Toe-Walking in Children with Cerebral Palsy: Contributions of Contracture and Excessive Contraction of Triceps Surae Muscle

1989 ◽  
Vol 69 (8) ◽  
pp. 656-662 ◽  
Author(s):  
Catherine Tardieu ◽  
Alain Lespargot ◽  
Chantal Tabary ◽  
Marie-Dominique Bret
Keyword(s):  
Cerebral Palsy ◽  
Triceps Surae ◽  
Triceps Surae Muscle ◽  
Children With Cerebral Palsy ◽  
Toe Walking

Dynamic Versus Fixed Equinus Deformity in Children With Cerebral Palsy: How Does the Triceps Surae Muscle Work?

2010 ◽  
Vol 91 (12) ◽  
pp. 1897-1903 ◽  
Author(s):  
Martin Švehlík ◽  
Ernst B. Zwick ◽  
Gerhard Steinwender ◽  
Tanja Kraus ◽  
Wolfgang E. Linhart
Keyword(s):  
Cerebral Palsy ◽  
Triceps Surae ◽  
Muscle Work ◽  
Triceps Surae Muscle ◽  
Children With Cerebral Palsy ◽  
Equinus Deformity

scholarly journals A series of case studies on the effect of a midfoot control ankle foot orthosis in the prevention of unresolved pressure areas in children with cerebral palsy

2001 ◽  
Vol 25 (3) ◽  
pp. 246-250 ◽  
Author(s):  
M. Bill ◽  
R. McIntosh ◽  
P. Myers
Keyword(s):  
Cerebral Palsy ◽  
Case Studies ◽  
Muscle Tone ◽  
Evidence Base ◽  
Triceps Surae ◽  
Orthotic Devices ◽  
Ankle Foot Orthosis ◽  
Children With Cerebral Palsy ◽  
Foot Position ◽  
Foot Orthosis

This paper reports on a series of case studies where improvements were sought in muscle tone and gait in children with cerebral palsy. A Midfoot Control Ankle Foot Orthosis (AFO) was developed to control foot position in a cohort of patients with cerebral palsy (CP). The concept of controlling midfoot and hindfoot with an encapsulated internal Supra-Malleolar AFO that fitted into an external AFO was shown to be effective in ambulant children with CP. Some initial problems of compliance were noted and postulated to be due to difficulties associated with previous orthotic devices. Evidence from the case studies suggest that the developed Supra-Malleolar AFO orthoses enables children with CP to maintain mobility without skin tissue damage, delays the need for surgery and at the same time maintains the length of the Triceps Surae (Gastrocnemius and Soleus) complex. Plans for further research are discussed which will contribute to the evidence base for this particular orthotic device.

Toe walking in children with cerebral palsy: a possible functional role for the plantar flexors

2020 ◽  
Vol 124 (4) ◽  
pp. 1257-1269
Author(s):  
C. Beyaert ◽  
J. Pierret ◽  
R. Vasa ◽  
J. Paysant ◽  
S. Caudron
Keyword(s):  
Cerebral Palsy ◽  
Clinical Examination ◽  
Functional Role ◽  
Ankle Dorsiflexion ◽  
Initial Contact ◽  
Typically Developing ◽  
Plantar Flexors ◽  
Typically Developing Children ◽  
Children With Cerebral Palsy ◽  
Toe Walking

Adaptation to walking in negative-heel shoes was similar in typically developing children and children with cerebral palsy: it featured ankle dorsiflexion upon initial contact, even though (in the latter group) the soleus was always spastic in a clinical examination. Hence, in children with cerebral palsy, the early deceleration of ankle dorsiflexion by the plantar flexors (promoted by early flattening of the foot, and regardless of the type of footwear) may have a functional role.

scholarly journals Impaired muscle growth precedes development of increased stiffness of the triceps surae musculotendinous unit in children with cerebral palsy

2018 ◽  
Vol 60 (7) ◽  
pp. 672-679 ◽  
Author(s):  
Maria Willerslev-Olsen ◽  
Mai Choe Lund ◽  
Jakob Lorentzen ◽  
Lee Barber ◽  
Mathilde Kofoed-Hansen ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Muscle Growth ◽  
Triceps Surae ◽  
Children With Cerebral Palsy
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