Gait compensations caused by foot deformity in cerebral palsy

Gait & Posture
Julie StebbinsT N Theologis

Abstract

Cerebral palsy (CP) is a complex syndrome, with multiple interactions between joints and muscles. Abnormalities in movement patterns can be measured using motion capture techniques, however determining which abnormalities are primary, and which are secondary, is a difficult task. Deformity of the foot has anecdotally been reported to produce compensatory abnormalities in more proximal lower limb joints, as well as in the contralateral limb. However, the exact nature of these compensations is unclear. The aim of this paper was to provide clear and objective criteria for identifying compensatory mechanisms in children with spastic hemiplegic CP, in order to improve the prediction of the outcome of foot surgery, and to enhance treatment planning. Twelve children with CP were assessed using conventional gait analysis along with the Oxford Foot Model prior to and following surgery to correct foot deformity. Only those variables not directly influenced by foot surgery were assessed. Any that spontaneously corrected following foot surgery were identified as compensations. Pelvic rotation, internal rotation of the affected hip and external rotation of the non-affected hip tended to spontaneously correct. Increased hip flexion on the af...Continue Reading

Citations

Sep 21, 2013·Journal of Foot and Ankle Research·David J GutekunstDavid R Sinacore
Jun 5, 2012·Journal of the American Podiatric Medical Association·Stewart C MorrisonRyan Mahaffey
Jul 27, 2012·Journal of Biomechanics·Chris BishopDominic Thewlis
Dec 17, 2015·Gait & Posture·Paulo Roberto Garcia LucareliFabiano Politti
Aug 5, 2015·Clinical Biomechanics·Valentina AgostiniMarco Knaflitz
Mar 12, 2013·Gait & Posture·Julia BalzerMarietta L van der Linden
Feb 4, 2014·Gait & Posture·Harald BöhmLeonhard Döderlein
May 28, 2014·Research in Developmental Disabilities·Lieve HeyrmanKaat Desloovere
Dec 4, 2014·Gait & Posture·Joseph J KrzakGerald F Harris
Dec 7, 2014·Clinical Biomechanics·Michael AttiasStéphane Armand
Feb 26, 2016·Developmental Medicine and Child Neurology·Brooke AdairMeg E Morris
Sep 16, 2011·Clinical Orthopaedics and Related Research·Jacques RiadEva Broström
Jul 31, 2019·Journal of Pediatric Orthopedics. Part B·Jin A YoonYong Beom Shin
Nov 30, 2019·Annals of Physical and Rehabilitation Medicine·Anca Irina GrigoriuSylvain Brochard
Jan 4, 2021·Gait & Posture·Anniina J M CanselKenneth Meijer
Nov 23, 2021·Computer Methods in Biomechanics and Biomedical Engineering·Wonhee LeeDong-Wook Rha

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