첨족 변형을 지닌 뇌성마비 환자의 보행 중 비복근과 가자미근의 길이 변화

국문 초록 (Abstract)

목적: 첨족 변형을 가진 뇌성마비 환자의 보행 도중 비복근과 가자미근의 길이 변화를 측정하고자 하였다.
대상 및 방법: 환자군은 첨족 변형을 가진 뇌성마비 환자로 수술 전과 후에 보행 검사를 시행한 12명, 17하지로 하였으며, 대조군은 정상 성인 12명, 24 하지로 하였다. 환자군은 11명이 남자였으며, 평균 연령은 14.3세(5-25세)였으며 평균 추시기간은 15.3개월(12.5-18.5개월)이었다. 수술 방법에 따라 Strayer군과 TAL군으로 분류하였으며, 보행 검사와 SIMM을 연동하여 보행 중 비복근과 가자미근의 길이 변화를 측정하였다.
결과: 수술 후 족관절 및 슬관절의 운동형상학은 호전되었고, 보행 도중 측정된 근육의 길이도 연장되었다. 아킬레스건 연장술과 Strayer 술식 후 수술 전ㆍ후 비복근과 가자미근 길이 변화 사이에는 통계적으로 유의한 차이가 있었다. Strayer 술식 후에 보행 도중 가자미근의 근육 길이도 연장되었다.
결론: 환자군에서 SIMM을 이용하여 보행 도중 하퇴 삼두근의 길이 변화를 측정하여, 수술 후 구축된 하퇴 삼두근이 연장되었음을 정량적으로 확인할 수 있었다.

다국어 초록 (Multilingual Abstract)

Purpose: To measure the muscle length of the gastrocnemius and soleus during gait in CP patients with an equinus deformity before and after surgery.
Materials and Methods: Twelve CP patients with an equinus deformity (17 limbs) were examined by gait analysis preoperatively and postoperatively. The patient group was further classified into the TAL and Strayer group according to the surgical technique. The mean age and mean follow-up periods were 14.3 years (5-25 years) and 15.3 months (12.5-18.5 months), respectively. The muscle length of the Gastrocnemius and Soleus was measured during gait using the SIMM program linked to a gait analysis system.
Results: The ankle ROM, knee ROM, maximal muscle length and peak-to-peak excursion during gait improved after surgery. There was a significant difference between the preoperative and postoperative measurements (p＜0.05), but no difference between the postoperative and control groups (p＞0.05). The muscle length of the soleus was elongated during gait after the Strayer procedure.
Conclusion: Patients with an equinus deformity had a contracted triceps muscle, which was elongated after surgery. These changes were quantified by a comparison of the preoperative and postoperative measurements.

목차 (Table of Contents)

• 서론
• 대상 및 방법
• 결과
• 고찰
• 결론
• 참고문헌
• 국문초록

참고문헌 (Reference)

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