Effect of intensive conservative therapy on gait performance in patients with legg-calvé-perthes disease

Autor: Carsten Ebert, Lutz Vogt, Moamer Brkic, Felix Stief, Andrea Meurer
Rok vydání: 2013
Předmět:
Zdroj: Gait & Posture. 38:S1
ISSN: 0966-6362
Popis: Introduction: The hip joint may develop early osteoarthritis in patientswithPerthesdisease [1]. Physical examinationoften shows a limitation in range of motion (ROM) for hip extension, abduction and internal rotationaswell as anabductorweakness [2]. Conservative therapeutic training is an alternative to surgical interventions that can be used to improve altered biomechanics of the hip.While mechanisms of gait compensation in these patients have beenwell described [3], there is a lack of research on the effects of therapeutic training on gait performance. The purpose of the present study was to evaluate whether physiotherapy treatment could improve gait parameters in patients with Perthes disease. Patients/materials and methods: 18 patients with unilateral Perthes disease and a mean age of 6.2 (±1.9) years participated in this prospective study. Gait analysis was performed immediately before and 12 weeks after intensive therapeutic training. Kinematic datawere collected using an eight-cameraVicon system.One force plate (AMTI) was used to calculate mechanical power. The Helen Hayesmarker set [4] was applied to determine joint centers. All subjects walked barefoot at a self-selected speed along a 15m walkway. Differences were tested for significance using a paired ttest (significance level was set at P
Databáze: OpenAIRE
Externí odkaz: