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BACKGROUND Two-dimensional (2D) measurements of acetabular morphology and orientation are well known; there is less information on these acetabular characteristics in three dimensions. One important reason is the lack of standardized reference planes for the pelvis, especially in relation to the spinopelvic unit; another is that no method precisely assesses(More)
An interdisciplinary European group of clinical experts in the field of movement disorders and experienced Botulinum toxin users has updated the consensus for the use of Botulinum toxin in the treatment of children with cerebral palsy (CP). A problem-orientated approach was used focussing on both published and practice-based evidence. In part I of the(More)
BACKGROUND Authors present and compare early and late results of treatment of spastic hip dislocation in cerebral palsy patients. MATERIAL AND METHODS We analyzed a group of 77 patients (109 hips) with hip joint dislocation (MP>80%). The patients were divided into two groups: <3 years of follow-up vs. > 3 years of follow-up. The first group thus included(More)
The study presents the long-term results of operative treatment of spastic subluxation and dislocation of hip joints in cerebral palsy children with open reduction and pelvic transiliac osteotomy by Dega. The subjects were 25 patients (30 hips) and the follow-up lasted from 3 to 25 years (average 12 years). Final examinations were carried out after the end(More)
PURPOSE The principles of conservative management of neuromuscular scoliosis in childhood and adolescence are presented. METHODS Analysis of personal experience and literature review. The topic is discussed separately for patients with flaccid or spastic paresis. RESULTS These demonstrate that conservative management might be proposed for patients with(More)
Summary Limping as the most frequent sign causing treatment decisions in patients with leg-length discrepancy, has become possible to measure using gait analysis. Consequently, observation of its changes may be a valuable guide in limb-lengthening treatment using Ilizarov technique. In this paper, we present results of repeated laboratory gait analysis in(More)
We investigated the incidence and risk factors for the development of avascular necrosis (AVN) of the femoral head in the course of treatment of children with cerebral palsy (CP) and dislocation of the hip. All underwent open reduction, proximal femoral and Dega pelvic osteotomy. The inclusion criteria were: a predominantly spastic form of CP, dislocation(More)
A population of 920 healthy children was studied with the aim of assessing the incidence of hamstring muscle and plantar foot flexor tightness, and to correlate such symptoms with gait, posture, and low back discomfort or pain. Special attention was paid to the popliteal angle and dorsal foot flexion. The borderline values for the popliteal angle in the(More)
This study compared radiologic and ultrasonographic methods of evaluation of patella position. The radiologic examination was based on the evaluation of Insall and Salvati's index (I-S index), whereas the ultrasonographic examination was based on the determination of analogous coefficient called the patellar tendon-patellar coefficient (T-P coefficient).(More)
BACKGROUND Hippotherapy has been shown to produce beneficial effects by improving the most difficult motor functions, such as sitting, running, jumping, coordination, as well as balance and muscle strength in children with motor developmental delays. The aim of this study was to analyze the effect of hippotherapy on spatiotemporal parameters of gait in(More)