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Table 3 Pre and post-operative data in group 1 and 2 and the changes between the groups

From: The influence of preoperative knee flexion contracture severity on short-term outcome of orthopedic surgery in ambulatory children with bilateral cerebral palsy

 

Group 1

(n = 30)

Group 2

(n = 30)

Group 1 vs Group 2

 

Pre

Mean (SD)

Post

Mean (SD)

Mean diff (SD)

P-

value

Pre

Mean (SD)

Post

Mean (SD)

Mean diff (SD)

P-

value

Mean diff

(95%CI)

P-

value

Knee flexion contracture (degrees)

4.6 (5.3)

2.1 (8.3)

2.5 (7.4)

0.071

17.2 (4.9)

9.6 (9.3)

8.2 (8.8)

0.001*

5.7 (1.5–9.9)

0.009*

Gait Deviation Index

66 (19)

74 (15)

8 (13)

0.004*

60 (13)

69 (15)

9 (12)

0.001*

1 (5–8)

0.675

Knee flexion at initial contact (degrees)

47.6 (13.4)

range 30–91

39.1 (12.1)

range 12–69

8.5 (13.4)

0.002*

52.2 (9.4)

range 30–72

42.4 (10.4)

range 32–75

9.8 (13.0)

0.001*

1.3 (−5.6–8.1)

0.716

Minimal knee flexion in stance (degrees)

21.4 (16.1)

range 21–75

12.1 (16.0)

range 12–61

9.3 (14.7)

0.002*

32.2 (14.2)

range 18–69

17.0 (15.9)

range

8–74

15.2 (16.3)

0.001*

5,9 (− 2.1–13.9)

0.148

Walking speed (cm/s)

79 (27)

78 (30)

−0.3 (22,8)

0.786

55 (30)

67 (35)

11.5 (25.1)

0.018*

−11,8 (0.6–24.2)

0.062

Step length (cm)

40.8 (10.0)

43.9 (10.0)

3.1 (6.4)

0.017*

33.9 (13.2)

39.3 (14.9)

5.4 (10.5)

0.008*

−2.3 (−2.3–7.0)

0.316

GMFM-D (points)

23.3 (8.0)

24.2 (9.5)

−1.9 (8.2)

0.553

16.5 (10.1)

22.1 (9.3)

3.1 (6.7)

0.001*

−5.0 (1.1–8.8)

0.014*

Popliteal angle (degrees)

59.0 (12.4)

49.1 (17.0)

9.9 (15.1)

0.001*

71.9 (12.2)

55.7 (13.0)

16.2 (18.5)

< 0.05*

6.2 (−2.6–15.1)

0.163

Hamstring spasticity (points)

1.3 (0.8)

0.9 (0.5)

0.4 (0.8)

0.013*

1.6 (0.7)

0.9 (0.5)

0.7 (0.8)

< 0.05*

0.2 (−0.2–0.6)

0.358

  1. Pre: pre-operative; Post: post-operative; SD: standard deviation; Mean diff: Mean difference; Gait Deviation Index; GMFM-D: Gross Motor Function Measure, dimension D; *: statistically significant. Knee flexion at initial contact refers to the start of the gait cycle when the foot first has contact with the floor. Minimal knee flexion in stance refers to the point when the least (minimal) knee flexion occurs