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Journals / Journal of Biotechnology and Strategic Health Research / 2026 / Cilt: 2 Sayı: 1

Patella alta as a cause of anterior knee pain in cerebral palcy: case report and rehabilitation approach

Serebral Palside Ön Diz Ağrısı Sebebi Olarak Patella Alta: Vaka Sunumu ve Rehabilitasyon Yaklaşımı

Hasan Toktaş(Afyon Kocatepe Üniversitesi Tıp Fakültesi, Fizik Tedavi ve Rehabilitasyon A.D.)
Nuran Eyvaz(FİZİK TEDAVİ VE REHABİLİTASYON KLİNİĞİ)
Ümit Dündar(Afyon Kocatepe Üniversitesi Tıp Fakültesi, Fizik Tedavi ve Rehabilitasyon A.D.)
Selma Eroğlu(Afyon Kocatepe Üniversitesi Tıp Fakültesi, Fizik Tedavi ve Rehabilitasyon A.D.)
Pages
41–45
Publication Date
2018-04-30
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Quadriceps exercises, especially involving the vastus medialis obliquus, may decrease anterior knee pain and improve gait pattern induced by patella alta.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Cerebral palsy is a permanent disorder of the development in movement and posture which is a result of damage in the fetal or infant brain.
📊
Key Findings & Data:Sensorial, cognitive, perceptive, behavioral disorders and epilepsy, as well as the secondary musculoskeletal problems may accompany motor disorders.
💡
Conclusion & Impact:Quadriceps exercises, especially involving the vastus medialis obliquus, may decrease anterior knee pain and improve gait pattern induced by patella alta.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:Serebral palsi · Patella alta · Rehabilitasyon

Abstract

Cerebral palsy is a permanent disorder of the development in movement and posture which is a result of damage in the fetal or infant brain. Sensorial, cognitive, perceptive, behavioral disorders and epilepsy, as well as the secondary musculoskeletal problems may accompany motor disorders. Knee flexion deformity constitutes an essential part of the musculoskeletal problems. Knee flexion deformity may cause crouch gait and patella alta by affecting the extensor mechanism of the knee. As a result, these conditions may cause anterior knee pain. Quadriceps exercises, especially involving the vastus medialis obliquus, may decrease anterior knee pain and improve gait pattern induced by patella alta.

Özet

Serebral palsi (SP); gelişmekte olan fetal veya infant beyninde oluşan hasar sonucu, hareket ve postür gelişiminin kalıcı bozukluğudur. Motor bozukluğa duysal, bilişsel, algısal, davranışsal bozukluklar ve epilepsi yanında sekonder kas iskelet sistemi problemleri de eşlik edebilir. Kas iskelet sistemi problemleri içinde diz fleksiyon deformitesi önemli yer tutar. Diz fleksiyon deformitesi, bükük diz yürüyüşüne ve dizin ekstansör mekanizmasını etkileyerek patella altaya neden olmaktadır. Bunun sonucunda ön diz ağrısı (ÖDA) gelişebilmektedir. Kuadriseps, özellikle de vastus medialis oblikus güçlendirme egzersizleri ile patella altanın neden olduğu ÖDA azaltılabilir, yürüyüş daha iyi hale getirilebilir.

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Cite This Article

Toktaş, H., Eyvaz, N., Dündar, Ü., Eroğlu, S. (2018). Patella alta as a cause of anterior knee pain in cerebral palcy: case report and rehabilitation approach. Journal of Biotechnology and Strategic Health Research, Cilt: 2 Sayı: 1, 41–45. https://ajindex.com/articles/1506187

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References (2)

