Gait Patterns According to the Torsional Deformities in Spastic Hemiplegia: A Preliminary Report.
10.4055/jkoa.2004.39.3.298
- Author:
Chin Youb CHUNG
1
;
Moon Seok PARK
;
In Ho CHOI
;
Tae Joon CHO
;
Won Joon YOO
Author Information
1. Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, Korea. Chin@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Cerebral palsy;
Hemiplegia;
Torsional deformity;
Gait pattern
- MeSH:
Cerebral Palsy;
Compensation and Redress;
Congenital Abnormalities*;
Female;
Foot;
Foot Deformities;
Gait*;
Hemiplegia*;
Humans;
Male;
Muscle Spasticity*;
Thigh
- From:The Journal of the Korean Orthopaedic Association
2004;39(3):298-305
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To understand the relationship between the gait patterns in transverse plane and the torsional deformities (TD). MATERIALS AND METHODS: We evaluated the clinical, radiological, and three-dimensional gait analysis data of 55 spastic hemiplegics with TD. We define the TD as follows: 1) femoral anteversion > or =30degrees, 2) thigh foot angle < or = -5degrees or > or =25degrees, 3) severe foot deformities that could affect the foot progression angle (FPA). RESULTS: There were 35 males and 20 females with an average age of 8.4 years. 49 patients (89.1%) showed pelvic compensation (PC). In the PC group, 27 patients (55.1%) showed physiologic FPA. However, 22 patients (44.9%) still showed in-toeing (19 patients) or out-toeing (3 patients) gait. Out of the 6 patients (10.9%) who did not showed PC, we could observe in-toeing, out-toeing gait, and physiologic FPA from 3, 2, and 1 patients, respectively. 51 patients (92.7%) had increased femoral anteversion. There were 11 patients (19.6%) with an internal (2 patients) or an external tibial torsion (9 patients), and 30 patients (54.5%) with foot deformities. CONCLUSION: We classified the gait patterns and analyzed the relationship between each gait pattern and types of torsional deformities.
