The impact of patellar tendon advancement on knee joint moment and muscle forces in patients with cerebral palsy

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dc.authorid0000-0002-1861-9368
dc.contributor.authorKarabulut, Derya
dc.contributor.authorArslan, Yunus Ziya
dc.contributor.authorGötze, Marco
dc.contributor.authorWolf, Sebastian
dc.date.accessioned2022-01-11T10:28:50Z
dc.date.available2022-01-11T10:28:50Z
dc.date.issued2021
dc.departmentTAÜ, Fen Bilimleri Enstitüsü, İmalat Teknolojisi Ana Bilim Dalı Koleksiyonuen_US
dc.description.abstractBackground: Patellar tendon advancement (PTA) is performed for the treatment of crouch gait in patients with cerebral palsy (CP). In this study, we aimed to determine the influence of PTA in the context of single-event multilevel surgery (SEMLS) on knee joint moment and muscle forces through musculoskeletal modeling; Methods: Gait data of children with CP and crouch gait were retrospectively analyzed. Patients were included if they had a SEMLS with a PTA (PTA group, n = 18) and a SEMLS without a PTA (NoPTA group, n = 18). A musculoskeletal model was used to calculate the pre- and postoperative knee joint moments and muscle forces; Results: Knee extensor moment increased in the PTA group postoperatively (p = 0.016), but there was no statistically significant change in the NoPTA group (p > 0.05). The quadriceps muscle forces increased for the PTA group (p = 0.034), while there was no difference in the NoPTA group (p > 0.05). The hamstring muscle forces increased in the PTA group (p = 0.039), while there was no difference in the NoPTA group (p > 0.05); Conclusions: PTA was found to be an effective surgery for the treatment of crouch gait. It contributes to improving knee extensor moment, decreasing knee flexor moment, and enhancing the quadriceps and hamstring muscle forces postoperatively.
dc.identifier.citationKarabulut, D., Arslan, Y. Z., Götze, M., & Wolf, S. I. (2021). The Impact of Patellar Tendon Advancement on Knee Joint Moment and Muscle Forces in Patients with Cerebral Palsy. Life, 11(9), 944.
dc.identifier.doi10.3390/life11090944
dc.identifier.issn2075-1729
dc.identifier.issue9en_US
dc.identifier.scopus2-s2.0-85114778185
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://hdl.handle.net/20.500.12846/627
dc.identifier.volume11en_US
dc.identifier.wosWOS:000699678600001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorArslan, Yunus Ziya
dc.language.isoen
dc.publisherMDPI-Multidisciplinary Digital Publishing Institute
dc.relation.ispartofLife
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCerebral Palsyen_US
dc.subjectCrouch Gaiten_US
dc.subjectPatellar Tendon Advancementen_US
dc.subjectKnee Muscle Forcesen_US
dc.subjectKnee Joint Momenten_US
dc.subjectModeling and Simulationen_US
dc.subjectSerebral Palsien_US
dc.subjectÇömelme Yürüyüşüen_US
dc.subjectPatellar Tendon Gelişimien_US
dc.subjectDiz Kas Kuvvetlerien_US
dc.subjectDiz Eklemi Momentien_US
dc.subjectModelleme ve Simülasyonen_US
dc.subjectZerebralpareseen_US
dc.subjectHocke Gangen_US
dc.subjectPatellasehnenfortschritten_US
dc.subjectKniemuskelkräfteen_US
dc.subjectKniegelenkmomenten_US
dc.subjectModellierung und Simulationen_US
dc.titleThe impact of patellar tendon advancement on knee joint moment and muscle forces in patients with cerebral palsy
dc.typeArticle

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