Transverse plane rotation of the foot and transverse hip and pelvic kinematics in diplegic cerebral palsy

Gaston, Mark S.; Rutz, Erich; Dreher, Thomas; Brunner, Reinald

doi:10.1016/j.gaitpost.2011.05.001

Cited by 42 publications

(28 citation statements)

References 18 publications

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“…The peaks were high in the hallux region, low in the midfoot region and metatarsals and absent in the heel region (30,31) in both feet. Gaston et al (27) found a correlation between the rotation of the foot and of the hip and pelvis, showing that when the foot receives the load medially, the entirety of the lower limb rotates inward. This finding is in consonance with the findings in this study, in which we observed medial support in the foot and internal rotation of the lower limbs.…”

Section: Discussionmentioning

confidence: 99%

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Cerebral palsy: Influence of TheraTogs ® on gait, posture and in functional performance

et al. 2017

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Introduction: For children with cerebral palsy, orthoses take an important role in improving posture, gait, functional performance and preventing secondary musculoskeletal disorders. Objective: To evaluate the influence of TheraTogs ® on the posture, distribution of plantar pressure during gait and functional performance of a child with spastic diplegia cerebral palsy. Methods: A quantitative evaluation was carried out on a case study in which an 11-year-old child diagnosed with diplegic cerebral palsy underwent postural assessment through the Postural Assessment Software (PAS), plantar pressure distribution assessment during barefoot gait through the Emed-X system, before and after the intervention period of 8 weeks and functional assessment (Pediatric Evaluation of Disability Inventory -PEDI), with and without TheraTogs

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Section: Discussionmentioning

confidence: 99%

“…This finding is in consonance with the findings in this study, in which we observed medial support in the foot and internal rotation of the lower limbs. According to the authors (27), this is due to the lever arm dysfunction as a result of the shortened leg and inefficiency plantar flexion and knee extension.…”

Section: Discussionmentioning

confidence: 99%

Cerebral palsy: Influence of TheraTogs ® on gait, posture and in functional performance

et al. 2017

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“…Moreover, the increased foot progression angle, anterior pelvic tilt, and external hip rotation observed in many of these children might be secondary to the equinus contractures. As muscle length and bone formation are affected by functional demands, adaptive external rotation at the hip and in the tibia might occur while attempting to place the limb in a plantigrade position despite an ankle contracture (30,36,37).…”

Section: Discussionmentioning

confidence: 99%

Treatment for idiopathic toe walking: A systematic review of the literature

Kuijk¹,

Kosters²,

Vugts³

et al. 2014

J Rehabil Med

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There is preliminary evidence for beneficial effects of serial casting and surgery on passive ankle dorsiflexion as well as on walking kinetics and kinematics, although normalization does not seem to occur. Botulinum toxin type A does not improve the results of casting. Only after surgery are sustainable effects lasting > 1 year reported. Effectiveness on functional activities and social participation has yet to be demonstrated.

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“…One reason for unpredicted outcomes could be the soft tissue procedures during SEMLS, some of which have an influence on IRG. Gaston et al found a relationship between equinus foot and the transverse plane kinematic of the hip during gait [31]. Allison et al found that neither the medial hamstrings nor the adductor brevis, adductor longus, or gracilis are likely to be important contributors to excessive internal rotation of the hip.…”

Section: Discussionmentioning

confidence: 99%

Do changes in torsional magnetic resonance imaging reflect improvement in gait after femoral derotation osteotomy in patients with cerebral palsy?

Braatz

Wolf

Gerber

et al. 2013

International Orthopaedics (SICOT)

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Purpose Femoral derotation osteotomy (FDO) is commonly used to correct internal rotation gait (IRG) in spastic diplegia. The purpose of this study was to investigate whether the extent of intraoperative derotation is reflected in changes in static (clinical ROM and anteversion angle measured on torsional MRI) and dynamic parameters (transverse plane kinematics in three-dimensional gait analysis) after FDO in children with spastic diplegia. Methods In a prospective study, 30 children with spastic diplegia and IRG were treated with FDO as part of a multilevel surgery and were examined pre-and postoperatively clinically, by three-dimensional gait analysis and by torsional MRI according to a standardised protocol. Results A correlation (r=0.317, p=0.015) between the extent of intraoperative derotation and mean hip rotation in stance as well as the anteversion angle measured on torsional MRI (r=0.454, p<0.001) was found. However, no significant correlation was observed between anteversion angle (tMRI) and mean hip rotation in stance, either before or after FDO. Conclusions Significant improvements were found in IRG after FDO, confirming the results of previous studies. There was no correlation between the anteversion measured on MRI and the mean hip rotation in stance in 3D gait analysis before or after FDO. Thus, the data suggest that if the intraoperative extent of derotation is determined only by the anteversion angle, the result will not be better after FDO. It might only help to avoid retroversion and indicate the maximum amount of femoral derotation. In this study the extent of the intraoperative derotation was orientated at the preoperative midpoint of rotation. Based on the small, but significant correlation between the clinical midpoint and the mean hip rotation in stance in the gait analysis, determination of the intraoperative extent of derotation according to the mean hip rotation in stance seems to give the best results.

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Transverse plane rotation of the foot and transverse hip and pelvic kinematics in diplegic cerebral palsy

Cited by 42 publications

References 18 publications

Cerebral palsy: Influence of TheraTogs ® on gait, posture and in functional performance

Cerebral palsy: Influence of TheraTogs ® on gait, posture and in functional performance

Treatment for idiopathic toe walking: A systematic review of the literature

Do changes in torsional magnetic resonance imaging reflect improvement in gait after femoral derotation osteotomy in patients with cerebral palsy?

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