Ganganalyse beim Cerebralparetiker - Beziehungen zwischen Störungen der Muskelkoordination und Ganganomalien*
| Autor: | F. Abbink, E. Cloppenburg, V. Güth |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Movement disorders medicine.diagnostic_test business.industry Trendelenburg Electromyography musculoskeletal system medicine.disease Gait Cerebral palsy Motor coordination Physical medicine and rehabilitation medicine.anatomical_structure Gait analysis medicine Orthopedics and Sports Medicine Surgery medicine.symptom business Pelvis |
| Zdroj: | Zeitschrift für Orthopädie und ihre Grenzgebiete. 123:306-311 |
| ISSN: | 1438-941X 0044-3220 |
| DOI: | 10.1055/s-2008-1045156 |
| Popis: | Electromyographic and gait investigations of 35 patients and 32 healthy persons were evaluated in order to get hints upon the origin of anomalous movements of the pelvis and the spine with following results: a. The amount of the spine motions of CP-patients is significantly greater than that of health persons. The motions of the pelvis of the patients also seems to be greater, but there is no significance. b. The average electromyographical activity of the hip abductors of CP-patients is not remarkably diminished, that of the hip adductors is not increased. We also found no signs of an atrophy of the hip adductors or a hypertrophy of the hip adductors. c. There is no correlation between the disturbances of coordination of the entire lower leg measured by electromyography and the amount of the pathologic motions. d. We found a distinct correlation between the disturbances especially of the hip ab- and adductors and the amount of the pathologic motions. This amount is the smaller, the worse is the coordination of these two groups of muscles. The topics a-c do not allow to find the origin of the Duchenne- and Trendelenburg limpings of CP-patients, topic d also gives explanation of this fact. In opposition we may suppose here that the bad timing of the coordination resp. the corresponding permanent electrical activity of the hip ab- and adductors has a stabilizing influence upon the pelvis and the spine. As the most probable origin of the increased Duchenne limping we not suppose the increased motions of the stance phase. Our following investigations will deal with this hypothesis. |
| Databáze: | OpenAIRE |
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