Children who toe-walk can pose a diagnostic problem. The differential diagnosis includes mild spastic diplegia and idiopathic toe-walking. Clinical differentiation between these two patient groups can be particularly difficult, and there are no objective diagnostic tests to assist the clinician. We assessed 50 children who toe-walk to define the kinematic patterns of lower-limb joint motion in the sagittal plane. There were 23 children with mild spastic diplegia. 22 idiopathic toe-walkers, and five normal children who were asked to toe-walk. We found characteristic patterns of knee and ankle motion that differentiated spastic diplegia from idiopathic toe-walking. Normal children asked to toe-walk had the same pattern as the idiopathic group. Gait analysis is a diagnostic tool that enables the clinician objectively to differentiate mild spastic diplegia from idiopathic toe-walking.
%0 Journal Article
%1 Kelly1997
%A Kelly, I. P.
%A Jenkinson, A.
%A Stephens, M.
%A O'Brien, T.
%D 1997
%J J Pediatr Orthop
%K Adolescent; Ankle Joint; Cerebral Palsy; Child; Child, Preschool; Female; Gait; Humans; Knee Male; Movement
%N 4
%P 478--480
%T The kinematic patterns of toe-walkers.
%V 17
%X Children who toe-walk can pose a diagnostic problem. The differential diagnosis includes mild spastic diplegia and idiopathic toe-walking. Clinical differentiation between these two patient groups can be particularly difficult, and there are no objective diagnostic tests to assist the clinician. We assessed 50 children who toe-walk to define the kinematic patterns of lower-limb joint motion in the sagittal plane. There were 23 children with mild spastic diplegia. 22 idiopathic toe-walkers, and five normal children who were asked to toe-walk. We found characteristic patterns of knee and ankle motion that differentiated spastic diplegia from idiopathic toe-walking. Normal children asked to toe-walk had the same pattern as the idiopathic group. Gait analysis is a diagnostic tool that enables the clinician objectively to differentiate mild spastic diplegia from idiopathic toe-walking.
@article{Kelly1997,
abstract = {Children who toe-walk can pose a diagnostic problem. The differential diagnosis includes mild spastic diplegia and idiopathic toe-walking. Clinical differentiation between these two patient groups can be particularly difficult, and there are no objective diagnostic tests to assist the clinician. We assessed 50 children who toe-walk to define the kinematic patterns of lower-limb joint motion in the sagittal plane. There were 23 children with mild spastic diplegia. 22 idiopathic toe-walkers, and five normal children who were asked to toe-walk. We found characteristic patterns of knee and ankle motion that differentiated spastic diplegia from idiopathic toe-walking. Normal children asked to toe-walk had the same pattern as the idiopathic group. Gait analysis is a diagnostic tool that enables the clinician objectively to differentiate mild spastic diplegia from idiopathic toe-walking.},
added-at = {2014-07-19T20:35:46.000+0200},
author = {Kelly, I. P. and Jenkinson, A. and Stephens, M. and O'Brien, T.},
biburl = {https://www.bibsonomy.org/bibtex/27dbb068eac38b8f875b7d2c7ad24763a/ar0berts},
groups = {public},
interhash = {a33214196ec0c3444a059d56267de6de},
intrahash = {7dbb068eac38b8f875b7d2c7ad24763a},
journal = {J Pediatr Orthop},
keywords = {Adolescent; Ankle Joint; Cerebral Palsy; Child; Child, Preschool; Female; Gait; Humans; Knee Male; Movement},
number = 4,
pages = {478--480},
pmid = {9364387},
timestamp = {2014-07-19T20:35:46.000+0200},
title = {The kinematic patterns of toe-walkers.},
username = {ar0berts},
volume = 17,
year = 1997
}