Gait Patterns According to the Transverse Plane Deformities in Spastic Diplegia: A Preliminary Report.
10.4055/jkoa.2005.40.7.949
- Author:
Chin Youb CHUNG
1
;
Moon Seok PARK
;
In Ho CHOI
;
Tae Joon CHO
;
Won Joon YOO
;
Sun Jong CHOI
Author Information
1. Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, Korea. pmsmed@hanafos.com
- Publication Type:Original Article
- Keywords:
Cerebral palsy;
Diplegia;
Torsional deformity;
Gait pattern
- MeSH:
Cerebral Palsy*;
Compensation and Redress;
Congenital Abnormalities*;
Foot;
Foot Deformities;
Gait*;
Muscle Spasticity*;
Thigh
- From:The Journal of the Korean Orthopaedic Association
2005;40(7):949-957
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To understand the relationship between the gait patterns in transverse plane and the transverse plane deformities. MATERIALS AND METHODS: We evaluated the clinical, radiological, and three-dimensional gait analysis data of 152 spastic diplegics with transverse plane deformities. We define the transverse plane deformities as follows: 1) femoral anteversion > or =30 degrees, 2) thigh foot angle < or =-5 degrees or > or =25 degrees, 3) severe foot deformities that could affect the foot progression angle. RESULTS: We classified gait patterns of spastic diplegics into 6 groups on the base of pelvic compensation and foot progression angle, and divided anatomic characteristics into symmetric and asymmetric type. Among the gait patterns, pattern I-A (in-toeing with pelvic compensation) and II-A (in-toeing without pelvic compensation) were most prevalent. Femoral antetorsion was the most frequent torsional deformities, whereas valgus of foot was second most. CONCLUSION: We classified the gait patterns and analyzed the relationship between each gait pattern and types of torsional deformities.
