CEREBRAL PALSYEvolution of walking ability after soft tissue surgery in cerebral palsy patients: what can we expect?Svehlik, Martina; Slaby, Krystofb; Soumar, Libord; Smetana, Pavela; Kobesova, Alenac; Trc, Tomasa Author Information aOrthopaedic Department for Children and Adults bClinic of Sport Medicine cRehabilitation Clinic, 2nd Medical School, Charles University dSports Research Institute of Czech Armed Forces, Prague, Czech Republic Correspondence to Martin Svehlik, MD, Orthopaedic Department for Children and Adults, 2nd Medical School, Charles University, V Uvalu 84, 150 06 Prague, Czech Republic Tel: +420775144195; e-mail: [email protected] Journal of Pediatric Orthopaedics B: May 2008 - Volume 17 - Issue 3 - p 107-113 doi: 10.1097/BPB.0b013e3282f5d5a3 Buy Metrics Abstract Eleven patients with spastic cerebral palsy were evaluated preoperatively, and 3 and 9 months postoperatively after soft tissue surgery. Evaluation included clinical examination, the Functional Mobility Scale questionnaire, and instrumented gait and center of mass trajectory analysis. A decrease in time–distance parameters after 3 months was followed by progress in all parameters at 9 months postoperatively. Push-off range of ankle motion decreased after surgery and was not restored to preoperative level until 9 months later. The center of mass vertical displacement improved significantly. The Functional Mobility Scale showed gait improvement. Despite the normalization of range of motion after surgery, there is an obvious period of functional gait deterioration in the early postoperative period and the push-off range of motion at the ankle did not recover to preoperative level until 9 months later. © 2008 Lippincott Williams & Wilkins, Inc.