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Propulsive Function During Gait in Diplegic Children: Evaluation after Surgery for Gait Improvement
- Source :
- Journal of Pediatric Orthopaedics B. 10:226-233
- Publication Year :
- 2001
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2001.
-
Abstract
- Seventeen patients with diplegic cerebral palsy were assessed by clinical examination and three-dimensional gait analysis before and after surgery to improve gait. Selection of surgical procedures was according to a fixed set of selection criteria. The average postoperative follow-up was 3.8 years (range, 2.6-5.7 years). Clinical examination revealed an improved range of motion for the ankle and no reduction in the power grade at the hip, knee and ankle after surgery. Kinematic parameters showed improved knee extension in stance and significant changes towards a normal ankle motion pattern postoperatively. Kinetic evaluation demonstrated that most of the total power during walking was generated at the hip, with the ankle contributing a small part. After surgery, patients walked faster with an increased power generation at the hip during first double support and at the ankle during push off. Power generation at the hip in stance is pointed out to be an important mechanism for propulsion during walking.
- Subjects :
- medicine.medical_specialty
business.industry
Arthrodesis
medicine.medical_treatment
Biomechanics
medicine.disease
Surgery
Cerebral palsy
Gait (human)
medicine.anatomical_structure
Gait analysis
Pediatrics, Perinatology and Child Health
Physical therapy
Medicine
Orthopedics and Sports Medicine
Ankle
business
Range of motion
human activities
Diplegic cerebral palsy
Subjects
Details
- ISSN :
- 1060152X
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Journal of Pediatric Orthopaedics B
- Accession number :
- edsair.doi.dedup.....39abc7b9e5af926076bc93be94926a74