Quantitative and qualitative functional evaluation of upper extremity tendon transfers in spastic hemiplegia caused by cerebral palsy

Journal of Pediatric Orthopedics
A Van HeestLouis Garcia

Abstract

The purpose of this study was to determine if upper extremity function and joint positioning improved after tendon transfer surgery in patients with spastic hemiplegia caused by cerebral palsy. Thirteen patients with spastic hemiplegia underwent tendon transfer surgery at a mean age of 10.8 years (range, 7-24 years). Before surgery, all patients were evaluated with a standardized motion laboratory analysis protocol. At a mean follow-up of 3.6 years (range, 1-10 years), 13 patients returned for a repeat motion laboratory analysis using the same protocol. The motion laboratory studies were then compared quantitatively, comparing times for completion of the Jebsen-Taylor hand test, and qualitatively for elbow, forearm, wrist, finger, and thumb positions using the validated Shriner's Hospital Upper Extremity Evaluation protocol. In timed testing on the Jebsen-Taylor hand function test, 5 patients improved, 5 patients remained the same, and 3 patients worsened. No statistically significant change in timed testing was noted for any of the 6 subtests. A qualitative assessment of limb position during completion of tasks showed a significant improvement in position for the elbow (P < 0.01), forearm (P < 0.02), wrist (P < 0.02), and fing...Continue Reading

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Citations

Jul 20, 2011·Journal of Pediatric Orthopedics. Part B·Eva PonténAnn-Christin Eliasson
Nov 14, 2012·Journal of Pediatric Orthopedics·Richard E BowenFrank J Schwab
Jun 9, 2010·Techniques in Hand & Upper Extremity Surgery·Carolien P de RoodeAnn E Van Heest
Jul 23, 2015·Research in Developmental Disabilities·Aviva L WolffAndrew M Gordon
Sep 4, 2015·Acta ortopedica brasileira·Ana Paula TedescoAline de Jesus
Jul 20, 2018·Hand : Official Journal of the American Association for Hand Surgery·Bryan G BeutelEitan Melamed
Feb 16, 2019·Journal of Pediatric Orthopedics. Part B·Eva PonténAnn-Christin Eliasson
Jul 25, 2019·Developmental Medicine and Child Neurology·Annoek LouwersAnita Beelen
Apr 8, 2011·The Journal of Bone and Joint Surgery. American Volume·J Adam SmithermanMary Ann Gidewall
Oct 13, 2020·Toxicon : Official Journal of the International Society on Toxinology·Sepehr SaeidiborojeniHeather Finlayson

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