ROM Resist & New Zealand

Co-contraction. Now about this time we were already into doing lengthening with minimal exposure as it was designed to handle congenital cardiac based CP (tetralogy and such). These children turned blue with walking. It was life threatening as back then the cardiac repairs were staged over time as they had not figured how to make the needed cardiac repairs grow with the patient. The patients were to be operated under local anesthetic with some plasma to offset anticoagulation. It was not to cure, but just make stress less so that they did not force too early a next cardiac repair. These kids did spectacularly well with so little done and frightening the tar out of us doing it! Then came a visitor from New Zealand whose parents had wind of this from a common (cardiac) patient at same rehab facility. Please. Six years of solid PT and no trace of walking. Mmmm... OK.

Preop on left. EMG is bouncing bar type (inset is a scribble equivalent for single frame discourse). He could not walk and needed to be held aloft. He