Effects of Soft Tissue Surgery on Pelvic and Hip Rotation in Patients with Spastic Diplegia: A Meta-Analysis
Clinics in Orthopedic Surgery
; : 187-193, 2016.
Article
in En
| WPRIM
| ID: wpr-138574
Responsible library:
WPRO
ABSTRACT
BACKGROUND: There are several different opinions regarding the improvements seen on the transverse plane after soft tissue surgery alone in independently ambulant patients with cerebral palsy. We performed a meta-analysis using data from previous studies to identify the effects of soft tissue surgery alone on pelvic and hip rotation in children with spastic diplegia. METHODS: We conducted a pilot study to evaluate the improvement in pelvic and hip rotation after muscle-tendon lengthening surgery in children with spastic diplegia. We also searched EMBASE and PubMed and selected 2 previous studies using the same test conditions with kinematic data on the pelvis and hip joints. A meta-analysis of the results of these 3 studies, including this pilot study, was then performed. RESULTS: The meta-analysis results showed an external rotation decrease (p = 0.005) in the mean difference of pelvic rotation of -3.61 (95% confidence interval [CI], -6.13 to -1.09) and a mean difference in hip rotation of 6.60 (95% CI, 3.34 to 9.86), indicating a significant increase in the hip external rotation after surgery (p < 0.001). CONCLUSIONS: In independently community-ambulant pediatric patients with spastic diplegia, pelvic retraction and hip internal rotation could be improved after soft tissue surgery.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Pelvis
/
Cerebral Palsy
/
Pilot Projects
/
Hip
/
Hip Joint
/
Muscle Spasticity
Type of study:
Systematic_reviews
Limits:
Child
/
Humans
Language:
En
Journal:
Clinics in Orthopedic Surgery
Year:
2016
Type:
Article