Related Experiment Video
Updated: Jul 15, 2026

Paradigms of Lower Extremity Electrical Stimulation Training After Spinal Cord Injury
Published on: February 1, 2018
[Electrophysical surveillance in limb lengthening in 25 children and adolescents]
X Malliopoulos1, B Maisonneuve, D Fron
1Centre de rééducation fonctionnelle Marc-Sautelet, 64, rue de la Liberté, 59650 Villeneuve d'Ascq, France. xavier.malliopoulos@laposte.net
Objective:
To evaluate neurological tolerance during limb lengthening in children and adolescents.
Material And Methods:
Retrospective study of 25 children and adolescents [15 girls, 10 boys; mean age 11.3 years, range 5-18 years] undergoing limb lengthening. Limbs involved were the femur [11 cases], tibia [10 cases], radius [3 cases] and humerus [1 case], and lengthening was 1 mm/day, adjusted depending on clinically and electrophysically observed alterations during weekly surveillance.
Results:
Lengthening in 8 cases was accompanied by electrophysiological deterioration and in 1 by clinical alteration without electrophysiological anomaly. Eight of 25 lengthenings had to be slowed and 1 discontinued.
Discussion:
This work confirms poor neurological tolerance with limb lengthening. It shows the interest of clinical and electrophysiological monitoring in preventing severe neurological accidents with such lengthening.