  1. Rosenbaum P, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007 Feb;109:8-14.2- Morrell DS, Pearson JM, Sauser DD. Progressive bone and joint abnormalities of the spine and lower extremities in cerebral palsy. Radiographics. 2002 Mar-Apr;22(2):257-68.3-Bertollo N, Pelletier MH, Walsh WR. Simulation of patella alta and the implications for in vitro patellar tracking in the ovine stifle joint. J Orthop. 2012 30; 1789-97.4-Çapacı K. Diz muayenesi – Diz ağrısı nedenleri. In: Beyazova M, Kutsal YG editors. Fiziksel Tıp ve Rehabilitasyon; Ankara, Güneş Tıp Kitabevleri, 2. Baskı. 2011.p. 2093-110.5- Waninge A et al. Feasibility, test retest reliability, and interrater reliability of the Modified Ashworth Scale and Modified Tardieu Scale in persons with profound intellectual and multiple disabilities. Research İn Developmental Disabilities 2011;32: 613–20.6- Erkin G, Aybay C. Pediatrik rehabilitasyonda kullanılan fonksiyonel değerlendirme metodları. Türkiye Fiziksel Tıp Ve Rehabilitasyon Dergisi 2001; 47 (3); 16-26.7-Palisano R, Rosenbaum P, Walter S. Development and reliability of a system to classify gross motor function in children with Cerebral Palsy. Dev. Med. Child Neurol 1997; 39; 214-23.8- Holden MK, Gill KM, Magliozzi MR. Gait assessment for neurologically impaired patients. Phys Ther 1986;66:1530-39. 9-Senaran H, et al. Anterior knee pain in children with cerebral palsy. J Pediatr Orthop. 2007; 27:12–6.10-Topoleski TA, Kurtz CA, Grogan DP. Radiographic abnormalities and clinical symptoms associated with patella alta in ambulatory children with cerebral palsy. J Pediatr Orthop. 2000; 20:636-9. 11-Ward SR, Powers CM. The influence of patella alta on patellofemoral joint stress during normal and fast walking. Clin Biomech. 2004; 19:1040-7.12-Damiano DL, Kelly LE, Vaughn CL. Effects of quadriceps femoris muscle strengthening on crouch gait in children with spastic diplegia. Phys Ther. 1995; 75:658-67.13-Becher JG, Pediatric rehabilitation in children with cerebral palsy: general management, classification of motor disorders. JPO: Journal of Prosthetics and Orthotics, 2002; 14.4: 143-9.
  2. Rosenbaum P, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007 Feb;109:8-14.2- Morrell DS, Pearson JM, Sauser DD. Progressive bone and joint abnormalities of the spine and lower extremities in cerebral palsy. Radiographics. 2002 Mar-Apr;22(2):257-68.3-Bertollo N, Pelletier MH, Walsh WR. Simulation of patella alta and the implications for in vitro patellar tracking in the ovine stifle joint. J Orthop. 2012 30; 1789-97.4-Çapacı K. Diz muayenesi – Diz ağrısı nedenleri. In: Beyazova M, Kutsal YG editors. Fiziksel Tıp ve Rehabilitasyon; Ankara, Güneş Tıp Kitabevleri, 2. Baskı. 2011.p. 2093-110.5- Waninge A et al. Feasibility, test retest reliability, and interrater reliability of the Modified Ashworth Scale and Modified Tardieu Scale in persons with profound intellectual and multiple disabilities. Research İn Developmental Disabilities 2011;32: 613–20.6- Erkin G, Aybay C. Pediatrik rehabilitasyonda kullanılan fonksiyonel değerlendirme metodları. Türkiye Fiziksel Tıp Ve Rehabilitasyon Dergisi 2001; 47 (3); 16-26.7-Palisano R, Rosenbaum P, Walter S. Development and reliability of a system to classify gross motor function in children with Cerebral Palsy. Dev. Med. Child Neurol 1997; 39; 214-23.8- Holden MK, Gill KM, Magliozzi MR. Gait assessment for neurologically impaired patients. Phys Ther 1986;66:1530-39. 9-Senaran H, et al. Anterior knee pain in children with cerebral palsy. J Pediatr Orthop. 2007; 27:12–6.10-Topoleski TA, Kurtz CA, Grogan DP. Radiographic abnormalities and clinical symptoms associated with patella alta in ambulatory children with cerebral palsy. J Pediatr Orthop. 2000; 20:636-9. 11-Ward SR, Powers CM. The influence of patella alta on patellofemoral joint stress during normal and fast walking. Clin Biomech. 2004; 19:1040-7.12-Damiano DL, Kelly LE, Vaughn CL. Effects of quadriceps femoris muscle strengthening on crouch gait in children with spastic diplegia. Phys Ther. 1995; 75:658-67.13-Becher JG, Pediatric rehabilitation in children with cerebral palsy: general management, classification of motor disorders. JPO: Journal of Prosthetics and Orthotics, 2002; 14.4: 143-9.