Gait Patterns in Children with Hemiplegic Spastic Cerebral Palsy
| Autor: | James E. Robb, I R Loudon, M G Hullin |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Gait Disturbance business.industry Group ii musculoskeletal system medicine.disease Gait Sagittal plane body regions Spastic cerebral palsy medicine.anatomical_structure Physical medicine and rehabilitation Gait analysis Pediatrics Perinatology and Child Health medicine Spastic Orthopedics and Sports Medicine Spastic hemiplegia medicine.symptom business human activities |
| Zdroj: | Journal of Pediatric Orthopaedics B. 5:247-256 |
| ISSN: | 1060-152X |
| DOI: | 10.1097/01202412-199605040-00006 |
| Popis: | Twenty-six nonoperated spastic hemiplegic children underwent three-dimensional kinetic gait analysis. We identified five patterns based on sagittal plane kinetics. Group I had a minimal gait disturbance, a drop foot pattern, and normal kinetics, Group II had a flexed knee but normal hip extension, Group III a flexed knee and hip, Group IV knee hyperextension and tibial arrest, and Group V knee hyperextension and persistent ankle dorsiflexion. We concluded that Group I had weak anterior tibial muscles, and in stance Group II a functionally tight gastrocnemius, Group III a functionally tight gastrocnemius and hip flexors, and Group IV a functionally tight soleus, and in Group V the patients generated an abnormally large fore-aft shear force and the gastrocnemius and soleus were not tight. Kinetics help in the understanding of gait aberrations in spastic hemiplegia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|