA, Kay RM. Long-term ambulatory change after lower extremity orthopaedic surgery in children with cerebral palsy: a retrospective review. J Pediatr Orthop. 2014;35(3):285–289. - PubMed
    1. Ketelaar M, Vermeer A, Helders PJ. Functional motor abilities of children with cerebral palsy: a systematic literature review of assessment measures. Clin Rehabil. 1998;12(5):369–380. - PubMed
    1. Galli M, Cimolin V, Rigoldi C, Tenore N, Albertini G. Gait patterns in hemiplegic children with cerebral palsy: comparison of right and left hemiplegia. Res Dev Disabil. 2010;31(6):1340–1345. doi:10.1016/j.ridd.2010.07.007. - PubMed
    1. Kulak W, Sobaniec W. Comparisons of right and left hemiparetic cerebral palsy. Pediatr Neurol. 2004;31(2):101–108. - PubMed
    1. Shore BJ, White N, Kerr Graham H. Surgical correction of equinus deformity in children with cerebral palsy: a systematic review. J Child Orthop. 2010;4(4):277–290. doi:10.1007/s11832-010-0268-4. - PMC - PubMed

LinkOut - more resources