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Walking abilities of young adults with cerebral palsy: Changes after multilevel surgery and adolescence

Abstract: Although there is some evidence to support the efficacy of single event multilevel surgery (SEMLS) in the short term for improving walking abilities in children with cerebral palsy (CP), long term effects are not known. It is hypothesized: (1) SEMLS improves walking abilities; (2) in young adulthood abilities deteriorate beyond pre-operative status; (3) walking abilities deteriorate from adolescence to young adulthood and are associated with weight status increase. Twenty-three young adults (mean age 25.5 years, range 20–36) with spastic CP Gross Motor Functional Classification Scale Level II (n=11) or III (n=12) returned for follow up three dimensional gait analysis (3DGA). Gillette Gait Index (GGI) was used as a general indicator of walking abilities. Eleven subjects had 3DGA...

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