Length and force of the gastrocnemius and soleus during gait following tendo Achilles lengthenings in children with equinus

Gait Posture. 2002 Apr;15(2):130-5. doi: 10.1016/s0966-6362(01)00154-0.

Abstract

Nine subjects (12 sides) with cerebral palsy who walked in equnius were evaluated prior to and 1 year after surgical tendo Achilles lengthening. Gastrocnemius and soleus length [Gait Posture, 6 (1997) 9] and plantarflexor force [Gait Posture, 6 (1997) 9; J Biomech, 23 (1990) 495] were calculated. The length of the gastrocnemius and soleus increased significantly (P<0.01) following the intervention. Force output of the triceps surae during push-off increased significantly (13.95 N/kg body weight (BW) preop to 30.31 N/kg BW postop; P<0.01). Assessment of the force-length capacity of the triceps surae in candidates for tendo Achilles lengthenings may identify individuals at risk of residual weakness and iatrogenic crouch.

MeSH terms

  • Achilles Tendon / surgery*
  • Cerebral Palsy / complications*
  • Cerebral Palsy / pathology
  • Cerebral Palsy / physiopathology
  • Child
  • Equinus Deformity / complications
  • Equinus Deformity / pathology
  • Equinus Deformity / physiopathology
  • Equinus Deformity / surgery*
  • Gait*
  • Humans
  • Muscle, Skeletal / pathology*
  • Muscle, Skeletal / physiopathology*
  • Risk Factors
  • Treatment Outcome